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Diabetic And hospital discharge

John M Clements, Stephanie J Rhynard
This study uses data from the 2012 National Inpatient Sample to determine if mortality, length of stay, and discharge disposition are different between rural and urban American Indians and Alaska Natives (AI/ANs) with alcohol abuse, depression, diabetes, and post-traumatic stress disorder. Results show no difference in mortality between groups. Alcohol abuse, depression, and diabetes are less prevalent in rural AI/ANs, and rural patients have shorter lengths of stay and fewer chronic conditions, diagnoses, and procedures...
2018: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
José M de Miguel-Yanes, Rodrigo Jiménez-García, Javier de Miguel-Díez, Valentín Hernández-Barrera, Manuel Méndez-Bailón, Nuria Muñoz-Rivas, Ana López-de-Andrés
AIMS: To describe trends and outcomes during admission for solid organ transplant in people with or without type 2 diabetes in Spain, 2001-2015. METHODS: We used national hospital discharge data to select all hospital admissions for kidney, lung, heart and liver transplant. We estimated admission rates stratified by type 2 diabetes status. We built Poisson regression models to compare the adjusted time trends in admission rates. We tested in-hospital mortality (IHM) in logistic regression analyses...
October 13, 2018: International Journal of Clinical Practice
Brian E Driver, Lauren R Klein, Jon B Cole, Matthew E Prekker, Erik T Fagerstrom, James R Miner
STUDY OBJECTIVE: Hyperglycemia is commonly encountered in the ED; the importance of glucose reduction in patients well enough to be discharged is unknown. METHODS: We conducted a prospective, randomized trial of ED patients with hyperglycemia with a glucose value 400-600 mg/dL who were discharged from the ED, excluding those with type 1 diabetes mellitus. Patients were randomly assigned to a discharge glucose goal, <350 mg/dL (moderate control) or < 600 mg/dL (loose control)...
October 5, 2018: American Journal of Emergency Medicine
Safa S Almarzoky Abuhussain, Michelle A Burak, Danyel K Adams, Kelsey N Kohman, Serina B Tart, Athena L V Hobbs, Gabrielle Jacknin, Michael D Nailor, Katelyn R Keyloun, David P Nicolau, Joseph L Kuti
Background: Acute bacterial skin and skin structure infections (ABSSSIs) are a frequent cause of emergency department (ED) visits. Providers in the ED have many decisions to make during the initial treatment of ABSSSI. There are limited data on the patient factors that influence these provider decisions. Methods: An anonymous survey was administered to providers at 6 EDs across the United States. The survey presented patient cases with ABSSSIs ≥75 cm2 and escalating clinical scenarios including relapse, controlled diabetes, and sepsis...
October 2018: Open Forum Infectious Diseases
Maria Isabel Smáradóttir, Sergiu-Bogdan Catrina, Kerstin Brismar, Anna Norhammar, Viveca Gyberg, Linda G Mellbin
PURPOSE: Copeptin and insulin-like growth factor binding protein-1 analysed at admission for a myocardial infarction in patients with type 2 diabetes mellitus predicts cardiovascular events. The present aim was to study the association between copeptin and insulin-like growth factor binding protein-1, the development of the levels over time, and if the predictive value remained when measured at hospital discharge and 3 months thereafter. METHODS: Copeptin and insulin-like growth factor binding protein-1 were analysed in patients (median age = 70, male = 68%) with type 2 diabetes mellitus + myocardial infarction at admission (n = 393), discharge (n = 309) and 3 months later (n = 288)...
October 11, 2018: Diabetes & Vascular Disease Research
Min-Shan Tsai, Po-Ya Chuang, Chien-Hua Huang, Chao-Hsiun Tang, Ping-Hsun Yu, Wei-Tien Chang, Wen-Jone Chen
OBJECTIVES: To evaluate the ramifications of steroid use during postarrest care. DESIGN: Retrospective observational population-based study enrolled patients during years 2004-2011 with 1-year follow-up. SETTING: Taiwan National Health Insurance Research Database. PATIENTS: Adult nontraumatic cardiac arrest patients in the emergency department, who survived to admission. INTERVENTIONS: These patients were classified into the steroid and nonsteroid groups based on whether steroid was used or not during hospitalization...
October 10, 2018: Critical Care Medicine
Robert M Gifford, Umesh Chathuranga, Thomas Lamb, Vasundhara Verma, Md Abdus Sattar, Adrian Thompson, Sisira Siribaddana, Aniruddha Ghose, Shareen Forbes, Rebecca M Reynolds, Michael Eddleston
BACKGROUND: Ingestion of organophosphorus (OP) insecticides is associated with acute hyperglycaemia. We conducted a prospective study to determine whether glucose dysregulation on admission associated with ingestion of OP insecticides or other pesticides is sustained to hospital discharge or to 3-12 months later. METHODS: We recruited participants to two similar studies performed in parallel in Anuradhapura, Sri Lanka, and Chittagong, Bangladesh, following hospitalisation for OP insecticide, herbicide or other pesticide self-poisoning...
October 11, 2018: Clinical Toxicology
Furqan B Irfan, Maaret Castren, Zain A Bhutta, Pooja George, Isma Qureshi, Stephen H Thomas, Sameer A Pathan, Guillaume Alinier, Loua A Shaikh, Jassim A Suwaidi, Rajvir Singh, Ashfaq Shuaib, Tooba Tariq, William J McKenna, Peter A Cameron, Therese Djarv
AIMS: There are very few studies comparing epidemiology and outcomes of out-of-hospital cardiac arrest (OHCA) in different ethnic groups. Previous ethnicity studies have mostly determined OHCA differences between African American and Caucasian populations. The aim of this study was to compare epidemiology, clinical presentation, and outcomes of OHCA between the local Middle Eastern Gulf Cooperation Council (GCC) Arab and the migrant North African populations living in Qatar. METHODS: This was a retrospective cohort study of Middle Eastern GCC Arabs and migrant North African patients with presumed cardiac origin OHCA resuscitated by Emergency Medical Services (EMS) in Qatar, between June 2012 and May 2015...
October 10, 2018: Ethnicity & Health
Peter M Mourani, Erica W Mandell, Maxene Meier, Adel Younoszai, John T Brinton, Brandie D Wagner, Sanne Arjaans, Brenda B Poindexter, Steven H Abman
RATIONALE: Early pulmonary vascular disease (PVD) after preterm birth is associated with a high risk for developing bronchopulmonary dysplasia (BPD), but its relationship with late respiratory outcomes during early childhood remains uncertain. OBJECTIVE: To determine whether PVD at 7 days after preterm birth is associated with late respiratory disease (LRD) during early childhood. METHODS: Prospective study of preterm infants born before 34 weeks postmenstrual age (PMA)...
October 10, 2018: American Journal of Respiratory and Critical Care Medicine
Marie Méan, Gérard Waeber, Pedro Marques-Vidal
BACKGROUND: One in five hospitalized patients presents with previously undetected diabetes mellitus (DM). We assessed whether hospital doctors measure HbA1 c in hospitalized patients and act consequently. METHODS: Data from patients hospitalized between January 2013 and December 2014 in a Swiss teaching hospital was collected. We assessed the frequency of HbA1c measurements and the number of newly detected prediabetes or DM. We also examined whether HbA1c values were associated with the antidiabetic drugs prescription and reporting of DM in the discharge letter...
October 8, 2018: Experimental and Clinical Endocrinology & Diabetes
Nidhi Gupta, Manju Aggarwal, Renuka Sinha, Neha Varun
Objective: The objective of this study was (1) to find the prevalence of urogenital (UG) complaints after menopause, (2) to evaluate the various risk factors for UG problems in postmenopausal women, and (3) to assess the severity of the symptoms depending on the duration of menopause. Materials and Methods: This study is a prospective study conducted at the Specialty Outpatient Department in Safdarjung Hospital over a period of 1 year. Two hundred postmenopausal women during this period were screened for UG complaints by eliciting detailed history in a pro forma and were divided into two groups based on the duration of menopause...
July 2018: Journal of Mid-life Health
María Paula Russo, María Florencia Grande Ratti, Diego Hernán Giunta, Cristina María Elizondo
INTRODUCTION: The study objective was to estimate during post-discharge follow-up the incidence of diabetes and to ascertain mortality in hospitalized patients, classified during follow-up as having stress hyperglycemia (SH) or normoglycemia (NG) based on blood glucose levels. MATERIAL AND METHODS: A retrospective cohort of non-diabetic adults with SH (> 140mg/dl and HbA1c <6.5%) or NG (all blood glucose values ≤ 140mg/dl) was used. RESULTS: There were 3981 patients with NG and 884 with SH...
October 4, 2018: Endocrinología, Diabetes y Nutrición
Kunihiro Matsushita, Lucia Kwak, Shoshana H Ballew, Morgan E Grams, Elizabeth Selvin, Aaron R Folsom, Josef Coresh, Weihong Tang
BACKGROUND AND AIMS: Despite its strong link to cardiovascular outcomes, the association of chronic kidney disease (CKD) with abdominal aortic aneurysm (AAA) has not been explicitly and comprehensively investigated. METHODS: In 10,724 participants in the Atherosclerosis Risk in Communities Study (aged 53-75 years during 1996-1998), we evaluated the associations of two key CKD measures - estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (ACR) - with incident AAA (AAA diagnosis in outpatient, hospitalization discharge, or death records)...
September 1, 2018: Atherosclerosis
Grégoire Mercier, Claire Duflos, Adeline Riondel, Clément Delmas, Stéphane Manzo-Silberman, Guillaume Leurent, Meyer Elbaz, Eric Bonnefoy-Cudraz, Patrick Henry, François Roubille
Geographic variation in admission to the intensive cardiac care unit (ICCU) might question about the efficiency and the equity of the healthcare system. The aim was to explain geographic variation in the rate of admission to ICCU for coronary artery disease (CAD) or heart failure (HF) in France.We conducted a retrospective study based on the French national hospital discharge database. All inpatient stays for CAD or HF with an admission to an ICCU in 2014 were included. We estimated population-based age and sex-standardized ICCU admission rates at the department level...
October 2018: Medicine (Baltimore)
Rachel A Blair, Nadine E Palermo, Katherine L Modzelewski, Sara M Alexanian, William E Baker, Donald C Simonson, Marie E McDonnell
OBJECTIVE: The patterns of emergency department (ED) visits in patients with diabetes are not well understood. The Emergency Department Diabetes Rapid-referral Program (EDRP) allows direct booking of ED patients presenting with urgent diabetes needs into a diabetes specialty clinic within 1 day of ED discharge. The objective of this secondary analysis was to examine characteristics of patients with diabetes who have frequent ED visits and determine reasons for revisits. METHODS: A single-center analysis was conducted comparing patients referred to the EDRP (n = 420) to historical unexposed controls (n = 791)...
October 5, 2018: Endocrine Practice
C M Harris, M S Abougergi, S Wright
The aim of the study is to investigate effects of morbid obesity on patients hospitalized with diabetic foot ulcers and infections (DFU/Is). This retrospective cohort study of hospitalized adults investigated patients with a principal diagnosis of DFU/Is, and compared outcomes based on weight. The primary outcome was lower limb amputations. Secondary outcomes included in-hospital mortality, morbidity (sepsis and discharge disposition), resource utilization (length of stay [LOS] and total hospitalization charges)...
October 4, 2018: Clinical Obesity
Daisy Ng-Mak, K Rajagopalan
OBJECTIVE: This descriptive study examined the quality of care received by individuals with serious mental illness observed in clinical care using established Healthcare Effectiveness Data and Information Set (HEDIS) measures for individuals with serious mental illness. METHODS: Administrative claims (Medicaid, Medicare, and commercial) from a national health and well-being company were used to identify adults with schizophrenia or bipolar disorder. Performance rates for 5 HEDIS mental health quality measures were computed...
October 5, 2018: Current Medical Research and Opinion
Emad Qayed, Mayssan Muftah
AIM: To evaluate rates and predictors of hospital readmission and care fragmentation in patients hospitalized with gastroparesis. METHODS: We identified all adult hospitalizations with a primary diagnosis of gastroparesis in the 2010-2014 National Readmissions Database, which captures statewide readmissions. We excluded patients who died during the hospitalization, and calculated 30 and 90-d unplanned readmission and care fragmentation rates. Readmission to a non-index hospital ( i...
September 16, 2018: World Journal of Gastrointestinal Endoscopy
Juliane Araujo Rodrigues, Karina Melleu, Márcia Moura Schmidt, Carlos Antonio Mascia Gottschall, Maria Antonieta Pereira de Moraes, Alexandre Schaan de Quadros
BACKGROUND: In patients with acute ST-segment elevation myocardial infarction (STEMI), the time elapsed from symptom onset to receiving medical care is one of the main mortality predictors. OBJECTIVE: To identify independent predictors of late presentation in patients STEMI representative of daily clinical practice. METHODS: All patients admitted with a diagnosis of STEMI in a reference center between December 2009 and November 2014 were evaluated and prospectively followed during hospitalization and for 30 days after discharge...
September 21, 2018: Arquivos Brasileiros de Cardiologia
Anne Wang, Stefan Arver, John Flanagan, Viveca Gyberg, Per Näsman, Viveca Ritsinger, Linda G Mellbin
OBJECTIVE: Low testosterone has been associated with increased cardiovascular risk and glucose abnormalities. This study explored the prevalence of low testosterone, dynamics over time and prognostic implications in acute myocardial infarction patients with or without glucose abnormalities. METHODS: Male acute myocardial infarction patients (n = 123) and healthy controls (n = 124) were categorised as having normal or abnormal glucose tolerance (impaired glucose tolerance or diabetes) by oral glucose tolerance testing...
October 3, 2018: Diabetes & Vascular Disease Research
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