缺血性卒中住院后的糖尿病护理质量。
The quality of diabetes care following hospitalization for ischemic stroke.
作者信息
Pandhi Nancy, Smith Maureen A, Kind Amy J H, Frytak Jennifer R, Finch Michael D
机构信息
Department of Population Health Sciences, Geriatrics Division, University of Wisconsin School of Medicine and Public Health, Madison, Wisc., USA.
出版信息
Cerebrovasc Dis. 2009;27(3):235-40. doi: 10.1159/000196821. Epub 2009 Jan 29.
BACKGROUND
Follow-up is critically important for stroke survivors with diabetes, yet there is limited research about the quality of diabetes care that these patients receive. We investigated performance on diabetes quality of care indicators for stroke survivors overall and by race.
METHODS
Claims data was extracted for 1,460 Medicare beneficiaries with preexisting diabetes who survived hospitalization for acute ischemic stroke in 2000. Adjusted probabilities of receiving HbA1c, LDL and dilated eye exams were estimated using logistic regression.
RESULTS
53% had a dilated eye exam, 60% received an LDL check, 73% percent had their HbA1c checked at least once and only 51% received two or more HbA1c checks. In the unadjusted results, blacks were significantly less likely than whites to receive these tests.
CONCLUSIONS
Care of stroke survivors, particularly blacks, shows gaps according to guidelines.
背景
随访对于糖尿病中风幸存者至关重要，但关于这些患者所接受的糖尿病护理质量的研究有限。我们调查了中风幸存者总体以及按种族划分的糖尿病护理质量指标的执行情况。
方法
提取了2000年因急性缺血性中风住院存活的1460名患有糖尿病的医疗保险受益人的理赔数据。使用逻辑回归估计接受糖化血红蛋白（HbA1c）、低密度脂蛋白（LDL）和散瞳眼科检查的调整概率。
结果
53%的人接受了散瞳眼科检查，60%的人进行了LDL检查，73%的人至少进行了一次HbA1c检查，只有51%的人进行了两次或更多次HbA1c检查。在未经调整的结果中，黑人接受这些检查的可能性明显低于白人。
结论
根据指南，中风幸存者，尤其是黑人的护理存在差距。
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