扩大糖尿病查,以确定急诊室患者中未被诊断的病例
David C Lee1,2,3, Harita Reddy1, Christian A Koziatek1,3
1New York University, NYU Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York.
The western journal of emergency medicine
|October 3, 2023
概括
紧急部门 (ED) 糖尿病查在9%的高风险患者中发现未被诊断的糖尿病. 这种方法可以减少健康差异,特别是在社会经济地位较低的社区.
科学领域:
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
- 紧急医疗 紧急医疗
背景情况:
- 在初级保健中,传统的糖尿病查面临着高风险个体的进入障碍.
- 高风险人群经常访问急诊室,这为查提供了机会.
- 糖尿病的早期诊断和治疗对于预防并发症至关重要.
研究的目的:
- 分析了一年多的多站点,急诊室的糖尿病查计划的结果.
- 评估基于ED的糖尿病查的可行性和有效性.
- 为了确定糖尿病诊断率的人口和地理差异.
主要方法:
- 查了4211名年龄在40-70岁的急诊科患者,体重指数≥25且没有糖尿病病史.
- 使用血红蛋白A1c (HbA1c) 测试进行糖尿病查.
- 分析了患者的人口统计数据,HbA1c结果,以及根据临床地点和社会经济地位的变化.
主要成果:
- 9%的查患者的HbA1c水平表明未被诊断的糖尿病.
- 几乎一半的未诊断糖尿病患者的HbA1c≥9.0%.
- 在位于社会经济地位较低的社区的EDs中观察到新诊断的糖尿病率更高.
结论:
- 基于急诊室的糖尿病查是识别高风险个体的实用和可扩展的方法.
- 这种查策略有可能减少特定的人口和地理群体之间的健康差异.
- 勃起障碍查可以促进及时诊断和与服务不足的人群的护理联系.
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