Puig J, Supervía A, Márquez M A, Flores J, Cano J F, Gutiérrez J
Department of Endocrinology, Hospital del Mar., Passeig Marítim 25-29, 08003 Barcelona, Spain.
Diabetes Res Clin Pract. 2007 Nov;78(2):211-6. doi: 10.1016/j.diabres.2007.03.010. Epub 2007 May 3.
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).
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.
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.
The intervention of a diabetes team diminished the average length of stay of diabetic patients.
评估内分泌团队会诊对短期住院病房（SSU）中因主要非糖尿病相关诊断入院的糖尿病患者住院时间及临床结局的影响。
研究对象为2001年至2005年期间入住SSU的患者。2001年至2003年期间没有内分泌团队会诊，高血糖的管理仅由SSU团队负责。从2003年到2005年，内分泌团队负责糖尿病护理。我们比较了两个时期：糖尿病患病率、住院时间、死亡率、早期再入院率以及需要常规住院治疗的患者数量。
2001 - 2003年期间，共收治1023例患者，其中212例为糖尿病患者（20.7%）。2003 - 2005年期间，892例患者住院，223例为糖尿病患者（25%）。两个时期糖尿病患者的临床特征具有可比性，但第二个时期入院时的血糖水平更高（217毫克/分升对198毫克/分升）。第二个时期糖尿病患者的住院时间从5.49天降至4.90天。两个时期的死亡率（1.4%对0.4%）或早期再入院率均无显著差异。
糖尿病团队的干预缩短了糖尿病患者的平均住院时间。
