Safety And Efficacy of An Algorithm-Based Protocol In the Management of Diabetic Ketoacidosis
| Autor: | Adam H. Maghrabi, Todd Gress, Tipu Faiz Saleem, Eyad Hamoudeh, Abid Yaqub, Tamer Hassan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors endocrine system diseases Diabetic ketoacidosis Endocrinology Diabetes and Metabolism Treatment outcome Diabetic Ketoacidosis Endocrinology Clinical Protocols Chart review medicine Humans Disease management (health) Intensive care medicine Retrospective Studies Protocol (science) business.industry Incidence Disease Management nutritional and metabolic diseases Retrospective cohort study General Medicine Middle Aged medicine.disease Hypoglycemia humanities body regions Treatment Outcome Case-Control Studies Female business Algorithm Algorithms |
| Zdroj: | Endocrine Practice. 18:842-846 |
| ISSN: | 1530-891X |
| DOI: | 10.4158/ep12023.or |
| Popis: | To determine the efficacy of an algorithm-based protocol to manage diabetic ketoacidosis (DKA).Our study is a retrospective chart review of patients with DKA managed before and after implementation of an algorithm-based DKA protocol at a tertiary care hospital.There were 88 patients managed 1 year prior (control group) and 70 patients managed one year after (study group) implementation of the algorithm-based DKA protocol. The DKA resolution time was significantly shorter (11.5 [8.1 to 17.1] hours versus 8.5 [5.8 to 12] hours; P = 0.008) and the hypoglycemic events were significantly less (P = 0.042) in the study group in comparison with the control group. There was no difference in the potassium abnormalities and rate of decline of glucose. A survey on a scale of 1 to 10 found the majority of physicians and nurses rated the protocol as safe (83%) and effective (96%). Fifty-four percent of the nurses, however, found the protocol difficult to follow.Our study showed that implementation of an algorithm-based protocol reduced the DKA resolution time and hypoglycemic events without compromising electrolyte imbalance, and was associated with improved clinical measures of DKA management. |
| Databáze: | OpenAIRE |
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