Frequency and management of diabetes and hyperglycemia at emergency departments: The GLUCE-URG study
| Autor: | Esther Álvarez-Rodríguez, Inmaculada Laguna Morales, Raquel Tapia Santamaría, Raúl Merinero Palomares, Alfonso Martín Martínez, Pascual López Riquelme, Alicia Rosende Tuya, Isabel Portero Sánchez |
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| Rok vydání: | 2017 |
| Předmět: |
Blood Glucose
Male Emergency rooms medicine.medical_specialty endocrine system diseases 030204 cardiovascular system & hematology Hospitals University 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Diabetes Mellitus Prevalence medicine Humans In patient Prospective Studies 030212 general & internal medicine Intensive care medicine Aged Aged 80 and over Potential impact business.industry Disease Management nutritional and metabolic diseases Length of Stay Middle Aged medicine.disease Spain Hyperglycemia Sample Size Emergency medicine Female Emergency Service Hospital business |
| Zdroj: | Endocrinología, Diabetes y Nutrición (English ed.). 64:67-74 |
| ISSN: | 2530-0180 |
| DOI: | 10.1016/j.endien.2017.03.005 |
| Popis: | Hyperglycemia is a common finding at hospital emergency rooms in diabetic patients, but few data are available on its frequency, management, and subsequent impact based on the assessment made at Emergency rooms.To ascertain the frequency of diabetes mellitus and hyperglycemia in patients admitted from Emergency rooms. Second, to describe management of hyperglycemia at Emergency rooms, and to analyze its potential impact on the course and management of patients during admission.All patients admitted from the Emergency room for three consecutive weeks were enrolled. Hyperglycemia was defined as two blood glucose measurements ≥ 180mg/dl in the first 48hours after admission.36.6% of patients admitted from the Emergency room were diabetic, and 58% of these had early, sustained hyperglycemia. On the other hand, 27% of patients admitted from the Emergency room had hyperglycemia (78.3% of diabetic patients and 21.7% with no known diabetes). Diabetic patients with hyperglycemia had higher blood glucose levels than non-diabetic patients (p.01). Average hospital stay was 8±6.4 days, with no differences between the groups. Hyperglycemia is rarely reported as a diagnosis in the emergency rooms discharge report. In standard hospitalization, this diagnosis appears more commonly in patients with known diabetes (OR 2.5 p.001).Prevalence of diabetic patients admitted from emergency rooms is very high. In addition, although hyperglycemia is very common in patients admitted from emergency rooms, there is a trend to underestimate its significance. Based on our results, we think that implementation of measures to give greater visibility to diagnosis of hyperglycemia could help improve application of established protocols. |
| Databáze: | OpenAIRE |
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