智能糖尿病医院：对一家三级医院复杂手术室的临床影响。

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Acta Diabetologica Pub Date : 2024-09-06 DOI:10.1007/s00592-024-02370-6

Olga Simó-Servat, Judit Amigó, Ángel Ortiz-Zúñiga, Mónica Sánchez, Fátima Cuadra, Marcos Dos Santos, Alba Rojano, Maria José Abadías, Antonio Roman, Cristina Hernández, Rafael Simó

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引用次数: 0

摘要

目的：评估糖尿病专科小组（SDT）的积极行动对一家三甲医院高难度手术室（包括实体器官移植手术室）住院患者不同健康结果的影响：巢式病例对照研究，按年龄和性别进行匹配（1:1）。对照组由病例前三个月入院接受标准糖尿病治疗的患者（120 人）组成。病例在同一外科病房住院（120 人），并在所谓的 "智能糖尿病医院"（SDH）环境中接受治疗，SDH 由 SDT 组成，可通过显示前 24 小时血糖水平的数字地图确定行动的优先次序：实施 SDH 后，血糖水平（平均 162.1 ± SD 44.4 vs. 平均 145.5 ± SD 48.0；p = 0.008）和低血糖发作率（19.7% vs. 8.4%：p = 0.002）均显著下降。此外，住院时间（LOS）缩短了 3 天（15.6 ± 10.3 对 12.4 ± 6.0），大大节约了成本。此外，在 SDT 期间发现了更多的糖尿病新病例（2.5% 对 6.7%，p = 0.04）：结论：SDH 能有效管理糖尿病，并缩短复杂手术室的住院时间。

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SMART DIABETES HOSPITAL: CLINICAL IMPACT IN COMPLEX SURGICAL UNITS OF A TERTIARY HOSPITAL.

Aim: 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.

Methods: 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.

Results: 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).

Conclusion: SDH is effective in diabetes management and reduce LOS in complex surgical units.

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.