Columbia VA Medical Center, 6439 Garners Ferry Road, Columbia, SC 29209, United States.
Columbia VA Medical Center, 6439 Garners Ferry Road, Columbia, SC 29209, United States.
Patient Educ Couns. 2020 Jun;103(6):1255-1257. doi: 10.1016/j.pec.2020.01.010. Epub 2020 Jan 27.
OBJECTIVE(S): An evaluation of a diabetes consult service for hospitalized patients was completed to determine effect on glycemic control.
This medical record review was conducted to determine impact of a short-term program on patients with diabetes. The electronic medical record was used to identify patients diagnosed with diabetes mellitus and hospitalized from September 2016 to September 2017. A case-control design was utilized to compare patients with an inpatient order for the diabetes transitions of care service to those receiving usual care. The consultation service consisted of inpatient diabetes education and follow-up post discharge. The HbA1c reduction of adult inpatients those who completed a consult (n = 67) and those who received usual care (n = 67) were compared. Statistical analyses were conducted.
For the primary outcome of HbA1c reduction at 3 months, absolute difference from baseline to 3 months in the intervention was -2.9 % compared to 0.9 % in the control group (p < 0.001).
Participation in the service reduced HbA1c at 3 months and 6 months post-discharge, reduced 30-day all-cause readmissions, and increased percentage of patients with HbA1c <9.0 % at 6 months post-discharge.
A consult-based diabetes transitions of care service decreased HbA1c versus usual care.
对住院患者的糖尿病咨询服务进行评估，以确定其对血糖控制的影响。
本病历回顾性研究旨在确定短期项目对糖尿病患者的影响。使用电子病历确定 2016 年 9 月至 2017 年 9 月期间被诊断患有糖尿病并住院的患者。采用病例对照设计，比较接受糖尿病过渡期护理服务的住院患者和接受常规护理的患者。咨询服务包括住院糖尿病教育和出院后随访。比较完成咨询（n=67）和接受常规护理（n=67）的成年住院患者的 HbA1c 降低情况。进行了统计分析。
在 3 个月时 HbA1c 降低的主要结局方面，干预组从基线到 3 个月的绝对差值为-2.9%，而对照组为 0.9%（p<0.001）。
参与该服务可降低出院后 3 个月和 6 个月时的 HbA1c，降低 30 天全因再入院率，并增加出院后 6 个月时 HbA1c<9.0%的患者比例。
基于咨询的糖尿病过渡期护理服务可降低 HbA1c，优于常规护理。
