Access to a youth‐specific service for young adults with type 1 diabetes mellitus is associated with decreased hospital length of stay for diabetic ketoacidosis

Burns, Kharis; Farrell, Kaye; Myszka, Rickie; Park, Kris; Holmes-Walker, D Jane

doi:10.1111/imj.13649

Cited by 30 publications

(19 citation statements)

References 15 publications

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“…Suggested guidelines for counselling patients on e-cigarettes are listed in Table 1. 27 Patients should also be advised about the legal pathways for using e-cigarettes (Table 2).…”

Section: Use In Physician Practicementioning

confidence: 99%

“…• There is growing evidence for the effectiveness of e-cigarettes as a quitting aid from population studies, longitudinal studies and randomised controlled trials. Table 1 Practical advice for patients on e-cigarette use 27 • First-line smoking cessation treatment is professional counselling combined with approved pharmacotherapies (nicotine replacement therapy, varenicline, bupropion). • Smokers who are unable to quit with approved therapies may benefit from switching to an e-cigarette.…”

Section: Practice Pointsmentioning

confidence: 99%

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Electronic cigarettes in physician practice

Mendelsohn

2018

Internal Medicine Journal

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There is growing evidence for the effectiveness of e-cigarettes as a quitting aid and, although not completely harmless, the scientific consensus is that they are substantially less harmful than smoking tobacco. More research is needed, but there is now sufficient empirical evidence and real-world experience over more than a decade to consider their use as a legitimate tobacco harm reduction tool for smokers who are unable or unwilling to quit with conventional strategies. Smokers should be advised that the highest success rates occur with daily use with nicotine e-liquid and newer e-cigarette models. After quitting smoking, it is preferable to aim ultimately to cease vaping if possible, but long-term use of e-cigarettes is safer than relapsing to smoking.

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“…Suggested guidelines for counselling patients on e-cigarettes are listed in Table 1. 27 Patients should also be advised about the legal pathways for using e-cigarettes (Table 2).…”

Section: Use In Physician Practicementioning

confidence: 99%

Section: Practice Pointsmentioning

confidence: 99%

Electronic cigarettes in physician practice

Mendelsohn

2018

Internal Medicine Journal

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“…Estudo de corte realizado na Austrália avaliou o impacto da participação/acompanhamento em serviços específico para jovens nas internações registradas no período de um ano em todos os hospitais da região e identificou a ocorrência de 55 internações, referentes a 39 pacientes jovens com DM1 -idade entre 15 e 25 anos. Constatou que a maioria das admissões (82,0%) foram de jovens não apoiados por serviço específicos para eles e que o tempo de internação também foi significativamente maior neste grupo (18) . É importante ressaltar que adotar comportamentos de autocuidado exige do indivíduo antes de tudo que ele acredite que a doença lhe é prejudicial e que pode lhe causar danos graves, que os comportamentos a serem adotados são efetivos no enfrentamento e controle da doença e que as dificuldades na implementação de ações e comportamentos específicos são superadas por seus benefícios.…”

Section: Discussionunclassified

Autoeficácia psicossocial em jovens com Diabetes Mellitus e sua influência no autocuidado

et al. 2019

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Objetivo: identificar a autoeficácia psicossocial em jovens com Diabetes Mellitus tipo 1 e associação com variáveis sociodemográficas, perfil de saúde e busca por atendimento de saúde. Métodos: estudo transversal realizado com 35 jovens, mediante entrevista audiogravada. Usou-se dois instrumentos: a) roteiro de caracterização sociodemográfica, perfil de saúde e busca por atendimento em saúde; b) Escala de Autoeficácia em Diabetes-Versão Curta. Na análise, utilizou-se estatística descritiva e inferencial - teste Qui-quadrado e Exato de Fisher. Resultados: a totalidade dos jovens apresentou índices satisfatórios de autoeficácia (moderada e alta). Embora sem significância estatística, observou-se a proporção ligeiramente maior de autoeficácia alta em jovens do sexo masculino, maiores de 18 anos, da cor branca, que não trabalham, com plano de saúde, acima do peso, com mais de oito anos de diagnóstico e que não sofreram hospitalização. Conclusão: os jovens apresentam autoeficácia satisfatória, não sendo observada associação significativa com variáveis sociodemográficas e clínicas.

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“…[ 77 78 ] The frequency of recurrence of DKA can be reduced with structured patient education, behavioral intervention, providing support for patients and families, improving patients' access to medical providers, availability of extended access to telephone services and telemedicine. [ 79 80 81 82 83 84 ] In addition, public awareness campaigns focusing on education on the early signs of diabetes have been found to significantly reduce the frequency of DKA in patients with new onset diabetes. [ 85 86 ]…”

Section: Prevention Of Diabetic Ketoacidosismentioning

confidence: 99%

Management of diabetic ketoacidosis in adults: A narrative review

Eledrisi

Elzouki

2020

Saudi J Med Med Sci

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Diabetic ketoacidosis (DKA) is the most common hyperglycemic emergency and causes the greatest risk for death in patients with diabetes mellitus. DKA more commonly occurs among those with type 1 diabetes, yet almost a third of the cases occur among those with type 2 diabetes. Although mortality rates from DKA have declined to low levels in general, it continues to be high in many developing countries. DKA is characterized by hyperglycemia, metabolic acidosis and ketosis. Proper management of DKA requires hospitalization for aggressive intravenous fluids, insulin therapy, electrolyte replacement as well as identification and treatment of the underlying precipitating event along with frequent monitoring of patient's clinical and laboratory states. The most common precipitating causes for DKA include infections, new diagnosis of diabetes and nonadherence to insulin therapy. Clinicians should be aware of the occurrence of DKA in patients prescribed sodium-glucose co-transporter 2 inhibitors. Discharge plans should include appropriate choice and dosing of insulin regimens and interventions to prevent recurrence of DKA. Future episodes of DKA can be reduced through patient education programs focusing on adherence to insulin and self-care guidelines during illness and improved access to medical providers. New approaches such as extended availability of phone services, use of telemedicine and utilization of public campaigns can provide further support for the prevention of DKA.

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Access to a youth‐specific service for young adults with type 1 diabetes mellitus is associated with decreased hospital length of stay for diabetic ketoacidosis

Abstract: Lack of access to supported care for YWD during transition from paediatric to adult care has an adverse impact on subsequent DKA admission rates and LOS.

Cited by 30 publications

References 15 publications

Electronic cigarettes in physician practice

Electronic cigarettes in physician practice

Autoeficácia psicossocial em jovens com Diabetes Mellitus e sua influência no autocuidado

Management of diabetic ketoacidosis in adults: A narrative review

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