ArticleBMJ open diabetes research & care2016
Diabetes case finding in the emergency department, using HbA1c: an opportunity to improve diabetes detection, prevention, and care.
Article in BMJ open diabetes research & care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessment of glycaemic status in adult hospital patients for the detection of undiagnosed diabetes mellitus: A systematic review.Diabetic medicine : a journal of the British Diabetic Association · 2022Pooled it
- Barriers and facilitators to diabetes service uptake and self-care management in Australia: a scoping review.BMC health services research · 2026Article
- Examining HbA1c in Frail Older Adults: A Linked Data Cohort Study.Australasian journal on ageing · 2026Article
- Association Between Use of a Primary Care Health Check-Up Tool and the Early Detection of Chronic Diseases: A Non-Randomised Comparative Study from the POZ PLUS Pilot Programme in Poland.Medicina (Kaunas, Lithuania) · 2025Article
- Improving Diabetes and Pre-Diabetes Detection in the UK: Insights From HbA1c Screening in an Acute Hospital's Emergency Department.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025Article
- Opportunistic screening for diabetes among urban Aboriginal adults during emergency department attendance.Internal medicine journal · 2025Article
- Examining the reach of a diabetes screening program in an urban emergency department.Public health in practice (Oxford, England) · 2025Article
- Prevalence of diabetes mellitus among traumatic patients admitted to Aseer Central Hospital, Aseer Region, Abha, Saudi Arabia: cross-sectional study.BMC endocrine disorders · 2025Article
- Validating an Electronic Health Record Algorithm for Diabetes Screening Eligibility in the Emergency Department.The western journal of emergency medicine · 2025Article
- Integrating point-of-care diabetes detection with lifestyle counselling in community settings: outcomes from Western Sydney, Australia.BMC health services research · 2024Article
- Diabetes during the COVID-19 pandemic: are people getting access to the right level of care?BMC health services research · 2023Article
- Prevalence of Undiagnosed Diabetes Identified by a Novel Electronic Medical Record Diabetes Screening Program in an Urban Emergency Department in the US.JAMA network open · 2023Article
- Stress and human health in diabetes: A report from the 19Journal of clinical and translational science · 2023Article
- Diabetes Patient Surveillance in the Emergency Department: Proof of Concept and Opportunities.The western journal of emergency medicine · 2021Article
- Diabetes Detection and Communication among Patients Admitted through the Emergency Department of a Public Hospital.International journal of environmental research and public health · 2020Article
- Nontargeted Diabetes Screening in a Navajo Nation Emergency Department.American journal of public health · 2019Article
- Evaluating the Diabetes-Cardiology interface: a glimpse into the diabetes management of cardiology inpatients in western Sydney's 'diabetes hotspot' and the establishment of a novel model of care.Diabetology & metabolic syndrome · 2018Article
- Insulitis in human diabetes: a histological evaluation of donor pancreases.Diabetologia · 2017Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe assessed the efficacy of routine glycated hemoglobin (HbA1c) testing to detect undiagnosed diabetes and prediabetes in an urban Australian public hospital emergency department (ED) located in an area of high diabetes prevalence.
methodsOver 6 weeks, all patients undergoing blood sampling in the ED had their random blood glucose measured. If ≥5.5 mmol/L (99 mg/dL), HbA1c was measured on the same sample. HbA1c levels ≥6.5% (48 mmol/mol) and 5.7-6.4% (39-46 mmol/mol) were diagnostic of diabetes and prediabetes, respectively. Hospital records were reviewed to identify patients with previously diagnosed diabetes.
resultsAmong 4580 presentations, 2652 had blood sampled of which 1267 samples had HbA1c measured. Of these, 487 (38.4%) had diabetes (either HbA1c≥6.5% or a prior diagnosis), and a further 347 (27.4%) had prediabetes. Among those with diabetes, 32.2% were previously undiagnosed.
conclusionsRoutine HbA1c testing in the ED identifies a large number of people with undiagnosed diabetes and prediabetes, and provides an opportunity to improve their care.
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