Simó-Servat Olga, Amigó Judit, Ortiz-Zúñiga Ángel, Sánchez Mónica, Cuadra Fátima, Santos Marcos Dos, Rojano Alba, Abadías Maria José, Roman Antonio, Hernández Cristina, Simó Rafael
Endocrinology and Nutrition Department, Vall d'Hebron University Hospital and Vall d'Hebron Research Institute, Barcelona, Spain.
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), Madrid, Spain.
Acta Diabetol. 2025 Mar;62(3):423-428. doi: 10.1007/s00592-024-02370-6. Epub 2024 Sep 6.
To evaluate the impact of a proactive action of a specialized diabetes team (SDT) on different health outcomes in patients hospitalized in high complexity surgery units, including solid organ transplant surgical units, of a tertiary hospital.
Nested case control study matched (1:1) by age and gender. The control group consisted of patients (n = 120) who were under the standard of care diabetes management admitted three months' prior the cases. The cases were admitted in the same surgical units (n = 120) and were treated in the setting of the so called "Smart Diabetes Hospital" (SDH) consisting in a SDT that prioritized their actions through a digital map showing blood glucose levels obtained during the previous 24 h.
SDH implementation resulted in a significant reduction in both blood glucose levels (mean 162.1 ± SD 44.4 vs. mean 145.5 ± SD 48.0; p = 0.008) and hypoglycaemic episodes (19.7% vs. 8.4%: p = 0.002). Furthermore, a reduction of 3 days in the length of stay (LOS) was observed (15.6 ± 10.3 vs. 12.4 ± 6.0), which represents a significant cost-saving. Moreover, more new cases of diabetes were detected during the SDT period (2.5% vs. 6.7%, p = 0.04).
SDH is effective in diabetes management and reduce LOS in complex surgical units.
评估一家三级医院中，专业糖尿病团队（SDT）的积极行动对在高复杂性手术科室（包括实体器官移植手术科室）住院患者不同健康结局的影响。
采用年龄和性别匹配（1:1）的巢式病例对照研究。对照组由在病例组入院前三个月按照糖尿病管理标准护理的患者（n = 120）组成。病例组患者来自相同的手术科室（n = 120），并在所谓的“智能糖尿病医院”（SDH）环境中接受治疗，该医院有一个专业糖尿病团队，通过显示前24小时血糖水平的数字地图来优先安排他们的行动。
实施SDH后，血糖水平显著降低（均值162.1±标准差44.4 vs.均值145.5±标准差48.0；p = 0.008），低血糖发作次数也显著减少（19.7% vs. 8.4%：p = 0.002）。此外，住院时间（LOS）缩短了3天（15.6±10.3 vs. 12.4±6.0），这意味着显著节省了成本。此外，在专业糖尿病团队工作期间发现了更多新的糖尿病病例（2.5% vs. 6.7%，p = 0.04）。
SDH在糖尿病管理方面有效，并可缩短复杂手术科室的住院时间。
