HCPLive Network

Adopting a Centralized Glucose Management Program Improves Clinical Outcomes in General Hospital Patients with Diabetes

 
By adopting a comprehensive set of case management policies for the care of diabetic and hyperglycemic patients, Johns Hopkins Hospital improved in-hospital mortality rate, reduced length of stay, and reduced hyperglycemia, according to an oral presentation given at the American Diabetes Association 73rd Scientific Sessions in Chicago, IL.
 
The management policies included the ADA policy, which was adopted totally, as well as the institution of a supervisor nurse, computerized order sets and insulin dosing, according to Elias Spanakis, MD, a physician in the division of endocrinology and metabolism at Johns Hopkins.
 
“In the general ward setting in the hospital, we use insulin to control hyperglycemia, we avoid giving pill medications, and sometimes advise patients not to eat,” explained Spanakis.
 
The changes over four years were associated with a 47% reduction in the mortality rate, and a $3,200 decrease in the cost of patient care, said Spanakis, who presented abstract 261-OR, “Impact of a Hospital-Wide Inpatient Glucose Management Program on Economic and Clinical Outcomes in the Non-Critical Care Setting.”


Further Reading
Study results show that patients diagnosed with fibromyalgia often discontinue treatment. Those that do not frequently augment their initial treatment regimen with one or more additional medications, including some that are not recommended by current guidelines.
The patient-reported painDETECT questionnaire has been shown to accurately and reliably identify neuropathic pain across a range of conditions.
Knowledge of dietary supplement properties, uses, and contraindications is highly relevant to any health care practitioner that treats patients with chronic pain. Data shows that the top four reasons for supplement use are back pain, neck pain, joint pain, and arthritis.
Research indicates that there are probable etiologies of low back pain that can affect treatment outcome and that ignoring pain can possibly cause chronic neurological changes.
Researchers are learning more about the ways in which gut microbiota interact with the central nervous system and the role this can play in pain management.
Although the underlying mechanisms are not fully understood, opioid-induced hyperalgesia occurs in some patients on higher doses of opioids. Treatment options include reducing, rotating, or completely tapering the opioid regimen.
Magnetic resonance is an effective alternative to biopsy for identifying and quantifying fats in the liver, according to results from a study led by a research team at the University of the Basque Country.
More Reading
Study results show that patients diagnosed with fibromyalgia often discontinue treatment. Those that do not frequently augment their initial treatment regimen with one or more additional medications, including some that are not recommended by current guidelines.