Hamburger S, Barjenbruch P, Soffer A
J Fam Pract. 1982 Apr;14(4):719-22.
This study contrasts the treatment of diabetic ketoacidosis in a teaching hospital by internists and family physicians. Parameters studied included laboratory use and length of stay. The period of hospitalization was longer in the internal medicine program compared with the family practice group, 5.09 days and 4.60 days, respectively, a 10.65 percent increase. In addition, the total number of laboratory tests and x-ray procedures per patient and per hospital day were notably increased in the internal medicine group compared with the family practice group; 49.20 and 29.68, and 9.67 and 6.45, respectively, the former being a 65.77 percent increase and the latter being 49.92 percent higher. There were no deaths in either group. Serum glucose and urine spillage were comparable in both groups upon discharge.
本研究对比了教学医院内科医生和家庭医生对糖尿病酮症酸中毒的治疗情况。研究参数包括实验室检查的使用情况和住院时长。内科治疗方案组的住院时间比家庭医疗组更长，分别为5.09天和4.60天，增加了10.65%。此外，内科组每名患者每天及每个住院日的实验室检查和X光检查总次数显著多于家庭医疗组；分别为49.20次和29.68次，以及9.67次和6.45次，前者增加了65.77%，后者高出49.92%。两组均无死亡病例。出院时两组的血糖和尿糖水平相当。
