RESUMO
BACKGROUND: The proposed 2015 US Preventive Services Task Force guidelines recommend diabetes screening for individuals ≥45 years or demonstrating other risk factors for dysglycemia. Still, many patients with dysglycemia remain undiagnosed, and opportunities for early intervention are lost. METHODS: To test novel approaches for diagnosis using the haemoglobin A1c (HbA1c ) test, we screened adult patients who were admitted to an observation unit from the emergency department with no known history of pre-diabetes or diabetes. RESULTS: Of 256 subjects, 9% were newly diagnosed with diabetes and 52% were newly diagnosed with pre-diabetes. Of those aged 18-29 years, 33% were newly diagnosed with dysglycemia, while 55% of those aged 30-44 years and 70% of those aged ≥45 years were newly diagnosed with dysglycemia. CONCLUSIONS: Our results suggest that regardless of age, a large proportion of patients in the emergency department observation unit have undiagnosed dysglycemia, an important finding given the large number of observation admissions. Copyright © 2015 John Wiley & Sons, Ltd.
Assuntos
Diabetes Mellitus/diagnóstico , Hemoglobinas Glicadas/análise , Estado Pré-Diabético/diagnóstico , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Diabetes Mellitus/sangue , Diabetes Mellitus/epidemiologia , Serviço Hospitalar de Emergência , Feminino , Hospitais Religiosos , Humanos , Achados Incidentais , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , New York , Estado Pré-Diabético/sangue , Estado Pré-Diabético/epidemiologia , Prevalência , Conduta Expectante , Adulto JovemRESUMO
In Brief This article describes a diabetes champion program in its fifth year of operation. This educational intervention was designed to increase direct diabetes patient education and has grown into a vehicle for improving quality of care and patient safety and reducing gaps in the transitions of care.