Scholarlink

Purpose <p>Diabetes as common comorbidity is associated with an impaired outcome for inpatients. Inadequate transition of dysglycemia specific information from hospital to outpatient setting may disrupt continuity of care and contribute to impaired patient outcome. We tested whether a digitalized diabetes management improves awareness of in-hospital health care professionals for diabetes as comorbidity.</p> Methods <p>SmartDiabetesCare, a digitalized diabetes management, was carried out prospectively on five non-ICU wards as a quality improvement project (QiP SDC) including systematic screening for dysglycemia at admission, flagging of identified cases, continuous glucose monitoring and a proactive diabetes-team. Chance for correctly documented dysglycemia specific information in discharge letters written during QiP SDC in comparison to usual diabetes care (UDC) was calculated and performance was assessed to evaluate the impact of QiP SDC on quality of diabetes-specific transition.</p> Results <p>Discharge letters of 1141 cases were included in the analysis. Comparing QiP SDC to UDC, the odds ratio for complete correct transition of diabetes-specific information was 2.80 (95%CI: 1.48–5.29) in QiP SDC vs UDC. Accordingly, the performance score was significantly higher in QiP SDC (1.79 vs. 1.23, <i>p</i> &lt; 0.01). If only patients with newly diagnosed dysglycemia were analyzed, OR for correct documentation increased to 9.22 (95%CI: 4.01–18.80) and performance score remained significantly higher in QiP SDC, but decreased compared to the overall population (0.60 vs. 0.16, <i>p</i> &lt; 0.01).</p> Conclusions <p>A digitalized diabetes management may raise awareness for diabetes in in-hospital health care professionals and improve quality of diabetes data transition potentially increasing the chance for continuity of care.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Improving in-hospital diabetes awareness and transition of care by a digitalized diabetes management

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月28日

查看全文
  • Lukas van Baal,
  • Johanna Reinold,
  • Dagmar Fuhrer

摘要

Purpose

Diabetes as common comorbidity is associated with an impaired outcome for inpatients. Inadequate transition of dysglycemia specific information from hospital to outpatient setting may disrupt continuity of care and contribute to impaired patient outcome. We tested whether a digitalized diabetes management improves awareness of in-hospital health care professionals for diabetes as comorbidity.

Methods

SmartDiabetesCare, a digitalized diabetes management, was carried out prospectively on five non-ICU wards as a quality improvement project (QiP SDC) including systematic screening for dysglycemia at admission, flagging of identified cases, continuous glucose monitoring and a proactive diabetes-team. Chance for correctly documented dysglycemia specific information in discharge letters written during QiP SDC in comparison to usual diabetes care (UDC) was calculated and performance was assessed to evaluate the impact of QiP SDC on quality of diabetes-specific transition.

Results

Discharge letters of 1141 cases were included in the analysis. Comparing QiP SDC to UDC, the odds ratio for complete correct transition of diabetes-specific information was 2.80 (95%CI: 1.48–5.29) in QiP SDC vs UDC. Accordingly, the performance score was significantly higher in QiP SDC (1.79 vs. 1.23, p < 0.01). If only patients with newly diagnosed dysglycemia were analyzed, OR for correct documentation increased to 9.22 (95%CI: 4.01–18.80) and performance score remained significantly higher in QiP SDC, but decreased compared to the overall population (0.60 vs. 0.16, p < 0.01).

Conclusions

A digitalized diabetes management may raise awareness for diabetes in in-hospital health care professionals and improve quality of diabetes data transition potentially increasing the chance for continuity of care.