Determining rate of compliance with the American Diabetes Association recommendations in hospitalized patients

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dc.contributor.author	Stuckey, Lisa
dc.contributor.author	Tiffany, R.A.
dc.contributor.author	Hale, LaDonna S.
dc.date.accessioned	2007-07-21T19:10:37Z
dc.date.available	2007-07-21T19:10:37Z
dc.date.issued	2007-04-27
dc.identifier.citation	Stuckey, L.R.,Tiffany, R.A. & Hale, L.S. (2007). Determining rate of compliance with the American Diabetes Association recommendations in hospitalized patients. In Proceedings : 3rd Annual Symposium : Graduate Research and Scholarly Projects. Wichita, KS : Wichita State University, p.	en
dc.identifier.uri	http://hdl.handle.net/10057/607
dc.description	Paper presented to the 3rd Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held at the Hughes Metropolitan Complex, Wichita State University, April 27, 2007.	en
dc.description	Research completed at the Dept. of Physician Assistant, College of Health Professions	en
dc.description.abstract	Diabetes mellitus (DM) is a growing epidemic in the U.S. associated with significant costs, reduced quality of life, long-term complications, and high rates of morbidity and mortality. Purpose: Determine the rate of compliance in hospitalized patients with the American Diabetes Association (ADA) monitoring and treatment guidelines for DM regarding: glucose management, cholesterol management, stroke prevention, ACE-I/ARB utilization, and pneumococcal vaccination (PPV). Setting: 760-bed, tertiary-care teaching hospital. Methods: This retrospective chart review evaluated all adult, hospitalized patients with a diagnosis code for DM who were consecutively discharged from a general medical unit, beginning 4/1/06 until data on 100 patients were collected. Patients with gestational diabetes, hospital admission < 3days, or death prior to discharge were excluded. The following measurements were collected: blood glucose, cholesterol management, stroke prevention, ACE-I/ARB utilization, and PPV immunization. Results: Of the 100 patients reviewed, 96% had Type II DM; 24% had contraindications to at least one of their prescribed oral DM medications. Only 57% had HgA1c documented; of these, 56% were at goal. Only 42% had LDL cholesterol documented; of these, 76% were at goal. Appropriate stroke prevention was prescribed for 75% of patients; 70% were receiving appropriate ACE-I therapy; and 38% of eligible patients received PPV. Conclusion: A high percentage of hospitalized patients are not in full compliance with the ADA monitoring and treatment guidelines.	en
dc.format.extent	213366 bytes
dc.format.mimetype	application/pdf
dc.language.iso	en_US	en
dc.publisher	Wichita State University. Graduate School.	en
dc.relation.ispartofseries	GRASP	en
dc.relation.ispartofseries	v.3	en
dc.subject	Patient compliance	en
dc.subject	Diabetics -- Attitudes -- Testing	en
dc.subject	Hospital patients	en
dc.title	Determining rate of compliance with the American Diabetes Association recommendations in hospitalized patients	en
dc.type	Conference paper	en