Impact of inpatient diabetes transitions of care consult on glycemic control |
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| Institution: | 1. From the Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan;2. Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan;3. Department of Public Health, China Medical University, Taichung, Taiwan;4. Department of Computer & Communications Center, Taichung Veterans General Hospital, Taiwan;5. Division of Clinical Information, Center of Quality Management, Taichung Veterans General Hospital, Taiwan;6. Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan;7. School of Medicine, Chung Shan Medical University, Taichung City, Taiwan;8. College of Science, Tunghai University, Taichung City, Taiwan;9. Institute of Medical Technology, College of Life Science, National Chung-Hsing University, Taichung, Taiwan;10. School of Medicine, National Defense Medical Center, Taipei, Taiwan. |
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| Abstract: | Objective(s)An evaluation of a diabetes consult service for hospitalized patients was completed to determine effect on glycemic control.MethodsThis medical record review was conducted to determine impact of a short-term program on patients with diabetes. The electronic medical record was used to identify patients diagnosed with diabetes mellitus and hospitalized from September 2016 to September 2017. A case-control design was utilized to compare patients with an inpatient order for the diabetes transitions of care service to those receiving usual care. The consultation service consisted of inpatient diabetes education and follow-up post discharge. The HbA1c reduction of adult inpatients those who completed a consult (n = 67) and those who received usual care (n = 67) were compared. Statistical analyses were conducted.ResultsFor the primary outcome of HbA1c reduction at 3 months, absolute difference from baseline to 3 months in the intervention was -2.9 % compared to 0.9 % in the control group (p < 0.001).ConclusionsParticipation in the service reduced HbA1c at 3 months and 6 months post-discharge, reduced 30-day all-cause readmissions, and increased percentage of patients with HbA1c <9.0 % at 6 months post-discharge.Practical implicationsA consult-based diabetes transitions of care service decreased HbA1c versus usual care. |
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| Keywords: | Transitions of care Diabetes Inpatient diabetes management Discharge Readmissions Inpatient diabetes education Hospitalization |
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