Impact of an inpatient multidisciplinary glucose control management program

Detalhes bibliográficos
Autor(a) principal: Momesso,Denise P
Data de Publicação: 2018
Outros Autores: Costa Filho,Rubens Carmo, Costa,João Luiz Ferreira, Saddy,Felipe, Mesquita,Ayla, Calomeni,Marcela, Silva,Claudia dos Santos, Farret,Jacqueline, Vasques,Mariana Leon, Santos,Aline G., Cabral,Ana Paula Vieira, Ribeiro,Dayane, Reis,Luciana, Muino,Maria de Fátima M., Vitorino,Roberta Santiago, Monteiro,Claudio Amorim, Tinoco,Evandro, Volschan,Andre
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de Endocrinologia e Metabolismo (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972018000500514
Resumo: ABSTRACT Objective: Glycemic control has been increasingly recognized as a critical element in inpatient care, but optimal management of blood glucose in the hospital setting remains challenging. The aims of this study were to describe and evaluate the impact of the implementation of an inpatient multidisciplinary glucose control management program on glucose control in hospitalized patients. Materials and methods: Retrospective analysis of medical records and glucose monitoring data obtained by point- of-care testing (POCT) in hospitalized patients before (May 2014) and after (June 2015 and May 2017) the implementation of the program. Results: We analyzed 6888, 7290, and 7669 POCTs from 389, 545, and 475 patients in May 2014, June 2015, and May 2017, respectively. Hyperglycemia (≥ 180 mg/ dL) occurred in 23.5%, 19.6%, and 19.3% POCTs in May 2014, June 2015, and May/2017, respectively (p < 0.001), while severe hyperglycemia (≥ 300 mg/dL) was observed in 2.5%, 2.2%, and 1.8% of them, respectively (p = 0.003). Hyperglycemia (≥ 180 mg/dL) reduced significantly from May 2014 to June 2015 (16.3%, p < 0.001) and from May 2014 to May 2017 (178%, p < 0.001). No significant changes occurred in hypoglycemic parameters. Conclusions: The implementation of an inpatient multidisciplinary glucose control management program led to significant reductions in hyperglycemic events. The key elements for this achievement were the development of institutional inpatient glycemic control protocols, establishment of a multidisciplinary team, and continuing educational programs for hospital personnel. Altogether, these actions resulted in improvements in care processes, patient safety, and clinical outcomes of hospitalized patients.
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spelling Impact of an inpatient multidisciplinary glucose control management programHyperglycemiahypoglycemiainpatient glucose controldiabetes mellitussystemspoint-of-careABSTRACT Objective: Glycemic control has been increasingly recognized as a critical element in inpatient care, but optimal management of blood glucose in the hospital setting remains challenging. The aims of this study were to describe and evaluate the impact of the implementation of an inpatient multidisciplinary glucose control management program on glucose control in hospitalized patients. Materials and methods: Retrospective analysis of medical records and glucose monitoring data obtained by point- of-care testing (POCT) in hospitalized patients before (May 2014) and after (June 2015 and May 2017) the implementation of the program. Results: We analyzed 6888, 7290, and 7669 POCTs from 389, 545, and 475 patients in May 2014, June 2015, and May 2017, respectively. Hyperglycemia (≥ 180 mg/ dL) occurred in 23.5%, 19.6%, and 19.3% POCTs in May 2014, June 2015, and May/2017, respectively (p < 0.001), while severe hyperglycemia (≥ 300 mg/dL) was observed in 2.5%, 2.2%, and 1.8% of them, respectively (p = 0.003). Hyperglycemia (≥ 180 mg/dL) reduced significantly from May 2014 to June 2015 (16.3%, p < 0.001) and from May 2014 to May 2017 (178%, p < 0.001). No significant changes occurred in hypoglycemic parameters. Conclusions: The implementation of an inpatient multidisciplinary glucose control management program led to significant reductions in hyperglycemic events. The key elements for this achievement were the development of institutional inpatient glycemic control protocols, establishment of a multidisciplinary team, and continuing educational programs for hospital personnel. Altogether, these actions resulted in improvements in care processes, patient safety, and clinical outcomes of hospitalized patients.Sociedade Brasileira de Endocrinologia e Metabologia2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972018000500514Archives of Endocrinology and Metabolism v.62 n.5 2018reponame:Arquivos de Endocrinologia e Metabolismo (Online)instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)instacron:SBEM10.20945/2359-3997000000071info:eu-repo/semantics/openAccessMomesso,Denise PCosta Filho,Rubens CarmoCosta,João Luiz FerreiraSaddy,FelipeMesquita,AylaCalomeni,MarcelaSilva,Claudia dos SantosFarret,JacquelineVasques,Mariana LeonSantos,Aline G.Cabral,Ana Paula VieiraRibeiro,DayaneReis,LucianaMuino,Maria de Fátima M.Vitorino,Roberta SantiagoMonteiro,Claudio AmorimTinoco,EvandroVolschan,Andreeng2018-11-07T00:00:00Zoai:scielo:S2359-39972018000500514Revistahttps://www.aem-sbem.com/https://old.scielo.br/oai/scielo-oai.php||aem.editorial.office@endocrino.org.br2359-42922359-3997opendoar:2018-11-07T00:00Arquivos de Endocrinologia e Metabolismo (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)false
dc.title.none.fl_str_mv Impact of an inpatient multidisciplinary glucose control management program
title Impact of an inpatient multidisciplinary glucose control management program
spellingShingle Impact of an inpatient multidisciplinary glucose control management program
Momesso,Denise P
Hyperglycemia
hypoglycemia
inpatient glucose control
diabetes mellitus
systems
point-of-care
title_short Impact of an inpatient multidisciplinary glucose control management program
title_full Impact of an inpatient multidisciplinary glucose control management program
title_fullStr Impact of an inpatient multidisciplinary glucose control management program
title_full_unstemmed Impact of an inpatient multidisciplinary glucose control management program
title_sort Impact of an inpatient multidisciplinary glucose control management program
author Momesso,Denise P
author_facet Momesso,Denise P
Costa Filho,Rubens Carmo
Costa,João Luiz Ferreira
Saddy,Felipe
Mesquita,Ayla
Calomeni,Marcela
Silva,Claudia dos Santos
Farret,Jacqueline
Vasques,Mariana Leon
Santos,Aline G.
Cabral,Ana Paula Vieira
Ribeiro,Dayane
Reis,Luciana
Muino,Maria de Fátima M.
Vitorino,Roberta Santiago
Monteiro,Claudio Amorim
Tinoco,Evandro
Volschan,Andre
author_role author
author2 Costa Filho,Rubens Carmo
Costa,João Luiz Ferreira
Saddy,Felipe
Mesquita,Ayla
Calomeni,Marcela
Silva,Claudia dos Santos
Farret,Jacqueline
Vasques,Mariana Leon
Santos,Aline G.
Cabral,Ana Paula Vieira
Ribeiro,Dayane
Reis,Luciana
Muino,Maria de Fátima M.
Vitorino,Roberta Santiago
Monteiro,Claudio Amorim
Tinoco,Evandro
Volschan,Andre
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Momesso,Denise P
Costa Filho,Rubens Carmo
Costa,João Luiz Ferreira
Saddy,Felipe
Mesquita,Ayla
Calomeni,Marcela
Silva,Claudia dos Santos
Farret,Jacqueline
Vasques,Mariana Leon
Santos,Aline G.
Cabral,Ana Paula Vieira
Ribeiro,Dayane
Reis,Luciana
Muino,Maria de Fátima M.
Vitorino,Roberta Santiago
Monteiro,Claudio Amorim
Tinoco,Evandro
Volschan,Andre
dc.subject.por.fl_str_mv Hyperglycemia
hypoglycemia
inpatient glucose control
diabetes mellitus
systems
point-of-care
topic Hyperglycemia
hypoglycemia
inpatient glucose control
diabetes mellitus
systems
point-of-care
description ABSTRACT Objective: Glycemic control has been increasingly recognized as a critical element in inpatient care, but optimal management of blood glucose in the hospital setting remains challenging. The aims of this study were to describe and evaluate the impact of the implementation of an inpatient multidisciplinary glucose control management program on glucose control in hospitalized patients. Materials and methods: Retrospective analysis of medical records and glucose monitoring data obtained by point- of-care testing (POCT) in hospitalized patients before (May 2014) and after (June 2015 and May 2017) the implementation of the program. Results: We analyzed 6888, 7290, and 7669 POCTs from 389, 545, and 475 patients in May 2014, June 2015, and May 2017, respectively. Hyperglycemia (≥ 180 mg/ dL) occurred in 23.5%, 19.6%, and 19.3% POCTs in May 2014, June 2015, and May/2017, respectively (p < 0.001), while severe hyperglycemia (≥ 300 mg/dL) was observed in 2.5%, 2.2%, and 1.8% of them, respectively (p = 0.003). Hyperglycemia (≥ 180 mg/dL) reduced significantly from May 2014 to June 2015 (16.3%, p < 0.001) and from May 2014 to May 2017 (178%, p < 0.001). No significant changes occurred in hypoglycemic parameters. Conclusions: The implementation of an inpatient multidisciplinary glucose control management program led to significant reductions in hyperglycemic events. The key elements for this achievement were the development of institutional inpatient glycemic control protocols, establishment of a multidisciplinary team, and continuing educational programs for hospital personnel. Altogether, these actions resulted in improvements in care processes, patient safety, and clinical outcomes of hospitalized patients.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972018000500514
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972018000500514
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.20945/2359-3997000000071
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
dc.source.none.fl_str_mv Archives of Endocrinology and Metabolism v.62 n.5 2018
reponame:Arquivos de Endocrinologia e Metabolismo (Online)
instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
instacron:SBEM
instname_str Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
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institution SBEM
reponame_str Arquivos de Endocrinologia e Metabolismo (Online)
collection Arquivos de Endocrinologia e Metabolismo (Online)
repository.name.fl_str_mv Arquivos de Endocrinologia e Metabolismo (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)
repository.mail.fl_str_mv ||aem.editorial.office@endocrino.org.br
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