| Autor: |
N, Mas Malagarriga, J, Ruiz Ramos, A M, Juanes Borrego, I, Agra Montava, L, Vega Hanna, L, López Vinardell, M, Puig Campmany, M A, Mangues Bafalluy |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Semergen. 48(3) |
| ISSN: |
1578-8865 |
| Popis: |
Emergency department (ED) visits due to hypoglycaemia are frequent in elderly patients. The main objective of the study is to evaluate the risk factors associated to ED re-visits at 90days in elderly patients who visited ED with an episode of hypoglycaemia.A retrospective observational study was designed, including elderly diabetic patients (65years) attended in a fragility area of an ED for an episode of hypoglycaemia. To evaluate the risk factors associated to ED re-visits at 90days a multivariate analysis with logistic regression was performed, including those variables related to comorbidity and antidiabetic treatment with a P0.2 in a previous univariate analysis.106 patients were included. %HbA1c value was available in 87 (82.1%) patients. Ten (11.5%) patients presented a value of HbA1c ≤5.5%. Antidiabetic treatment was changed to 63 (59.4%) patients at discharge. Thirty-eight (36.1%) patients re-visited the ED at 90days, 9 for glycaemic alterations. The risk factors associated to 90days ED re-visit were: being man (OR: 3.62 [95%CI: 1.24-10.51)), treatment modified at discharge (OR: 0.31 [0.11-0.91]) and to present an HbA1c value ≤5.5% (OR: 5.33 [1.16-14.51]).Fragile patients with diabetes who visit ED for hypoglycaemia present, in high frequency, HbA1c values lower than those recommended, being associated to an increase of ED re-visit risk at 90days. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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