沙特阿拉伯利雅得与英国格里姆斯比2型糖尿病患者达到英国国家卫生与临床优化研究所（NICE）目标情况的比较：一项审计

Comparison of achievement of NICE targets in type 2 diabetes in Riyadh, Saudi Arabia and Grimsby, United Kingdom: an audit.

作者信息

Dirar Abdalla, Aburawi Fathi, Bin Salih Salih, Yousuf Muhammad

机构信息

Department of Medicine, King Fahad National Guard Hospital, King Abdulaziz Medical, City, Riyadh, Saudi Arabia.

出版信息

J Pak Med Assoc. 2012 Apr;62(4):318-21.

PMID:22755271

Abstract

OBJECTIVE

To compare the achievement of NICE guidelines for diabetic care at two hospitals in Riyadh, Saudi Arabia and Grimsby, United Kingdom.

METHODS

Electronic records of type 2 diabetic patients followed up at internal medicine clinics at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia and Diana Princess of Wales Hospital (DPWH), Grimsby, United Kingdom were studied and compared for meeting the NICE standards of diabetic care regarding HbAlc, lipid profile, hypertension and urine dipstick testing and control.

RESULTS

Out of 100 patients studied at each hospital, yearly blood pressure recording, HbA1c, lipid profile and urine dipstick testing were done in 95, 89, 84, 51 and 100, 81, 92, 95 percent at KAMC and DPWH, respectively. Patients achieving the NICE targets for overall, systolic, diastolic blood pressure and HbA1c screening at the two hospitals were 53, 55, 18 and 46, 39, 35 % respectively. For lipid profile, those who achieved the NICE targets for total cholesterol and LDL-C for two hospitals were 54, 51 and 71, 75% respectively.

CONCLUSION

NICE standards of diabetic care are not met in many of the patients in Saudi Arabia as well as United Kingdom, indicating that these standards are easy to recommend than to achieve. There is a need to investigate the reasons for this failure so as to adopt realistic targets and better multidisciplinary approach to achieve them.

摘要

目的

比较沙特阿拉伯利雅得的两家医院与英国格里姆斯比的两家医院在糖尿病护理方面达到英国国家卫生与临床优化研究所（NICE）指南的情况。

方法

对沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城（KAMC）和英国格里姆斯比威尔士王妃戴安娜医院（DPWH）内科门诊随访的2型糖尿病患者的电子记录进行研究，并比较其在糖化血红蛋白（HbAlc）、血脂谱、高血压和尿试纸检测及控制方面是否符合NICE糖尿病护理标准。

结果

在每家医院研究的100名患者中，KAMC和DPWH分别有95%、89%、84%、51%和100%、81%、92%、95%的患者进行了年度血压记录、HbA1c、血脂谱和尿试纸检测。两家医院中达到NICE总体、收缩压、舒张压和HbA1c筛查目标的患者分别为53%、55%、18%和46%、39%、35%。对于血脂谱，两家医院中达到NICE总胆固醇和低密度脂蛋白胆固醇（LDL-C）目标的患者分别为54%、51%和71%、75%。