Determining rate of compliance with the American Diabetes Association recommendations in hospitalized patients
Hale, LaDonna S.
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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.
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.
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