Evidence map›Paper›PMID 30462804›Full record

ArticleArchives of endocrinology and metabolism2018

Impact of an inpatient multidisciplinary glucose control management program.

Denise P Momesso, Rubens Carmo Costa Filho, João Luiz Ferreira Costa, Felipe Saddy, Ayla Mesquita, Marcela Calomeni, Claudia Dos Santos Silva, Jacqueline Farret, Mariana Leon Vasques, Aline G Santos and 8 more

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in Archives of endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 1 institution in 1 country.

Denise P MomessoHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Rubens Carmo Costa FilhoHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
João Luiz Ferreira CostaHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Felipe SaddyHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Ayla MesquitaHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Marcela CalomeniHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Claudia Dos Santos SilvaHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Jacqueline FarretHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Mariana Leon VasquesHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Aline G SantosHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Ana Paula Vieira CabralHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Dayane RibeiroHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Luciana ReisHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Maria de Fátima M MuinoHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Roberta Santiago VitorinoHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Claudio Amorim MonteiroHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Evandro TinocoHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Andre VolschanHospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil.
Hospital Pró-Cardíaco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGlycemic control has been increasingly recognized as a critical element in inpatient care, but optimal management of blood glucose in the hospital setting remains challenging. The aims of this study were to describe and evaluate the impact of the implementation of an inpatient multidisciplinary glucose control management program on glucose control in hospitalized patients. MATERIALS AND

methodsRetrospective analysis of medical records and glucose monitoring data obtained by point- of-care testing (POCT) in hospitalized patients before (May 2014) and after (June 2015 and May 2017) the implementation of the program.

resultsWe analyzed 6888, 7290, and 7669 POCTs from 389, 545, and 475 patients in May 2014, June 2015, and May 2017, respectively. Hyperglycemia (≥ 180 mg/ dL) occurred in 23.5%, 19.6%, and 19.3% POCTs in May 2014, June 2015, and May/2017, respectively (p < 0.001), while severe hyperglycemia (≥ 300 mg/dL) was observed in 2.5%, 2.2%, and 1.8% of them, respectively (p = 0.003). Hyperglycemia (≥ 180 mg/dL) reduced significantly from May 2014 to June 2015 (16.3%, p < 0.001) and from May 2014 to May 2017 (178%, p < 0.001). No significant changes occurred in hypoglycemic parameters.

conclusionsThe implementation of an inpatient multidisciplinary glucose control management program led to significant reductions in hyperglycemic events. The key elements for this achievement were the development of institutional inpatient glycemic control protocols, establishment of a multidisciplinary team, and continuing educational programs for hospital personnel. Altogether, these actions resulted in improvements in care processes, patient safety, and clinical outcomes of hospitalized patients.

Indexed as

AgedAged, 80 and overBlood GlucoseDiabetes MellitusFemaleHumansHyperglycemiaHypoglycemiaHypoglycemic AgentsInpatientsInsulinMaleMiddle AgedPoint-of-Care TestingProgram EvaluationReference StandardsBlood GlucoseHypoglycemic AgentsInsulin

Identifiers

PMID30462804
PMCPMC10118654
OpenAlexW2900634713

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.