Next-generation, personalised, model-based critical care medicine: a state-of-the art review of in silico virtual patient models, methods, and cohorts, and how to …

JG Chase, JC Preiser, JL Dickson, A Pironet… - Biomedical engineering …, 2018 - Springer
Critical care, like many healthcare areas, is under a dual assault from significantly
increasing demographic and economic pressures. Intensive care unit (ICU) patients are …

Digital twins and automation of care in the intensive care unit

J Geoffrey Chase, C Zhou, JL Knopp… - Cyber–Physical …, 2023 - Wiley Online Library
Healthcare is under increasing demand pressure as societies age and expectations rise,
multiplied by increasing incidence of chronic diseases and decreasing available funding …

Safety, efficacy and clinical generalization of the STAR protocol: a retrospective analysis

KW Stewart, CG Pretty, H Tomlinson, FL Thomas… - Annals of intensive …, 2016 - Springer
Background The changes in metabolic pathways and metabolites due to critical illness result
in a highly complex and dynamic metabolic state, making safe, effective management of …

STAR development and protocol comparison

LM Fisk, AJ Le Compte, GM Shaw… - IEEE Transactions …, 2012 - ieeexplore.ieee.org
Accurate glycemic control (AGC) is difficult due to excessive hypoglycemia risk. Stochastic
TARgeted (STAR) glycemic control forecasts changes in insulin sensitivity to calculate a …

Stochastic targeted (STAR) glycemic control: design, safety, and performance

A Evans, A Le Compte, CS Tan… - Journal of diabetes …, 2012 - journals.sagepub.com
Introduction: Tight glycemic control (TGC) has shown benefits but has been difficult to
achieve consistently. STAR (Stochastic TARgeted) is a flexible, model-based TGC approach …

Generalisability of a virtual trials method for glycaemic control in intensive care

JL Dickson, KW Stewart, CG Pretty… - IEEE transactions on …, 2017 - ieeexplore.ieee.org
Background: Elevated blood glucose (BG) concentrations (Hyperglycaemia) are a common
complication in critically ill patients. Insulin therapy is commonly used to treat …

Untangling glycaemia and mortality in critical care

V Uyttendaele, JL Dickson, GM Shaw, T Desaive… - Critical Care, 2017 - Springer
Background Hyperglycaemia is associated with adverse outcomes in the intensive care unit,
and initial studies suggested outcome benefits of glycaemic control (GC). However …

Digital twins in critical care: what, when, how, where, why?

JG Chase, C Zhou, JL Knopp, GM Shaw, K Näswall… - Ifac-Papersonline, 2021 - Elsevier
Healthcare and intensive care unit (ICU) medicine in particular, are facing a devastating
tsunami of rising demand multiplied by increasing chronic disease and aging demographics …

Variability of insulin sensitivity during the first 4 days of critical illness: implications for tight glycemic control

CG Pretty, AJ Le Compte, JG Chase, GM Shaw… - Annals of intensive …, 2012 - Springer
Background Effective tight glycemic control (TGC) can improve outcomes in critical care
patients, but it is difficult to achieve consistently. Insulin sensitivity defines the metabolic …

Pilot proof of concept clinical trials of Stochastic Targeted (STAR) glycemic control

A Evans, GM Shaw, A Le Compte, CS Tan, L Ward… - Annals of intensive …, 2011 - Springer
Introduction Tight glycemic control (TGC) has shown benefits but has been difficult to
achieve consistently. STAR (Stochastic TARgeted) is a flexible, model-based TGC approach …