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Determining rate of compliance with the American Diabetes Association recommendations in hospitalized patients
Stuckey, Lisa Tiffany, R.A. Hale, LaDonna S.
Stuckey, Lisa
Tiffany, R.A.
Hale, LaDonna S.
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Conference paper
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Issue Date
2007-04-27
Type
Conference paper
Genre
Keywords
Patient compliance,Diabetics -- Attitudes -- Testing,Hospital patients
Subjects (LCSH)
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.
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.
Table of Contents
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.
Research completed at the Dept. of Physician Assistant, College of Health Professions
Research completed at the Dept. of Physician Assistant, College of Health Professions
Publisher
Wichita State University. Graduate School.
Journal
Book Title
Series
GRASP
v.3
v.3