持续葡萄糖监测在新生儿及儿科重症监护病房中应用准确性的范围综述

doi:10.3761/j.issn.2096-7446.2026.08.021

Abstract

Abstract:

Objective To investigate the current status of accuracy regarding the application of continuous glu-cose monitoring（CGM） in neonatal intensive care units（NICUs） and pediatric intensive care units（PICUs）. Methods Following the scoping review framework，a systematic search was conducted in the Cochrane Library，Embase，PubMed，Web of Science，CNKI，Wanfang，and VIP databases from their inception to April 8，2025. Results A total of 23 articles were included. The primary accuracy assessment indicators included the mean absolute relative difference（MARD），error grid analysis（EGA），Bland-Altman analysis，and Pearson correlation coefficient. The accuracy of CGM in critically ill neonates and pediatric patients varied widely. MARE ranged from 7.1% to 28.3%，the clinically acceptable zone in EGA ranged from 89.0% to 100%，and the bias in Bland-Altman analysis ranged from -0.38 to 1.76 mmol/L. Conclusion The application of CGM in PICU/NICU remains in its preliminary stages，and clinical implementation requires caution. Future efforts should focus on establishing standardized protocols for CGM use and developing specialized accuracy assessment criteria for critically ill pediatric patients.

Key words: Continuous Glucose Monitoring, Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Glycemic Management, Accuracy Assessment, Scoping Review

WANG Yijia, PAN Aihong, WANG Chengchen, ZHANG Zhe, LI Yalan, ZHANG Mengxia, GUO Xiuxia. Accuracy of continuous glucose monitoring in neonatal and pediatric intensive care units：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(8): 1017-1024.

Figures/Tables 4

References 39

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Accuracy of continuous glucose monitoring in neonatal and pediatric intensive care units：a scoping review

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