Prevalência da diabetes mellitus no internamento de um hospital central

Silva, Ana Maia; Freitas, Cláudia; Dores, Jorge; Borges, Fátima

doi:10.1016/j.rpedm.2014.02.002

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…In 2011, we detected a high prevalence of hyperglycemia among hospitalized patients in our institution and a low percentage of these patients were normoglycemic or under basal insulin regimen. (13). Since then, some training sessions were carried out to improve these aspects and the metabolic control of inhospital diabetic patients, but the overall perception is that in-hospital hyperglycemia continues to be undervalued.…”

Section: Introductionmentioning

confidence: 99%

Hyperglycemia in hospitalized patients of a tertiary care hospital: prevalence and treatment in two cross-sectional evaluations (2011-2020)

Rosinha¹,

Inácio²,

Teixeira³

et al. 2022

Archives of Endocrinology and Metabolism

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Objective: A study at Centro Hospitalar Universitário do Porto in 2011 revealed suboptimal control of inpatient hyperglycemia and a similar one was carried out in 2020. This study compares the results of 2011 and 2020 regarding prevalence of hyperglycemia, metabolic control, treatment and glycemic profile by infection/non-infection diagnosis. Subjects and methods: We performed two crosssectional studies on 13 th December 2011 and 9 th October 2020 that included all non-critical adults with at least 24 hours of hospitalization, with no specific intervention between them. Glycemic control evaluated by minimum and maximum capillary blood glucose (CBG) in the previous day categorized as hypoglycemia (<70 mg/dL), normoglycemia (70-179 mg/dL) and hyperglycemia (≥180 mg/dL) (SPSS v.20). Results: A total of 418 and 445 patients were respectively included in 2011 and 2020 studies and the prevalence of hyperglycemia was similar. Glycemic control improved numerically although not significantly in 2020: increase in normoglycemia, reduction in hyperglycemia and reduction in hypoglycemia. There was an increase in the use of basal-bolus regimens (19.6% vs. 7.3%, p = 0.009) and a decrease in human basal (p < 0.01) and rapid-acting insulin use (p = 0.001) with a proportional increase in long-acting (p = 0.002) and rapid-acting analogs (p < 0.001) use. There was a higher prevalence of infection (39.8% vs. 23.1%, p = 0.006) in 2020 and, in the infection subgroup, there were higher insulinization rates (37.3% vs. 10.7%, p = 0.017) and a trend to glycemic control improvement. Conclusion: Despite the higher insulinization rates, the preference for new insulin analogs and a trend to better glycemic control, we have not yet reached targets, so education still remains necessary.

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Section: Introductionmentioning

confidence: 99%

Hyperglycemia in hospitalized patients of a tertiary care hospital: prevalence and treatment in two cross-sectional evaluations (2011-2020)

Rosinha¹,

Inácio²,

Teixeira³

et al. 2022

Archives of Endocrinology and Metabolism

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“…5,13 Diabetes is a prevalent condition in Portugal, especially in hospitalized patients, where it affects 10% to 43% of the inpatients. [14][15][16] Hospitalization could be an opportunity to screen diabetic neuropathy and a window to education of these patients in an attempt to reduce the burden of foot lesions and amputations.…”

Section: Introductionmentioning

confidence: 99%

Rastreio de Polineuropatia Diabética Periférica em Doentes Internados

Gonçalves

Lopes

Costa

et al. 2022

RPMI

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Introdução: A polineuropatia simétrica distal (PNSD) é umacomplicação frequente e catastrófica da diabetes mellitus, massubdiagnosticada. Os autores colocam a hipótese de o internamento ser uma oportunidade de rastreio da PNSD e pretendemcomparar dois métodos de diagnóstico.Material e Métodos: Estudo prospetivo e multicêntrico,que incluiu doentes diabéticos internados nos serviços de medicina interna de dois hospitais, entre maio e outubro de 2015.Foi aplicada a escala MNSI (Michigan Neuropathy Screening Instrument) e o teste SWME (Monofilamento de 10 g-SemmesWeinstein exam) para despiste de PNSD. Uma pontuação > 2no exame clínico da MNSI ou ≤ 7 respostas positivas em 10 noteste SWME, foram consideradas diagnósticas de DSPN.Resultados: Foram incluídos 88 pacientes com idade mediana de 77 (13) anos e 45% homens; a maioria com diabetestipo 2 e 7% tinham diagnóstico prévio de PNSD. A prevalênciade PNSD foi de 75% utilizando o MNSI; o teste SWME foi anormal em 38% destes pacientes. A taxa de concordância entre ostestes foi de 44,3%. Dos pacientes, 92,4% com diagnóstico dePNSD no estudo não tinham diagnóstico prévio.Discussão: O número de subdiagnósticos de PNSD nesteestudo é alarmante. A percentagem de casos subdiagnosticadapode representar um problema de registo ou de escassez derastreio.Conclusão: Neste estudo concluímos que a PNSD é altamente prevalente entre os pacientes hospitalizados, mas profundamente subdiagnosticada. A escala MNSI poderá ser uminstrumento adequado para o rastreio, enquanto o teste SWMEnão deve ser utilizada isoladamente para este propósito.

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Towards an inpatient diabetes curriculum: medical student‐generated aims, objectives and methods for ward‐based learning of non‐critical, non‐perioperative inpatient diabetes care

2015

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This study produced comprehensive, student-generated, and hence student-centred, aims, objectives and methods for inpatient diabetes care with objectives appropriately set for higher cognitive levels of learning. This material can be used to guide teaching or for further development into a curriculum. This is the first known publication of content that could be used in a ward-based inpatient diabetes curriculum.

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Prevalência da diabetes mellitus no internamento de um hospital central

Cited by 3 publications

References 7 publications

Hyperglycemia in hospitalized patients of a tertiary care hospital: prevalence and treatment in two cross-sectional evaluations (2011-2020)

Hyperglycemia in hospitalized patients of a tertiary care hospital: prevalence and treatment in two cross-sectional evaluations (2011-2020)

Rastreio de Polineuropatia Diabética Periférica em Doentes Internados

Towards an inpatient diabetes curriculum: medical student‐generated aims, objectives and methods for ward‐based learning of non‐critical, non‐perioperative inpatient diabetes care

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