Evidence map›Paper›PMID 33880952›Full record

ArticleJournal of diabetes science and technology2021

Retrospective Quality Improvement Study of Insulin-Induced Hypoglycemia and Implementation of Hospital-Wide Initiatives.

Carter Shelton, Andrew P Demidowich, Mahsa Motevalli, Sam Sokolinsky, Periwinkle MacKay, Cynthia Tucker, Cora Abundo, Eileen Peters, Roliette Gooding, Margaret Hackett and 14 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  2. Review
  3. Article
  4. Hospital Diabetes Meeting 2022.Journal of diabetes science and technology · 2022
    Article
  5. Instituting a Successful Discharge Plan for Patients With Type 2 Diabetes: Challenges and Solutions.Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  6. Article
  7. The Endocrine Hospitalist: Enhancing the Quality of Diabetes Care.Journal of diabetes science and technology · 2021
    Article
  8. 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

24 authors at 2 institutions in 1 country.

Carter SheltonAmbulatory Services, Medical University of South Carolina, Charleston, SC, USA.
Andrew P DemidowichDivision of Hospital Medicine, Johns Hopkins Community Physicians at Howard County General Hospital, Columbia, MD, USA.ORCID 0000-0002-5925-1117
Mahsa MotevalliDivision of Hospital Medicine, Johns Hopkins Community Physicians at Suburban Hospital, Bethesda, MD, USA.
Sam SokolinskyJHHS Quality and Clinical Analytics, Johns Hopkins Hospital, Johns Hopkins Medicine, Baltimore, MD, USA.
Periwinkle MacKayDepartment of Nursing Education, Suburban Hospital, Bethesda, MD, USA.
Cynthia TuckerDepartment of Nursing Education, Suburban Hospital, Bethesda, MD, USA.
Cora AbundoReadmission Department, Suburban Hospital, Bethesda, MD, USA.
Eileen PetersReadmission Department, Suburban Hospital, Bethesda, MD, USA.
Roliette GoodingReadmission Department, Suburban Hospital, Bethesda, MD, USA.
Margaret HackettReadmission Department, Suburban Hospital, Bethesda, MD, USA.
Joyce WedlerDepartment of Information Systems, Suburban Hospital, Bethesda, MD, USA.
Lee Ann AlexanderDepartment of Pharmacy, Suburban Hospital, Bethesda, MD, USA.
Luvenia BarryCommunity Health and Wellness, Suburban Hospital, Bethesda, MD, USA.
Mary FlynnCommunity Health and Wellness, Suburban Hospital, Bethesda, MD, USA.
Patricia RiosCommunity Health and Wellness, Suburban Hospital, Bethesda, MD, USA.
Constance Lulu FuldaDepartment of Food and Nutrition, Suburban Hospital, Bethesda, MD, USA.
Michelle F YoungDepartment of Food and Nutrition, Suburban Hospital, Bethesda, MD, USA.
Barbara KahlPatient and Family Advisory Council, Suburban Hospital, Bethesda, MD, USA.
Eileen PummerDepartment of Quality, Safety, and Performance Improvement, Suburban Hospital, Bethesda, MD, USA.
Nestoras N MathioudakisDivision of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-0210-655X
Aniket SidhayeDivision of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Eric E HowellSociety of Hospital Medicine, Philadelphia, PA, USA.
Leo RotelloDivision of Hospital Medicine, Johns Hopkins Community Physicians at Suburban Hospital, Bethesda, MD, USA.
Mihail ZilbermintJohns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-4047-7260
Suburban Hospital · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitalized patients who are receiving antihyperglycemic agents are at increased risk for hypoglycemia. Inpatient hypoglycemia may lead to increased risk for morbidity, mortality, prolonged hospitalization, and readmission within 30 days of discharge, which in turn may lead to increased costs. Hospital-wide initiatives targeting hypoglycemia are known to be beneficial; however, their impact on patient care and economic measures in community nonteaching hospitals are unknown.

methodsThis retrospective quality improvement study examined the effects of hospital-wide hypoglycemia initiatives on the rates of insulin-induced hypoglycemia in a community hospital setting from January 1, 2016, until September 30, 2019. The potential cost of care savings has been calculated.

resultsAmong 49 315 total patient days, 2682 days had an instance of hypoglycemia (5.4%). Mean ± SD hypoglycemic patient days/month was 59.6 ± 16.0. The frequency of hypoglycemia significantly decreased from 7.5% in January 2016 to 3.9% in September 2019 (

conclusionsIn a community hospital setting, implementation of hospital-wide initiatives targeting hypoglycemia resulted in a significant and sustainable decrease in the rate of insulin-induced hypoglycemia. These high-leverage risk reduction strategies may be translated into considerable cost savings and could be implemented at other community hospitals.

Indexed as

Diabetes Mellitus, Type 2HypoglycemiaInsulinsHospitalsHumansHypoglycemic AgentsQuality ImprovementRetrospective StudiesHypoglycemic AgentsInsulinscommunity hospitalcost savingsdiabeteshypoglycemiainsulininsulin-induced

Identifiers

PMID33880952
PMCPMC8258511
OpenAlexW3153134999

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.