Identifying Potential Intervention Points for Acute Hypoglycemic Events in Patients With Type 2 Diabetes Using Retrospective Clinical Data.
Journal
Clinical diabetes : a publication of the American Diabetes Association
ISSN: 0891-8929
Titre abrégé: Clin Diabetes
Pays: United States
ID NLM: 8406985
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
entrez:
23
8
2021
pubmed:
24
8
2021
medline:
24
8
2021
Statut:
ppublish
Résumé
This retrospective study examined changes in medication orders as a risk factor for future acute hypoglycemic events. The investigators identified factors associated with acute hypoglycemic events resulting in emergency department visits or inpatient admissions. Non-Hispanic Black race, chronic kidney disease, insulin at baseline, and nonprivate insurance were associated with higher risk of an acute hypoglycemic event, whereas age, sex, and A1C were not. After adjustment for other risk factors, changes in insulin orders after A1C measurement were associated with a 1.5 times higher risk of an acute hypoglycemia (adjusted hazard ratio 1.48, 95% CI 1.08-2.03). These results further understanding of risk factors and clinical processes relevant to predicting and preventing acute hypoglycemia.
Identifiants
pubmed: 34421207
doi: 10.2337/cd20-0057
pii: cd200057
pmc: PMC8329018
doi:
Banques de données
figshare
['10.2337/figshare.13682836']
Types de publication
Journal Article
Langues
eng
Pagination
304-312Subventions
Organisme : NIA NIH HHS
ID : R01 AG047500
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG049663
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG057751
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG047897
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR001996
Pays : United States
Informations de copyright
© 2021 by the American Diabetes Association.
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