Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Health & Biological Sciences |
Texto Completo: | https://periodicos.unichristus.edu.br/jhbs/article/view/3453 |
Resumo: | Objective: Inpatient glycemic control is considered an important component of hospital care and patient safety. Nevertheless, its importance in the hospital setting is often underestimated. We aimed to evaluate glycemic control in non-critically hospitalized patients in the state of Ceará, in Northeast Brazil. Methods: A cross-sectional study was conducted in three tertiary hospitals in the state of Ceará. We evaluated non-critically ill inpatients, aged 18 years or older, who had hyperglycemia during hospitalization (random plasma glucose > 140 mg/dL or self-reported diabetes mellitus [DM]). Results: We evaluated 136 patients (66.2% male, mean age 57.9 ± 16.6 years), 64% of whom had a prior DM diagnosis. Specific nutritional support for DM or hyperglycemia was prescribed for 59.6% of patients. In total, 69.9% of the patients were using insulin. Among them, 47.4% used sliding-scale regular insulin, 18.9% basal-bolus (neutral protamine Hagedorn [NPH] insulin), 28.4% basal-plus (NPH) and 3.1% basal insulin (NPH). The prescriptions given were considered adequate for 26.4% of patients. Of the patients, 69.9% presented blood glucose levels > 180 mg/dL and 29.4% presented levels > 300 mg/dL. Hypoglycemia was observed in 25.7% of patients; protocols for hypoglycemia management were prescribed for 76.5% of them. Education on diabetes during hospitalization was reported by 30.1%. Conclusion: The glycemic control regime followed neither national nor international guidelines. These data suggest a need for teams of diabetes specialists in public hospitals in Ceará, working to improve care and following protocols to guide the safety of hospitalized patients. |
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Journal of Health & Biological Sciences |
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Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast BrazilDiabetes MellitusHyperglycemiaInsulinPatient SafetyPatient Care Team.Endocrine system diseaseObjective: Inpatient glycemic control is considered an important component of hospital care and patient safety. Nevertheless, its importance in the hospital setting is often underestimated. We aimed to evaluate glycemic control in non-critically hospitalized patients in the state of Ceará, in Northeast Brazil. Methods: A cross-sectional study was conducted in three tertiary hospitals in the state of Ceará. We evaluated non-critically ill inpatients, aged 18 years or older, who had hyperglycemia during hospitalization (random plasma glucose > 140 mg/dL or self-reported diabetes mellitus [DM]). Results: We evaluated 136 patients (66.2% male, mean age 57.9 ± 16.6 years), 64% of whom had a prior DM diagnosis. Specific nutritional support for DM or hyperglycemia was prescribed for 59.6% of patients. In total, 69.9% of the patients were using insulin. Among them, 47.4% used sliding-scale regular insulin, 18.9% basal-bolus (neutral protamine Hagedorn [NPH] insulin), 28.4% basal-plus (NPH) and 3.1% basal insulin (NPH). The prescriptions given were considered adequate for 26.4% of patients. Of the patients, 69.9% presented blood glucose levels > 180 mg/dL and 29.4% presented levels > 300 mg/dL. Hypoglycemia was observed in 25.7% of patients; protocols for hypoglycemia management were prescribed for 76.5% of them. Education on diabetes during hospitalization was reported by 30.1%. Conclusion: The glycemic control regime followed neither national nor international guidelines. These data suggest a need for teams of diabetes specialists in public hospitals in Ceará, working to improve care and following protocols to guide the safety of hospitalized patients.UNICHRISTUS2021-06-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer ReviewRevisado por paresAvaliado por Paresapplication/pdfhttps://periodicos.unichristus.edu.br/jhbs/article/view/345310.12662/2317-3076jhbs.v9i1.3453.p1-7.2021Journal of Health & Biological Sciences; Vol. 9 No. 1 (2021): Journal of Health and Biological Sciences; 1-7Journal of Health and Biological Sciences; Vol. 9 Núm. 1 (2021): Journal of Health and Biological Sciences; 1-7Journal of Health & Biological Sciences; v. 9 n. 1 (2021): Journal of Health and Biological Sciences; 1-72317-30762317-308410.12662/2317-3076jhbs.v9i1.2021reponame:Journal of Health & Biological Sciencesinstname:Centro Universitário Christus (Unichristus)instacron:CHRISTUSenghttps://periodicos.unichristus.edu.br/jhbs/article/view/3453/1369Copyright (c) 2021 Journal of Health & Biological Sciencesinfo:eu-repo/semantics/openAccessJanja, Matheus Mendonça LealRegadas, Carolina MuradXimenes, Fernando Antônio Mendes BezerraAndrade, Talita GuimarãesVasconcelos, Melina Maria Loiola MeloCastelo, Maria Helane GurgelPonte, Clarisse Mourão Melo2023-05-29T22:52:15Zoai:ojs.emnuvens.com.br:article/3453Revistahttps://periodicos.unichristus.edu.br/jhbs/indexPRIhttps://periodicos.unichristus.edu.br/jhbs/oaisecretaria.jhbs@unichristus.edu.br || editor.jhbs@fchristus.edu.br2317-30762317-3084opendoar:2023-05-29T22:52:15Journal of Health & Biological Sciences - Centro Universitário Christus (Unichristus)false |
dc.title.none.fl_str_mv |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
title |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
spellingShingle |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil Janja, Matheus Mendonça Leal Diabetes Mellitus Hyperglycemia Insulin Patient Safety Patient Care Team. Endocrine system disease |
title_short |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
title_full |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
title_fullStr |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
title_full_unstemmed |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
title_sort |
Glycemic control in non-critically hospitalized patients in tertiary hospitals in northeast Brazil |
author |
Janja, Matheus Mendonça Leal |
author_facet |
Janja, Matheus Mendonça Leal Regadas, Carolina Murad Ximenes, Fernando Antônio Mendes Bezerra Andrade, Talita Guimarães Vasconcelos, Melina Maria Loiola Melo Castelo, Maria Helane Gurgel Ponte, Clarisse Mourão Melo |
author_role |
author |
author2 |
Regadas, Carolina Murad Ximenes, Fernando Antônio Mendes Bezerra Andrade, Talita Guimarães Vasconcelos, Melina Maria Loiola Melo Castelo, Maria Helane Gurgel Ponte, Clarisse Mourão Melo |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Janja, Matheus Mendonça Leal Regadas, Carolina Murad Ximenes, Fernando Antônio Mendes Bezerra Andrade, Talita Guimarães Vasconcelos, Melina Maria Loiola Melo Castelo, Maria Helane Gurgel Ponte, Clarisse Mourão Melo |
dc.subject.por.fl_str_mv |
Diabetes Mellitus Hyperglycemia Insulin Patient Safety Patient Care Team. Endocrine system disease |
topic |
Diabetes Mellitus Hyperglycemia Insulin Patient Safety Patient Care Team. Endocrine system disease |
description |
Objective: Inpatient glycemic control is considered an important component of hospital care and patient safety. Nevertheless, its importance in the hospital setting is often underestimated. We aimed to evaluate glycemic control in non-critically hospitalized patients in the state of Ceará, in Northeast Brazil. Methods: A cross-sectional study was conducted in three tertiary hospitals in the state of Ceará. We evaluated non-critically ill inpatients, aged 18 years or older, who had hyperglycemia during hospitalization (random plasma glucose > 140 mg/dL or self-reported diabetes mellitus [DM]). Results: We evaluated 136 patients (66.2% male, mean age 57.9 ± 16.6 years), 64% of whom had a prior DM diagnosis. Specific nutritional support for DM or hyperglycemia was prescribed for 59.6% of patients. In total, 69.9% of the patients were using insulin. Among them, 47.4% used sliding-scale regular insulin, 18.9% basal-bolus (neutral protamine Hagedorn [NPH] insulin), 28.4% basal-plus (NPH) and 3.1% basal insulin (NPH). The prescriptions given were considered adequate for 26.4% of patients. Of the patients, 69.9% presented blood glucose levels > 180 mg/dL and 29.4% presented levels > 300 mg/dL. Hypoglycemia was observed in 25.7% of patients; protocols for hypoglycemia management were prescribed for 76.5% of them. Education on diabetes during hospitalization was reported by 30.1%. Conclusion: The glycemic control regime followed neither national nor international guidelines. These data suggest a need for teams of diabetes specialists in public hospitals in Ceará, working to improve care and following protocols to guide the safety of hospitalized patients. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer Review Revisado por pares Avaliado por Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.unichristus.edu.br/jhbs/article/view/3453 10.12662/2317-3076jhbs.v9i1.3453.p1-7.2021 |
url |
https://periodicos.unichristus.edu.br/jhbs/article/view/3453 |
identifier_str_mv |
10.12662/2317-3076jhbs.v9i1.3453.p1-7.2021 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.unichristus.edu.br/jhbs/article/view/3453/1369 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Journal of Health & Biological Sciences info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Journal of Health & Biological Sciences |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
UNICHRISTUS |
publisher.none.fl_str_mv |
UNICHRISTUS |
dc.source.none.fl_str_mv |
Journal of Health & Biological Sciences; Vol. 9 No. 1 (2021): Journal of Health and Biological Sciences; 1-7 Journal of Health and Biological Sciences; Vol. 9 Núm. 1 (2021): Journal of Health and Biological Sciences; 1-7 Journal of Health & Biological Sciences; v. 9 n. 1 (2021): Journal of Health and Biological Sciences; 1-7 2317-3076 2317-3084 10.12662/2317-3076jhbs.v9i1.2021 reponame:Journal of Health & Biological Sciences instname:Centro Universitário Christus (Unichristus) instacron:CHRISTUS |
instname_str |
Centro Universitário Christus (Unichristus) |
instacron_str |
CHRISTUS |
institution |
CHRISTUS |
reponame_str |
Journal of Health & Biological Sciences |
collection |
Journal of Health & Biological Sciences |
repository.name.fl_str_mv |
Journal of Health & Biological Sciences - Centro Universitário Christus (Unichristus) |
repository.mail.fl_str_mv |
secretaria.jhbs@unichristus.edu.br || editor.jhbs@fchristus.edu.br |
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1797052854081421312 |