Abdulrahman Al Nemri1, Yasser Sami Amer2,3, Hala Gasim1, Mohamed Elfaki Osman1, Ayman Aleyadhy1, Hessah Al Otaibi1, Shaikh Mohammed Iqbal1, Nasir Abdullah Aljurayyan1, Asaad M Assiri1,4, Amir Babiker1,5, Sarar Mohamed1,6. 1. Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia. 2. Quality Management, King Khalid University Hospital, Riyadh, Saudi Arabia. 3. CPGs Steering Committee, King Saud University Medical City, Riyadh, Saudi Arabia. 4. Prince Abdullah bin Khalid Coeliac Disease Research Chair, King Saud University College of Medicine, Riyadh, Saudi Arabia. 5. Department of Pediatrics, National Guard Hospital, Riyadh, Saudi Arabia. 6. Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Abstract
RATIONALE, AIMS AND OBJECTIVES: We aimed to determine the effect of Clinical Practice Guideline (CPG) implementation on length of hospital stay of children and adolescents with diabetic ketoacidosis (DKA). METHODS: This was a 6-year (2008-2014) case-control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation. RESULTS: There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Baseline characteristics of the 2 groups were similar (age, sex, newly diagnosed patients, recurrent DKA, DKA severity, and mean glycosylated hemoglobin). The mean length of hospital stay (±SD) was 68.6 ± 53.1 hours after implementation of CPG compared with 107.4 ± 65.6 hours before implementation (P < .001). The reduction in length of hospital stay equals to 1700 bed days saved per year per 1000 patients. CONCLUSIONS: Implementation of CPG for DKA decreased the length of hospital stay.
RATIONALE, AIMS AND OBJECTIVES: We aimed to determine the effect of Clinical Practice Guideline (CPG) implementation on length of hospital stay of children and adolescents with diabetic ketoacidosis (DKA). METHODS: This was a 6-year (2008-2014) case-control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation. RESULTS: There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Baseline characteristics of the 2 groups were similar (age, sex, newly diagnosed patients, recurrent DKA, DKA severity, and mean glycosylated hemoglobin). The mean length of hospital stay (±SD) was 68.6 ± 53.1 hours after implementation of CPG compared with 107.4 ± 65.6 hours before implementation (P < .001). The reduction in length of hospital stay equals to 1700 bed days saved per year per 1000 patients. CONCLUSIONS: Implementation of CPG for DKA decreased the length of hospital stay.
Authors: Christopher M Horvat; Heba M Ismail; Alicia K Au; Luigi Garibaldi; Nalyn Siripong; Sajel Kantawala; Rajesh K Aneja; Diane S Hupp; Patrick M Kochanek; Robert Sb Clark Journal: Pediatr Diabetes Date: 2018-04-26 Impact factor: 4.866
Authors: Fahad A Bashiri; Muddathir H Hamad; Yasser S Amer; Manal M Abouelkheir; Sarar Mohamed; Amal Y Kentab; Mustafa A Salih; Mohammad N Al Nasser; Ayman A Al-Eyadhy; Mohammed A Al Othman; Tahani Al-Ahmadi; Shaikh M Iqbal; Ali M Somily; Hayfaa A Wahabi; Khalid J Hundallah; Ali H Alwadei; Raidah S Albaradie; Waleed A Al-Twaijri; Mohammed M Jan; Faisal Al-Otaibi; Abdulrahman M Alnemri; Lubna A Al-Ansary Journal: Neurosciences (Riyadh) Date: 2017-04 Impact factor: 0.906