Evidence map›Paper›PMID 33421275›Full record

ArticleJournal of diabetes investigation2021

Electronic dashboard-based remote glycemic management program reduces length of stay and readmission rate among hospitalized adults.

Yi-Jing Sheen, Chien-Chung Huang, Shih-Che Huang, Ching-Heng Lin, I-Te Lee, Wayne H-H Sheu

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic review and narrative synthesis of computerized audit and feedback systems in healthcare.Journal of the American Medical Informatics Association : JAMIA · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Toward better diabetes care: Exploration and implementation.Journal of diabetes investigation · 2023
    Review
  8. Article
  9. Article
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

6 authors.

Yi-Jing SheenDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0001-6482-7347
Chien-Chung HuangDepartment of Computer & Communications Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Shih-Che HuangDivision of Clinical Information, Center of Quality Management, Taichung Veterans General Hospital, Taichung, Taiwan.
Ching-Heng LinDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
I-Te LeeDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-2665-3635
Wayne H-H SheuDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-8805-8340

Funding

Ministry of Science and Technology, Taiwan MOST 107-2314-B-075A-001-MY3Ministry of Science and Technology, Taiwan MOST 109-2321-B-075A-001National Health Research Institutes NHRI-EX109-10927HTTaichung Veterans General Hospital, Taiwan TCVGH-1090101CTaichung Veterans General Hospital, Taiwan TCVGH-1090102D
6 · The paper itself

Abstract

AIMS/

introductionCurrently, the impact of hospital-wide glycemic control interventions on length of hospital stay (LOS) and readmission rates are largely unknown. We investigated the impact of a 4-year hospital-wide remote glycemic management program on LOS and 30-day readmission rates among hospitalized adults who received glucose monitoring. MATERIALS AND

methodsIn this retrospective study, hospitalized patients who received glucose monitoring were classified into groups 1 (high glucose variability), 2 (hypoglycemia), 3 (hyperglycemia) and 4 (relatively stable). The monthly percentage changes, and average monthly percentage changes of hyperglycemia, hypoglycemia and treat to target were determined using joinpoint regression analysis.

resultsA total of 106,528 hospitalized patients (mean age 60.9 ± 18.5 years, 57% men) were enrolled. We observed a significant reduction in the percentage of inpatients in poor glycemic control groups (groups 1, 2 and 3, all P < 0.001), and a reciprocal increase in the relatively stable group (group 4) from 2016 to 2019. We found a significant reduction in LOS by 11.4% (10.5-9.3 days, P = 0.002, after adjustment for age, sex, and admission department). The 30-day readmission rate decreased from 29.9% to 29.3%, mainly among those in group 4 in 2019 (P < 0.001 after adjustment of sex, age, admission department and LOS).

conclusionsImproved glycemic control through a hospital-wide electronic remote glycemic management system reduced LOS and 30-day readmission rates. Findings observed in this study might be associated with the reduction in cost of avoidable hospitalizations.

Indexed as

Blood GlucoseBlood Glucose Self-MonitoringDiabetes MellitusElectronicsFemaleFollow-Up StudiesGlycemic ControlHospitalizationHumansHyperglycemiaHypoglycemiaLength of StayMaleMiddle AgedPatient ReadmissionPrognosisBlood GlucoseInpatient glycemic managementLength of stayReadmission

Identifiers

PMID33421275
PMCPMC8409866

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LicenceCC BY-NC-ND
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Registered trials

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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.