Evaluation of hospital glycemic control at US academic medical centers

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Jeffrey B BoordDavid Baldwin

Abstract

To evaluate contemporary hospital glycemic management in US academic medical centers. This retrospective cohort study was conducted on patients discharged from 37 academic medical centers between July 1 and September 30, 2004; 1,718 eligible adult patients met at least 1 of the inclusion criteria: 2 consecutive blood glucose readings >180 mg/dL within 24 hours, or insulin treatment at any time during hospitalization. We assessed 3 consecutive measurement days of glucose values, glycemic therapy, and additional clinical and laboratory characteristics. In this diverse cohort, 79% of patients had a prior diagnosis of diabetes, and 84.6% received insulin on the second measurement day. There was wide variation in hospital performance of recommended hospital diabetes care measures such as glycosylated hemoglobin (A1C) assessment (range, 3%-63%) and timely admission laboratory glucose measurement (range, 39%-97%). Median glucose was significantly lower for patients in the intensive care unit (ICU) compared to ward/intermediate care. ICU patients treated with intravenous insulin had significantly lower median glucose when compared to subcutaneous insulin. Only 25% of ICU patients on day 3 had estimated 6 AM glucose <or=110 mg/dL. Hyper...Continue Reading

References

Apr 16, 1998·Diabetes Care·C S LevetanR E Ratner
Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·W E TrickW R Jarvis
Oct 6, 2001·Stroke; a Journal of Cerebral Circulation·S E CapesH C Gerstein
Jan 5, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·R LathamC S Thomas
Jan 17, 2002·The New England Journal of Medicine·G van den BergheR Bouillon
Mar 13, 2002·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezAbbas E Kitabchi
Dec 25, 2003·Diabetes Care·UNKNOWN American Diabetes Association
Jan 30, 2004·Diabetes Care·Stephen ClementUNKNOWN American Diabetes Association Diabetes in Hospitals Writing Committee
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Alan J GarberUNKNOWN American College of Endocrinology Task Force on Inpatient Diabetes Metabolic Control
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Alan J GarberUNKNOWN American College of Endocrinology Task Force on Inpatient Diabetes Metabolic Control
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Anthony P FurnaryStephen O Bookin
Nov 25, 2004·Journal of the American Medical Informatics Association : JAMIA·Emmy RoodDurk Freark Zandstra
Dec 25, 2004·Diabetes Care·UNKNOWN American Diabetes Association
Jan 29, 2005·Diabetes Care·Richard W GrantUNKNOWN University HealthSystem Consortium (UHC) Diabetes Benchmarking Project Team
Mar 29, 2005·Diabetes Care·Silvio E Inzucchi, Julio Rosenstock
Aug 11, 2005·The Annals of Pharmacotherapy·J Megan SchoefflerDouglas G Gresham
Feb 3, 2006·The New England Journal of Medicine·Greet Van den BergheRoger Bouillon
Oct 14, 2006·Diabetes Technology & Therapeutics·Philip A GoldbergSilvio E Inzucchi
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jeffrey L SchnipperMerri L Pendergrass
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Laura A D KnechtCurtiss B Cook
Mar 3, 2007·Journal of the American Medical Informatics Association : JAMIA·Jeffrey B BoordRandolph A Miller
Jul 13, 2007·Chest·Ilse VanhorebeekGreet Van den Berghe
Jan 11, 2008·The New England Journal of Medicine·Frank M BrunkhorstUNKNOWN German Competence Network Sepsis (SepNet)

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Citations

Feb 19, 2010·Journal of Nursing Care Quality·Patricia M SeligKatheryn M Peebles
Jul 17, 2012·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·Betina BiagettiJordi Mesa
Aug 7, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·David H WesorickRoma Gianchandani
Dec 21, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Sophie BersouxJianfen Shu
Nov 26, 2013·Diabetes, Obesity & Metabolism·H Thabit, R Hovorka
Nov 12, 2016·The Lancet. Diabetes & Endocrinology·Hood ThabitRoman Hovorka
Feb 23, 2017·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Ariana Pichardo-LowdenGuillermo E Umpierrez
Dec 7, 2010·Journal of Diabetes Science and Technology·Marcy AndersonGail Kongable
Apr 28, 2012·Journal of Diabetes Science and Technology·Curtiss B CookJianfen Shu
Apr 10, 2013·Journal of Diabetes Science and Technology·Katharina Maria NeubauerThomas Rudolf Pieber
Nov 1, 2018·Journal of Evaluation in Clinical Practice·Ariana Pichardo-LowdenPaul Haidet
Oct 6, 2018·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Dorin T ColibaseanuRobert R Cima
Jun 12, 2012·The Journal of Clinical Endocrinology and Metabolism·Elisa HsiaBoris Draznin
May 23, 2012·Hospital Practice·Ambreen QureshiL Raymond Reynolds
Dec 19, 2012·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Mary KennihanSusan S Braithwaite
Apr 29, 2014·Hospital Practice·Melanie E MabreyAndrew S Rhinehart
Apr 28, 2020·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Cristina Lorenzo-GonzálezGuillermo E Umpierrez
May 18, 2013·Hospital Practice·Cecilia C Low Wang, Boris Draznin
Nov 3, 2010·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Ariana R Pichardo-LowdenRobert A Gabbay
Jan 21, 2021·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Cristina Lorenzo-GonzálezGuillermo E Umpierrez
Apr 23, 2021·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Carlos E MendezLeonard E Egede
May 7, 2021·Journal of Diabetes Science and Technology·Mihail Zilbermint
Feb 7, 2014·Diabetology & Metabolic Syndrome·Edson Duarte MoreiraUNKNOWN Brazilian Diabetes Investigators’ Group

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