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创伤患者的糖尿病:医疗院的潜在门户
Kaylee Hart1, Margaret A Thames1, Ashley Caroline Massey1
1Division of Trauma, Acute Care Surgery, & Burns, Department of Surgery, University Hospital, University of South Alabama Frederick P. Whiddon College of Medicine, Mobile, AL, USA.
The American surgeon
|March 22, 2024
概括
一项研究发现,24%的创伤患者需要更好的糖尿病管理. 这凸显了创伤中心极其需要将血糖控制干预措施整合到出院后的护理中,以改善患者的结果.
科学领域:
- 公共卫生 公共卫生
- 创伤护理 创伤护理
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病显著影响健康结果,特别是在社会经济地位较低的人群中,获得医疗保健的机会有限.
- 创伤患者经常因社会经济因素和缺乏及时医疗干预而面临延迟治疗.
- 创伤患者中不受控制的糖尿病的患病率在很大程度上是未知的,需要进行调查.
研究的目的:
- 为了确定创伤患者的发病率,需要对血糖控制进行干预.
- 评估1级创伤中心人口中未诊断或控制不良的糖尿病的负担.
主要方法:
- 在六个月内,903名创伤患者被录取到一级创伤中心的回顾性图表审查.
- 根据病史和血红蛋白A1c (HbA1c) 水平,患者被分为非糖尿病,糖尿病前期和糖尿病组.
- 排除标准包括年龄在18岁以下,缺少HbA1c或不完整的病史.
主要成果:
- 在903名分析患者中,17%患有糖尿病,15%未被诊断,39%控制不良.
- 18%的患者被确定为糖尿病前期患者.
- 总共有24%的创伤患者 (214人) 需要改善血糖管理.
结论:
- 几乎四分之一的创伤患者可以从加强门诊血糖管理中受益.
- 创伤中心是一个至关重要的,但往往被忽视的,用于识别和解决糖尿病护理需求的设置.
- 在创伤中心实施退院后护理策略对于预防性医疗保健和改善患者治疗结果至关重要.
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