Glycemic control and diabetes management in hospitalized patients in Brazil.

Detalhes bibliográficos
Autor(a) principal: Moreira Júnior, Edson Duarte
Data de Publicação: 2013
Outros Autores: Silveira, Patricia Carvalho Balthazar, Neves, Raimundo Celestino Silva, Souza Junior, Clodoaldo, Nunes, Záira Onofre, Almeida, Maria da Conceição Chagas de, Brazilian Diabetes Investigators’ Group
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/8717
Resumo: Clinical Research Center. Charitable Works Foundation of Sister Dulce. Salvador, Bahia, Brasil / McGill University. Division of Cancer Epidemiolog. Montreal, Quebec, Canadá / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
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spelling Moreira Júnior, Edson DuarteSilveira, Patricia Carvalho BalthazarNeves, Raimundo Celestino SilvaSouza Junior, ClodoaldoNunes, Záira OnofreAlmeida, Maria da Conceição Chagas deBrazilian Diabetes Investigators’ Group2014-11-04T19:07:18Z2014-11-04T19:07:18Z2013MOREIRA JUNIOR, E. D. et al. Glycemic control and diabetes management in hospitalized patients in Brazil. Diabetology & Metabolic Syndrome, v. 5, n. 1, p. 62, 2013.1758-5996https://www.arca.fiocruz.br/handle/icict/871710.1186/1758-5996-5-62engBioMed CentralGlycemic control and diabetes management in hospitalized patients in Brazil.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleClinical Research Center. Charitable Works Foundation of Sister Dulce. Salvador, Bahia, Brasil / McGill University. Division of Cancer Epidemiolog. Montreal, Quebec, Canadá / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilClinical Research Center. Charitable Works Foundation of Sister Dulce. Salvador, Bahia, BrasilClinical Research Center. Charitable Works Foundation of Sister Dulce. Salvador, Bahia, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilClinical Research Center. Charitable Works Foundation of Sister Dulce. Salvador, Bahia, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilBACKGROUND: The importance of tight blood glucose control among outpatients with diabetes mellitus is well established, however, the management of diabetes in the hospital setting is generally considered secondary in importance. This study sought to assess glycemic control and diabetes management in adult patients admitted to hospitals in Brazil. METHODS: A cross-sectional and nationwide survey was conducted from July 2010 to January 2012. Eligible cases were 18 years of age or older, had a diagnosis of diabetes and a hospitalization length of stay ≥72 hours. Socio-demographic information, hospitalization details, and data on diabetes diagnosis, management and treatment were collected for all patients by chart review. Information on all blood glucose (BG) readings for a maximum of 20 consecutive days of hospitalization was recorded for each patient. RESULTS: Overall, 2,399 patients were surveyed in 24 hospitals located in 13 cities from all five Brazilian regions. The prevalence of patients presenting hyperglycemic (BG >180 mg/dL) or hypoglycemic (BG <70 mg/dL) events was 89.4% and 30.9% in patients in general wards, and 88.2% and 27.7% in those in Intensive Care Units (ICUs), respectively. In addition, a BG measure >180 mg/dL was recorded in two-thirds of the patient-days. A high proportion of patients were treated with sliding-scale insulin regimen alone in the general wards (52.0%) and in the ICUs (69.2%), and only 35.7% and 3.9% received appropriate insulin therapy in general wards (basal + bolus insulin) and in ICUs (continuous IV insulin), respectively. CONCLUSIONS: Inpatient glycemic control and diabetes management needs improvement. Opportunities to improve care in Brazilian hospitals include expanded use of intravenous insulin and subcutaneous basal-bolus insulin protocols, avoiding use of sliding-scale insulin alone, increased frequency of blood glucose monitoring, and institution wide quality improvement efforts targeting both physician and nursing behavioGlycemic controlInpatientsHospitalsDiabetes mellitusEpidemiologyBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/8717/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALMoreira ED Jr Glycemic....pdfMoreira ED Jr Glycemic....pdfapplication/pdf404253https://www.arca.fiocruz.br/bitstream/icict/8717/2/Moreira%20ED%20Jr%20Glycemic....pdf147718f6c13823b9ff6ad2919aa5b7dbMD52TEXTMoreira ED Jr Glycemic....pdf.txtMoreira ED Jr Glycemic....pdf.txtExtracted texttext/plain40238https://www.arca.fiocruz.br/bitstream/icict/8717/3/Moreira%20ED%20Jr%20Glycemic....pdf.txt98843445ba745720402d388a5d15e261MD53icict/87172023-03-15 14:33:04.858oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:33:04Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Glycemic control and diabetes management in hospitalized patients in Brazil.
title Glycemic control and diabetes management in hospitalized patients in Brazil.
spellingShingle Glycemic control and diabetes management in hospitalized patients in Brazil.
Moreira Júnior, Edson Duarte
Glycemic control
Inpatients
Hospitals
Diabetes mellitus
Epidemiology
Brazil
title_short Glycemic control and diabetes management in hospitalized patients in Brazil.
title_full Glycemic control and diabetes management in hospitalized patients in Brazil.
title_fullStr Glycemic control and diabetes management in hospitalized patients in Brazil.
title_full_unstemmed Glycemic control and diabetes management in hospitalized patients in Brazil.
title_sort Glycemic control and diabetes management in hospitalized patients in Brazil.
author Moreira Júnior, Edson Duarte
author_facet Moreira Júnior, Edson Duarte
Silveira, Patricia Carvalho Balthazar
Neves, Raimundo Celestino Silva
Souza Junior, Clodoaldo
Nunes, Záira Onofre
Almeida, Maria da Conceição Chagas de
Brazilian Diabetes Investigators’ Group
author_role author
author2 Silveira, Patricia Carvalho Balthazar
Neves, Raimundo Celestino Silva
Souza Junior, Clodoaldo
Nunes, Záira Onofre
Almeida, Maria da Conceição Chagas de
Brazilian Diabetes Investigators’ Group
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moreira Júnior, Edson Duarte
Silveira, Patricia Carvalho Balthazar
Neves, Raimundo Celestino Silva
Souza Junior, Clodoaldo
Nunes, Záira Onofre
Almeida, Maria da Conceição Chagas de
Brazilian Diabetes Investigators’ Group
dc.subject.en.pt_BR.fl_str_mv Glycemic control
Inpatients
Hospitals
Diabetes mellitus
Epidemiology
Brazil
topic Glycemic control
Inpatients
Hospitals
Diabetes mellitus
Epidemiology
Brazil
description Clinical Research Center. Charitable Works Foundation of Sister Dulce. Salvador, Bahia, Brasil / McGill University. Division of Cancer Epidemiolog. Montreal, Quebec, Canadá / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2014-11-04T19:07:18Z
dc.date.available.fl_str_mv 2014-11-04T19:07:18Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MOREIRA JUNIOR, E. D. et al. Glycemic control and diabetes management in hospitalized patients in Brazil. Diabetology & Metabolic Syndrome, v. 5, n. 1, p. 62, 2013.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/8717
dc.identifier.issn.none.fl_str_mv 1758-5996
dc.identifier.doi.none.fl_str_mv 10.1186/1758-5996-5-62
identifier_str_mv MOREIRA JUNIOR, E. D. et al. Glycemic control and diabetes management in hospitalized patients in Brazil. Diabetology & Metabolic Syndrome, v. 5, n. 1, p. 62, 2013.
1758-5996
10.1186/1758-5996-5-62
url https://www.arca.fiocruz.br/handle/icict/8717
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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