Cardiology 2013 (Full reference info)

Reference Type: Journal Article
Record Number: 428Author: de Moraes, M. A., Rodrigues, J., Cremonesi, M., Polanczyk, C. and Schaan, B. D.
Year: 2013
Title: Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial
Journal: Clinics (Sao Paulo)
Volume: 68
Issue: 11
Pages: 1400-7
Date: Nov
Short Title: Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial
Alternate Journal: Clinics
ISSN: 1980-5322 (Electronic)
1807-5932 (Linking)
DOI: 10.6061/clinics/2013(11)03
PMCID: 3812557
Accession Number: 24270950
Abstract: OBJECTIVE: To assess the effectiveness of healthcare team guidance in the implementation of a glycemic control protocol in the non-intensive care unit of a cardiology hospital. METHODS: This was a randomized clinical trial comparing 9 months of intensive guidance by a healthcare team on a protocol for diabetes care (Intervention Group, n = 95) with 9 months of standard care (Control Group, n = 87). Clinicaltrials.gov: NCT01154413. RESULTS: The mean age of the patients was 61.7+/-10 years, and the mean glycated hemoglobin level was 71+/-23 mmol/mol (8.7+/-2.1%). The mean capillary glycemia during hospitalization was similar between the groups (9.8+/-2.9 and 9.1+/-2.4 mmol/l for the Intervention Group and Control Group, respectively, p = 0.078). The number of hypoglycemic episodes (p = 0.77), hyperglycemic episodes (47 vs. 50 in the Intervention Group and Control Group, p = 0.35, respectively), and the length of stay in the hospital were similar between the groups (p = 0.64). The amount of regular insulin administered was 0 (0-10) IU in the Intervention Group and 28 (7-56) IU in the Control Group (p<0.001), and the amount of NPH insulin administered was similar between the groups (p = 0.16). CONCLUSIONS: While guidance on a glycemic control protocol given by a healthcare team resulted in a modification of the therapeutic strategy, no changes in glycemic control, frequency of episodes of hypoglycemia and hyperglycemia, or hospitalization duration were observed.
Notes: de Moraes, Maria Antonieta P
Rodrigues, Juliane
Cremonesi, Mariana
Polanczyk, Carisi
Schaan, Beatriz D
eng
Brazil
Sao Paulo, Brazil
2013/11/26 06:00
Clinics (Sao Paulo). 2013 Nov;68(11):1400-7. doi: 10.6061/clinics/2013(11)03.
URL: http://www.ncbi.nlm.nih.gov/pubmed/24270950
Author Address: Clinical Research Center, Instituto de Cardiologia, Fundacao Universitaria de Cardiologia, Porto AlegreRS, Brazil.

Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155