Long-term glycaemic control (HbA1c), not admission glucose, predicts hospital re-admission in diabetic patients

Diabetic patients are commonly hyperglycaemic on presentation. Admission hyperglycaemia is associated with adverse outcomes, particularly prolonged hospitalisation. Improving inpatient glycaemia may reduce length of hospital stay (LOS) in diabetic patients. To determine whether in-hospital recogniti...

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Bibliographic Details
Published in:Australasian medical journal 2015-01, Vol.8 (6), p.189-199
Main Authors: Chai, Thora Y, Tonks, Katherine T, Campbell, Lesley V
Format: Article
Language:English
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Summary:Diabetic patients are commonly hyperglycaemic on presentation. Admission hyperglycaemia is associated with adverse outcomes, particularly prolonged hospitalisation. Improving inpatient glycaemia may reduce length of hospital stay (LOS) in diabetic patients. To determine whether in-hospital recognition and treatment of admission hyperglycaemia in diabetic patients is associated with reduced LOS. Medical records were reviewed from 1 November 2011 to 31 May 2012 for 162 diabetic patients admitted with a blood glucose level (BGL) ≥11.1mmol/L. In-hospital outcomes were compared. Stepwise multiple regression was used to evaluate factors contributing to LOS. Compared to the untreated individuals (n=67), hyperglycaemia treatment (n=95) was associated with a longer LOS (median eight vs. four days, p
ISSN:1836-1935
1836-1935
DOI:10.4066/AMJ.2015.2351