OBJECTIVE: To assess the impact of endocrinology team consultation on hospital stay and clinical outcomes of diabetic patients admitted with a primary non-diabetes-related diagnosis in a short stay unit (SSU). METHODS: Patients admitted to the SSU between 2001 and 2005. Between 2001 and 2003 there was no endocrinology team consultation available and the management of hyperglycemia was handled by the SSU team alone. From 2003 until 2005 an endocrinology team was in charge of diabetes care. We compared in both periods: prevalence of diabetes, length of hospital stay, mortality, early readmissions and number of patients requiring conventional hospitalization. RESULTS: In period 2001-2003, 1023 patients were admitted, among which 212 were diabetic (20.7%). Over the years 2003-2005, 892 patients were hospitalized, 223 were diabetic (25%). Clinical characteristics of diabetic patients from both periods were comparable, but glycaemia at admission was higher on the second period (217 mg/dl versus 198 mg/dl). The length of stay of diabetic patients in the second period decreased from 5.49 to 4.90 days. There were no significant differences in mortality (1.4% versus 0.4%) or in early re-admissions among the two periods. CONCLUSIONS: The intervention of a diabetes team diminished the average length of stay of diabetic patients.
OBJECTIVE: To assess the impact of endocrinology team consultation on hospital stay and clinical outcomes of diabeticpatients admitted with a primary non-diabetes-related diagnosis in a short stay unit (SSU). METHODS:Patients admitted to the SSU between 2001 and 2005. Between 2001 and 2003 there was no endocrinology team consultation available and the management of hyperglycemia was handled by the SSU team alone. From 2003 until 2005 an endocrinology team was in charge of diabetes care. We compared in both periods: prevalence of diabetes, length of hospital stay, mortality, early readmissions and number of patients requiring conventional hospitalization. RESULTS: In period 2001-2003, 1023 patients were admitted, among which 212 were diabetic (20.7%). Over the years 2003-2005, 892 patients were hospitalized, 223 were diabetic (25%). Clinical characteristics of diabeticpatients from both periods were comparable, but glycaemia at admission was higher on the second period (217 mg/dl versus 198 mg/dl). The length of stay of diabeticpatients in the second period decreased from 5.49 to 4.90 days. There were no significant differences in mortality (1.4% versus 0.4%) or in early re-admissions among the two periods. CONCLUSIONS: The intervention of a diabetes team diminished the average length of stay of diabeticpatients.
Authors: Jennifer P Stevens; David Nyweide; Sha Maresh; Alan Zaslavsky; William Shrank; Michael D Howell; Bruce E Landon Journal: J Gen Intern Med Date: 2015-02-19 Impact factor: 5.128
Authors: Gianfranco Damiani; Luigi Pinnarelli; Lorenzo Sommella; Valentina Vena; Patrizia Magrini; Walter Ricciardi Journal: Med Sci Monit Date: 2011-06
Authors: Andrew P Demidowich; Kristine Batty; Teresa Love; Sam Sokolinsky; Lisa Grubb; Catherine Miller; Larry Raymond; Jeanette Nazarian; M Shafeeq Ahmed; Leo Rotello; Mihail Zilbermint Journal: J Diabetes Sci Technol Date: 2021-02-20