Efecto del ajuste del tratamiento al alta en los resultados a 30 días en los pacientes diabéticos atendidos por hipoglucemia en un servicio de urgencias hospitalario.

  1. Cuervo Pinto, R. 1
  2. Rodríguez Adrada, E. 1
  3. Domínguez Bernal, C. 1
  4. Chaparro Pardo, D. 1
  5. Martín Sánchez, F. J. 1
  6. González del Castillo, J. M. 1
  1. 1 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2016

Volume: 39

Issue: 1

Pages: 99-104

Type: Article

DOI: 10.4321/S1137-6627/2016000100011 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

Abstract

Background. To determine if antidiabetes treatment adjustment at discharge from an Emergency Department (ED) is associated with 30-day outcomes in patients with diabetes mellitus presenting to the ED with hypoglycemia.Methods. Retrospective cohort observational study. Patients with diabetes mellitus presenting to the ED with hypoglycemia directly discharged from the ED between 2012-2014 were included. Primary outcome was a 30-day composite adverse event (mortality or revisiting).Results. A total of 203 patients were included with a mean age of 69.7 (SD18.9), mainly type 2 diabetics. Hypoglycemia was the primary diagnosis in 162 (79%) of patients and antidiabetes treatment was adjusted at discharge in 98 (48%) of cases. Non-adjustment of antidiabetes treatment at ED discharge was an independent factor associated with a 30-day adverse event (OR=2.8; CI 95%=1.34-5.93; p=0.006).Conclusions. Non-adjustment of antidiabetes treatment at discharge in patients with diabetes mellitus presenting to the ED with hypoglycemia could be an independent factor of suffering a 30-day adverse event.Keywords. Hypoglycemia. Emergency department. Diabetes mellitus. Antidiabetes treatment. Insulin.

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