Impact of an inpatient multidisciplinary glucose control management program
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , , , , , , , , , |
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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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) |
instacron_str |
SBEM |
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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1752122515469107200 |