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. 2018 Oct;62(5):514-522.
doi: 10.20945/2359-3997000000071.

Impact of an inpatient multidisciplinary glucose control management program

Denise P Momesso  1 , Rubens Carmo Costa Filho  1 , João Luiz Ferreira Costa  1 , Felipe Saddy  1 , Ayla Mesquita  1 , Marcela Calomeni  1 , Claudia Dos Santos Silva  1 , Jacqueline Farret  1 , Mariana Leon Vasques  1 , Aline G Santos  1 , Ana Paula Vieira Cabral  1 , Dayane Ribeiro  1 , Luciana Reis  1 , Maria de Fátima M Muino  1 , Roberta Santiago Vitorino  1 , Claudio Amorim Monteiro  1 , Evandro Tinoco  1 , Andre Volschan  1
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Impact of an inpatient multidisciplinary glucose control management program

Denise P Momesso et al. Arch Endocrinol Metab. 2018 Oct.

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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Figures

Figure 1
Figure 1. Rates of hyperglycemia (≥ 180 mg/dL) in hospitalized patients in May 2014, June 2015, and May 2017.
Figure 2
Figure 2. Rates of severe hyperglycemia (≥ 300 mg/dL) among hospitalized patients in May 2014, June 2015, and May 2017.
See this image and copyright information in PMC

References

    1. Inzucchi SE. Management of hyperglycemia in the hospital setting. N Engl J Med. 2006;355:1903-11. - PubMed
    1. ACE/ADA Task Force on Inpatient Diabetes. American College of Endocrinology and American Diabetes Association consensus statement on inpatient diabetes and glycemic control. Endocr Pract. 2006;12:458-68. - PubMed
    1. Moghissi ES, Korytkowski MT, DiNardo M, Einhorn D, Hellman R, Hirsch IB, et al. American Association of Clinical Endocrinologists; American Diabetes Association. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Diabetes Care. 2009;32:1119-31. - PMC - PubMed
    1. Umpierrez GE, Hellman R, Korytkowski MT, Kosiborod M, Maynard GA, Montori VM, et al. Management of hyperglycemia in hospitalized patients in non- critical care setting: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2012;97:16-38. - PubMed
    1. Controle da glicemia no paciente hospitalizado. Posicionamento oficial da Sociedade Brasileira de Diabetes n° 3/2015. Available from: www.diabetes.org.br/profissionais.

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