| Autor: |
F M, Ali, N, Farah, V, O'Dwyer, C, O'Connor, M M, Kennelly, M J, Turner |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
Irish medical journal. 106(2) |
| ISSN: |
0332-3102 |
| Popis: |
Gestational diabetes mellitus (GDM) has important maternal and fetal implications. In 2010, the Health Service Executive published guidelines on GDM. We examined the impact of the new guidelines in a large maternity unit. In January 2011, the hospital replaced the 100 g Oral Glucose Tolerance Test (OGTT) with the new 75 g OGTT. We compared the first 6 months of 2011 with the first 6 months of 2010. The new guidelines were associated with a 22% increase in women screened from 1375 in 2010 to 1679 in 2011 (p0.001). Of the women screened, the number diagnosed with GDM increased from 10.1% (n=139) to 13.2% (n=221) (p0.001).The combination of increased screening and a more sensitive OGTT resulted in the number of women diagnosed with GDM increasing 59% from 139 to 221 (p = 0.02).This large increase has important resource implications but, if clinical outcomes are improved, there should be a decrease in long-term costs. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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