Diagnostic accuracy of point-of-care testing for diabetic ketoacidosis at emergency-department triage: β-hydroxybutyrate versus the urine dipstick

Diabetes Care

Volumn 34, Issue 4, 2011, Pages 852-854

  Arora, Sanjay ^a   Henderson, Sean O ^a   Long, Theodore ^a   Menchine, Michael ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

3 HYDROXYBUTYRIC ACID; GLUCOSE;

ADULT; AGED; ARTICLE; BLOOD CHEMISTRY; BLOOD GAS ANALYSIS; COHORT ANALYSIS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIABETIC KETOACIDOSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; DIAGNOSTIC TEST ACCURACY STUDY; EMERGENCY HEALTH SERVICE; FEMALE; GLUCOSE BLOOD LEVEL; HUMAN; HYPERGLYCEMIA; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; POINT OF CARE TESTING; PREDICTIVE VALUE; PROSPECTIVE STUDY; REFERENCE VALUE; SENSITIVITY AND SPECIFICITY; URINALYSIS; URINE DIPSTICK;

3-HYDROXYBUTYRIC ACID; ADULT; DIABETIC KETOACIDOSIS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; POINT-OF-CARE SYSTEMS; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TRIAGE;

EID: 79956212973     PISSN: 01495992     EISSN: 19355548     Source Type: Journal    
DOI: 10.2337/dc10-1844     Document Type: Article

References (14)

1. Ginde AA, Pelletier AJ, Camargo CA Jr. National study of U.S. emergency department visits with diabetic ketoacidosis, 1993-2003. Diabetes Care 2006;29:2117-2119
2. Menchine M, Arora S, Camargo CA. Prevalence of undiagnosed and sub-optimally controlled diabetes by point-of-care HbA1c in unselected emergency department patients. Acad Emerg Med. In press
3. American Diabetes Association. Tests of glycemia in diabetes. Diabetes Care 1998;21(Suppl. 1):S69-S71
4. Schwab TM, Hendey GW, Soliz TC. Screening for ketonemia in patients with diabetes. Ann Emerg Med 1999;34:342-346 (Pubitemid 29416025)
5. American Diabetes Association. Clinical practice recommendations. Diabetes Care 2004;27(Suppl. 1):S94-S102
6. Byrne HA, Tieszen KL, Hollis S, Dornan TL, New JP. Evaluation of an electrochemical sensor for measuring blood ketones. Diabetes Care 2000;23:500-503 (Pubitemid 30185794)
7. Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care 2009;32:1335-1343
8. Harris S, Ng R, Syed H, Hillson R. Near patient blood ketone measurements and their utility in predicting diabetic ketoacidosis. Diabet Med 2005;22:221-224 (Pubitemid 40204332)
9. Taboulet P, Haas L, Porcher R, et al. Urinary acetoacetate or capillary beta-hydroxybutyrate for the diagnosis of ketoacidosis in the Emergency Department setting. Eur J Emerg Med 2004;11:251-258
10. Charles RA, Bee YM, Eng PH, Goh SY. Point-of-care blood ketone testing: screening for diabetic ketoacidosis at the emergency department. Singapore Med J 2007;48:986-989 (Pubitemid 351235249)
11. Naunheim R, Jang TJ, Banet G, Richmond A, McGill J. Point-of-care test identifies diabetic ketoacidosis at triage. Acad Emerg Med 2006;13:683-685 (Pubitemid 43744540)
12. Flahault A, Cadilhac M, Thomas G. Sample size calculation should be performed for design accuracy in diagnostic test studies. J Clin Epidemiol 2005;58:859-862 (Pubitemid 40966845)
13. Hawass NE. Comparing the sensitivities and specificities of two diagnostic procedures performed on the same group of patients. Br J Radiol 1997;70:360-366
14. Wallace TM, Meston NM, Gardner SG, Matthews DR. The hospital and home use of a 30-second hand-held blood ketone meter: guidelines for clinical practice. Diabet Med 2001;18:640-645 (Pubitemid 32823061)