Evaluation of the Freestyle Optium Neo H point-of-care device for measuring blood glucose concentrations in sick calves
Open accessAbstract
BACKGROUND: Data on the performance of a glucometer in calves with different diseases are currently lacking. OBJECTIVE: The primary objective of this study was to evaluate the reliability of a point of care glucometer in calves affected by different diseases relative to a traditional bench-top autoanalyzer. ANIMALS: One hundred ninety-six calves with different disorders in a referral hospital. METHODS: Prospective study. Venous blood samples were used for the determination of glucose concentrations in blood and plasma using the Freestyle Optium Neo H and autoanalyzer, respectively. Data were subjected to Passing-Bablok regression and Bland-Altman plots. The Freestyle Optium Neo H was the test method and the autoanalyzer was the reference method. The diagnostic performance of the glucometer relative to the autoanalyzer was assessed using 3 different plasma glucose concentrations. RESULTS: The Passing-Bablok regression for the glucometer against the reference method revealed the presence of both proportional bias (1.12; 95% confidence interval [CI], 1.07-1.18) and constant bias (-11.25; 95% CI, -16.0 to -7.70). The glucometer yielded 92.2%-100% sensitivity and 86.4%-96% specificity for the assessing glucose concentration based on different concentration thresholds. CONCLUSIONS AND CLINICAL IMPORTANCE: The Freestyle Optium Neo H showed proportional and constant biases relative to the reference method. The glucometer showed poor performance according to criteria recommended by the International Standards Organization and the American Society for Veterinary Clinical Pathology. However, the glucometer determined hypoglycemia with high sensitivity and specificity therefore it might be used to diagnose hypoglycemia in calves with different diseases until calf-specific POC glucometers are developed.
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Blood glucose and BHB concentrations were determined using a hand-held meter and test strips.
“In addition, whole blood was immediately analyzed using a hand-held meter (Freestyle Optium Neo H, Abbott Diabetes Care Inc., Alameda, CA) and test strips to determine the blood glucose (Nishi et al., 2019; Karapinar et al., 2020) and BHB concentrations (Suarez-Mena et al., 2017).”
From Relative merits of offering a milk replacer, glucose-electrolyte, or whey-based diet on the blood composition and health of unweaned calves after transport. (2024) · cites this paper as Karapinar et al., 2020
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- Authors
- Karapinar, T., Tumer, K. C., & Buczinski, S.
- Affiliations
- Faculty of Veterinary Medicine, Firat University Department of Internal Medicine, , Elazig,
- Université de Montréal (CA)
- Venue
- Journal of Veterinary Internal Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-07-01
- Volume
- 34
- Issue
- 4
- Pages
- 1650-1656
- ISSN
- 0891-6640 (ISSN-L)
- 1939-1676
- PMC
- PMC7379022
- OpenAlex
- W3026810513
- Cited by
- 11
- References
- 30
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 1
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Veterinary Internal Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- DSpace - FIRAT (Fırat University) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Veterinary › Small Animals › Animal health and immunology
- Health Sciences › Veterinary › Small Animals › Veterinary Medicine and Surgery
- Keywords
- point-of-care glucometers, blood glucose measurement, calves, hypoglycemia diagnosis, assay bias, diagnostic accuracy, venous blood glucose, plasma glucose
- MeSH terms
- Animals, Animals, Newborn, Blood Chemical Analysis, Blood Glucose, Cattle, Cattle Diseases, Hypoglycemia, Prospective Studies, Sensitivity and Specificity, Point-of-Care Systems
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