Substantial reduction in hospital stay of children and adolescents with diabetic ketoacidosis after implementation of Clinical Practice Guidelines in a university hospital in Saudi Arabia
| Autor: | Asaad Assiri, Hala Gasim, Nasir A.M. Al-Jurayyan, Ayman Al-Eyadhy, Amir Babiker, Hessah A. L. Otaibi, Abdulrahman Al Nemri, Shaikh M. Iqbal, Sarar Mohamed, Mohamed Elfaki Osman, Yasser S. Amer |
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| Rok vydání: | 2016 |
| Předmět: |
Clinical audit
Pediatrics medicine.medical_specialty endocrine system diseases Diabetic ketoacidosis business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health nutritional and metabolic diseases 030209 endocrinology & metabolism Retrospective cohort study Guideline University hospital medicine.disease Clinical Practice 03 medical and health sciences 0302 clinical medicine Severity of illness medicine 0305 other medical science business Hospital stay |
| Zdroj: | Journal of Evaluation in Clinical Practice. 23:173-177 |
| ISSN: | 1356-1294 |
| DOI: | 10.1111/jep.12661 |
| Popis: | Rationale, aims and objectives We aimed to determine the effect of Clinical Practice Guideline (CPG) implementation on length of hospital stay of children and adolescents with diabetic ketoacidosis (DKA). Methods This was a 6-year (2008-2014) case-control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation. Results There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Baseline characteristics of the 2 groups were similar (age, sex, newly diagnosed patients, recurrent DKA, DKA severity, and mean glycosylated hemoglobin). The mean length of hospital stay (±SD) was 68.6 ± 53.1 hours after implementation of CPG compared with 107.4 ± 65.6 hours before implementation (P |
| Databáze: | OpenAIRE |
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