THE EFFECTS OF A COMPREHENSIVE MULTIDISCIPLINARY OUTPATIENT DIABETES PROGRAM ON HOSPITAL READMISSION RATES IN PATIENTS WITH DIABETES: A RANDOMIZED CONTROLLED PROSPECTIVE STUDY
THE EFFECTS OF A COMPREHENSIVE MULTIDISCIPLINARY OUTPATIENT DIABETES PROGRAM ON HOSPITAL READMISSION RATES IN PATIENTS WITH DIABETES: A RANDOMIZED CONTROLLED PROSPECTIVE STUDY
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DOI：
10.4158/ep-2020-0261
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发表时间：
2020-11-01
影响因子：
4.2
通讯作者：
Poretsky, Leonid
中科院分区：
文献类型：
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作者：
Bhalodkar, Arpita;Sonmez, Halis;Poretsky, Leonid
目的：糖尿病的诊断与再入院的风险增加有关。本研究的目的是确定在出院后接受标准初级护理的糖尿病患者和接受专业多学科糖尿病项目护理的糖尿病患者之间30天和365天的再入院率是否存在差异。方法：这是一项随机对照前瞻性研究。192名连续患者被招募到研究中，95名（49%）进入标准护理（对照组），97名（51%）进入多学科糖尿病项目（干预组）。对照组30天的总体再入院率（包括急诊和再入院）为19%，干预组为7%（P = 0.02）。对照组365天的总再入院率为38%，干预组为14%（P = .0002）。结论：出院后被分配到专门的多学科糖尿病项目的糖尿病患者在出院后30天和365天的再入院率显著降低。
Objective: The diagnosis of diabetes mellitus is associated with an increased risk of hospital readmissions. The goal of this study was to determine whether there was a difference in the rates of 30-day and 365-day hospital readmissions between diabetic patients who, upon their discharge, received diabetes care in a standard primary care setting and those who received their care in a specialized multidisciplinary diabetes program.Methods: This was a randomized controlled prospective study.Results: One hundred and ninety two consecutive patients were recruited into the study, 95 (49%) into standard care (control group) and 97 (51%) into a multidisciplinary diabetes program (intervention group). The 30-day overall hospital readmission rates (including both emergency department and hospital readmissions) were 19% in the control group and 7% in the intervention group (P = .02). The 365-day overall hospital readmission rates were 38% in the control group and 14% in the intervention group (P = .0002).Conclusion: Patients with diabetes who are assigned to a specialized multidisciplinary diabetes program upon their discharge exhibit significantly reduced hospital readmission rates at 30 days and 365 days after discharge.