Hypokalaemia in hospitalised patients

Autor: Angela Greco, Giovanni Rabito, Michela Pironi, Marco Bissig, Saida Parlato, Laura Andreocchi, Giorgia Bianchi, Marilù Poretti Guigli, Michael Llamas, Rita Monotti, Leander Sciolli, Franco Ravetta, Roberto Della Bruna, Anna Zasa, Daniela Stehrenberger, Olivier Giannini, Luca Gabutti
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Swiss Medical Weekly, Vol 146, Iss 2526 (2016)
Druh dokumentu: article
ISSN: 1424-3997
DOI: 10.4414/smw.2016.14320
Popis: QUESTIONS UNDER STUDY: Hypokalaemia in inpatients is common, and is associated with morbidity and mortality. Its management is risky and not always effective. We launched an educational programme with the aim of increasing the rate of potassium normalisation during hospital stay, and of reducing unmonitored cases. METHODS: The project consisted of three phases: (I) retrospective analysis on 26 471 patients hospitalised in 2012 in five acute care hospitals of southern Switzerland (Ente Ospedaliero Cantonale, EOC) with identification of improvement goals on a sample survey (588 cases of hypokalaemia); (II) revision of internal guidelines, and implementation of educational activities in one of the five hospitals (Ospedale Regionale di Locarno, ODL); (III) follow-up analysis on the 26 726 patients hospitalised in 2014 and second sampling to complete the evaluation of the efficacy of the intervention. RESULTS: Phase I, ODL vs EOC: prevalence of hypokalaemia, 21.7 vs 23.2% (p
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