The effects of temperature and relative humidity on point-of-care glucose measurements in hospital practice in a tropical clinical setting

Busadee Pratumvinit, Nattakom Charoenkoop, Soamsiri Niwattisaiwong, Gerald J Kost, Panutsaya Tientadakul

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Hospitals in tropical countries experience conditions that exceed manufacturer temperature and humidity limits for point-of-care (POC) glucose reagents. Our goal was to assess the effects of out-of-limits storage temperature, operating temperature, and operating humidity on POC glucose measurement reliability. Methods: Quality control measurements were performed monthly using glucose test strips stored under controlled conditions and in inpatient wards under ambient conditions. Glucose test strips were evaluated in groups organized by operating temperatures of 24-25 (group 1), 28-29 (group 2), and 33-34°C (group 3), and relative humidity (RH) of ≤70 (group A), ∼80 (group B), and ∼90% (group C). Results: Glucose results for different storage conditions were inconsistent. Measurements at higher operating temperatures had lower values with mean differences of -2.4 (P < .001) and -36.5 (P < .001) mg/dL (28-29 vs 24-25°C), and -3.6 (P < .001) and -37.4 (P < .001) mg/dL (33-34 vs 24-25°C) for low and high control levels, respectively. Measurements at higher RH had lower values with mean differences of -4.0 (P < .001) and -13.2 (P < .001) mg/dL (∼80 vs ≤70% RH), and -5.8 (P < .001) and -16.6 (P < .001) mg/dL (∼90 vs ≤70% RH) for low and high levels, respectively. Conclusions: High temperature and high RH decreased glucose concentrations for the POC oxidase-based system we evaluated. We recommend that individual hospitals perform stress testing, then determine if maximum absolute differences, which represent highest risk for patients, are clinically significant for decision making by using error grid analysis.

Original languageEnglish (US)
Pages (from-to)1094-1100
Number of pages7
JournalJournal of diabetes science and technology
Volume10
Issue number5
DOIs
StatePublished - 2016

Fingerprint

Point-of-Care Systems
Humidity
Glucose
Atmospheric humidity
Temperature
Level control
Quality Control
Quality control
Inpatients
Decision Making
Oxidoreductases
Decision making
Testing

Keywords

  • And temperature
  • Environmental stress
  • Glucose
  • Glucose meter
  • Humidity
  • Point of care

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Bioengineering
  • Medicine(all)
  • Biomedical Engineering

Cite this

The effects of temperature and relative humidity on point-of-care glucose measurements in hospital practice in a tropical clinical setting. / Pratumvinit, Busadee; Charoenkoop, Nattakom; Niwattisaiwong, Soamsiri; Kost, Gerald J; Tientadakul, Panutsaya.

In: Journal of diabetes science and technology, Vol. 10, No. 5, 2016, p. 1094-1100.

Research output: Contribution to journalArticle

Pratumvinit, Busadee ; Charoenkoop, Nattakom ; Niwattisaiwong, Soamsiri ; Kost, Gerald J ; Tientadakul, Panutsaya. / The effects of temperature and relative humidity on point-of-care glucose measurements in hospital practice in a tropical clinical setting. In: Journal of diabetes science and technology. 2016 ; Vol. 10, No. 5. pp. 1094-1100.
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AU - Kost, Gerald J

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AB - Background: Hospitals in tropical countries experience conditions that exceed manufacturer temperature and humidity limits for point-of-care (POC) glucose reagents. Our goal was to assess the effects of out-of-limits storage temperature, operating temperature, and operating humidity on POC glucose measurement reliability. Methods: Quality control measurements were performed monthly using glucose test strips stored under controlled conditions and in inpatient wards under ambient conditions. Glucose test strips were evaluated in groups organized by operating temperatures of 24-25 (group 1), 28-29 (group 2), and 33-34°C (group 3), and relative humidity (RH) of ≤70 (group A), ∼80 (group B), and ∼90% (group C). Results: Glucose results for different storage conditions were inconsistent. Measurements at higher operating temperatures had lower values with mean differences of -2.4 (P < .001) and -36.5 (P < .001) mg/dL (28-29 vs 24-25°C), and -3.6 (P < .001) and -37.4 (P < .001) mg/dL (33-34 vs 24-25°C) for low and high control levels, respectively. Measurements at higher RH had lower values with mean differences of -4.0 (P < .001) and -13.2 (P < .001) mg/dL (∼80 vs ≤70% RH), and -5.8 (P < .001) and -16.6 (P < .001) mg/dL (∼90 vs ≤70% RH) for low and high levels, respectively. Conclusions: High temperature and high RH decreased glucose concentrations for the POC oxidase-based system we evaluated. We recommend that individual hospitals perform stress testing, then determine if maximum absolute differences, which represent highest risk for patients, are clinically significant for decision making by using error grid analysis.

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