Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project
There are significant variations in discharge post-diabetes-related ketoacidosis (DKA) hospitalisation, yet there is a paucity of research to understand or minimise the reasons. This quality improvement project (QIP) aimed to identify reasons for post-DKA discharge delays and assess intervention eff...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Clinical Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S147021182405440X |
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| author | Ankita Gupta Benedict Brazier Lakshmi Rengarajan Parth Narendran Punith Kempegowda |
| author_facet | Ankita Gupta Benedict Brazier Lakshmi Rengarajan Parth Narendran Punith Kempegowda |
| author_sort | Ankita Gupta |
| collection | DOAJ |
| description | There are significant variations in discharge post-diabetes-related ketoacidosis (DKA) hospitalisation, yet there is a paucity of research to understand or minimise the reasons. This quality improvement project (QIP) aimed to identify reasons for post-DKA discharge delays and assess intervention efficacy. Utilising the Digital Evaluation of Ketosis and Other Diabetes-related Emergencies (DEKODE) model, data from 177 DKA episodes from January 2021 to September 2023 across three hospitals were analysed. Factors affecting discharge were investigated through a plan, do, study, act (PDSA) methodology. While interventions focused on optimising data collection and refining discharge guidelines, no significant reduction in DKA duration or length of stay was observed. Findings highlight post-DKA hospitalisation's multifaceted nature and the limited impact of simple interventions. Collaborative efforts and further research are necessary to develop effective strategies for expedited discharge and improved patient care. This study's comprehensive tracking and analysis tool offers valuable insights for future interventions in managing DKA-related hospitalisations. |
| format | Article |
| id | doaj-art-49b9b7e3e2e04c86affbf790c90e1230 |
| institution | Kabale University |
| issn | 1470-2118 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Medicine |
| spelling | doaj-art-49b9b7e3e2e04c86affbf790c90e12302024-11-29T06:23:20ZengElsevierClinical Medicine1470-21182024-11-01246100255Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement projectAnkita Gupta0Benedict Brazier1Lakshmi Rengarajan2Parth Narendran3Punith Kempegowda4Queen Elizabeth Hospital, Birmingham, United KingdomQueen Elizabeth Hospital, Birmingham, United KingdomQueen Elizabeth Hospital, Birmingham, United KingdomQueen Elizabeth Hospital, Birmingham, United Kingdom; Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomQueen Elizabeth Hospital, Birmingham, United Kingdom; Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom; Corresponding author.There are significant variations in discharge post-diabetes-related ketoacidosis (DKA) hospitalisation, yet there is a paucity of research to understand or minimise the reasons. This quality improvement project (QIP) aimed to identify reasons for post-DKA discharge delays and assess intervention efficacy. Utilising the Digital Evaluation of Ketosis and Other Diabetes-related Emergencies (DEKODE) model, data from 177 DKA episodes from January 2021 to September 2023 across three hospitals were analysed. Factors affecting discharge were investigated through a plan, do, study, act (PDSA) methodology. While interventions focused on optimising data collection and refining discharge guidelines, no significant reduction in DKA duration or length of stay was observed. Findings highlight post-DKA hospitalisation's multifaceted nature and the limited impact of simple interventions. Collaborative efforts and further research are necessary to develop effective strategies for expedited discharge and improved patient care. This study's comprehensive tracking and analysis tool offers valuable insights for future interventions in managing DKA-related hospitalisations.http://www.sciencedirect.com/science/article/pii/S147021182405440XDiabetic ketoacidosisLength of stay |
| spellingShingle | Ankita Gupta Benedict Brazier Lakshmi Rengarajan Parth Narendran Punith Kempegowda Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project Clinical Medicine Diabetic ketoacidosis Length of stay |
| title | Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project |
| title_full | Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project |
| title_fullStr | Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project |
| title_full_unstemmed | Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project |
| title_short | Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project |
| title_sort | determining factors influencing hospital stay for individuals admitted with diabetes related ketoacidosis findings from dekode length of stay quality improvement project |
| topic | Diabetic ketoacidosis Length of stay |
| url | http://www.sciencedirect.com/science/article/pii/S147021182405440X |
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