Hypoglycemic treatment of diabetic patients in the Emergency Department
Objectives: To analyze if the hypoglycemic therapy prescribed in the Emergency Department adapts to the consensus recommendations available, as well as to assess its clinical impact. Methods: A descriptive observational study, which included patients awaiting hospital admission, who were in the Obse...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-05-01
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| Series: | Farmacia Hospitalaria |
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| Online Access: | http://www.aulamedica.es/fh/pdf/10060.pdf |
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| author | Carmen Caballero Requejo Elena Urbieta Sanz Abel Trujillano Ruiz Celia García-Molina Sáez María Onteniente Candela Pascual Piñera Salmerón |
| author_facet | Carmen Caballero Requejo Elena Urbieta Sanz Abel Trujillano Ruiz Celia García-Molina Sáez María Onteniente Candela Pascual Piñera Salmerón |
| author_sort | Carmen Caballero Requejo |
| collection | DOAJ |
| description | Objectives: To analyze if the hypoglycemic therapy prescribed in the Emergency Department adapts to the consensus recommendations available, as well as to assess its clinical impact. Methods: A descriptive observational study, which included patients awaiting hospital admission, who were in the Observation Ward of the Emergency Department and had been previously diagnosed with diabetes mellitus, and were receiving treatment with hypoglycemic drugs at home. The management of antidiabetic treatment and its clinical impact were assessed. Results: 78 patients were included. At admission to the Emergency Department, treatment was modified for 91% of patients, and omitted for 9%. The most prescribed treatment was sliding scale insulin (68%). The treatments prescribed coincided in a 16.7% with the recommendations by the Spanish Society of Emergency Medicine. After intervention by the Pharmacist, the omission descended to 1.3%, and the adaptation to the recommendations increased to 20.5%. Comparing patients whose treatment coincided with the recommendations and those who did not, the clinical impact was respectively: mean glycemia at 24 hours: 138.3 } 49.5 mg/dL versus 182.7 } 97.1 mg/dL (p = 0.688); mean rescues with insulin lispro: } 1.6 versus 1.5 } 1.8 (p = 0.293); mean units of insulin lispro administered: 4.6 } 12.7 IU versus 6.6 } 11.3 IU (p = 0.155). Conclusions: We found antidiabetic prescriptions to have a low adaptation to consensus recommendations. These results are in line with other studies, showing an abuse of sliding scale regimen as single hypoglycemic treatment |
| format | Article |
| id | doaj-art-4c17ee84bb0e4db2b2949693b65a01bc |
| institution | Kabale University |
| issn | 1130-6343 2171-8695 |
| language | English |
| publishDate | 2016-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Farmacia Hospitalaria |
| spelling | doaj-art-4c17ee84bb0e4db2b2949693b65a01bc2024-12-02T06:56:15ZengElsevierFarmacia Hospitalaria1130-63432171-86952016-05-0140317218610.7399/fh.2016.40.3.10060Hypoglycemic treatment of diabetic patients in the Emergency DepartmentCarmen Caballero Requejo0Elena Urbieta Sanz1Abel Trujillano Ruiz2Celia García-Molina Sáez3María Onteniente Candela4Pascual Piñera Salmerón5Pharmacy Unit. Hospital General Universitario Reina Sofía de MurciaPharmacy Unit. Hospital General Universitario Reina Sofía de MurciaPharmacy Unit. Hospital General Universitario Reina Sofía de Murcia.Pharmacy Unit. Hospital General Universitario Reina Sofía de Murcia.Pharmacy Unit. Hospital General Universitario Reina Sofía de Murcia.Emergency Department. Hospital General Universitario Reina Sofía de Murcia. SpainObjectives: To analyze if the hypoglycemic therapy prescribed in the Emergency Department adapts to the consensus recommendations available, as well as to assess its clinical impact. Methods: A descriptive observational study, which included patients awaiting hospital admission, who were in the Observation Ward of the Emergency Department and had been previously diagnosed with diabetes mellitus, and were receiving treatment with hypoglycemic drugs at home. The management of antidiabetic treatment and its clinical impact were assessed. Results: 78 patients were included. At admission to the Emergency Department, treatment was modified for 91% of patients, and omitted for 9%. The most prescribed treatment was sliding scale insulin (68%). The treatments prescribed coincided in a 16.7% with the recommendations by the Spanish Society of Emergency Medicine. After intervention by the Pharmacist, the omission descended to 1.3%, and the adaptation to the recommendations increased to 20.5%. Comparing patients whose treatment coincided with the recommendations and those who did not, the clinical impact was respectively: mean glycemia at 24 hours: 138.3 } 49.5 mg/dL versus 182.7 } 97.1 mg/dL (p = 0.688); mean rescues with insulin lispro: } 1.6 versus 1.5 } 1.8 (p = 0.293); mean units of insulin lispro administered: 4.6 } 12.7 IU versus 6.6 } 11.3 IU (p = 0.155). Conclusions: We found antidiabetic prescriptions to have a low adaptation to consensus recommendations. These results are in line with other studies, showing an abuse of sliding scale regimen as single hypoglycemic treatmenthttp://www.aulamedica.es/fh/pdf/10060.pdfDiabetes mellitusEmergency DepartmentTherapeutic reconciliationHypoglycemic agents; Insulin |
| spellingShingle | Carmen Caballero Requejo Elena Urbieta Sanz Abel Trujillano Ruiz Celia García-Molina Sáez María Onteniente Candela Pascual Piñera Salmerón Hypoglycemic treatment of diabetic patients in the Emergency Department Farmacia Hospitalaria Diabetes mellitus Emergency Department Therapeutic reconciliation Hypoglycemic agents ; Insulin |
| title | Hypoglycemic treatment of diabetic patients in the Emergency Department |
| title_full | Hypoglycemic treatment of diabetic patients in the Emergency Department |
| title_fullStr | Hypoglycemic treatment of diabetic patients in the Emergency Department |
| title_full_unstemmed | Hypoglycemic treatment of diabetic patients in the Emergency Department |
| title_short | Hypoglycemic treatment of diabetic patients in the Emergency Department |
| title_sort | hypoglycemic treatment of diabetic patients in the emergency department |
| topic | Diabetes mellitus Emergency Department Therapeutic reconciliation Hypoglycemic agents ; Insulin |
| url | http://www.aulamedica.es/fh/pdf/10060.pdf |
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