An unplanned delay between control visits influences the metabolic status in children with diabetes: an observational study
An unplanned delay between control visits influences the metabolic status in children with diabetes: an observational study
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DOI：
10.1111/j.1651-2227.2009.01673.x
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发表时间：
2010-05-01
期刊：
影响因子：
3.8
通讯作者：
Ammentorp, J.
中科院分区：
文献类型：
--
作者：
Kofoed, P-E;Thomsen, J.;Ammentorp, J.
目的：评价糖尿病门诊罢工后较长的就诊间隔是否对代谢状况有影响。方法：2008年4月16日至6月15日罢工期间，取消所有常规就诊。将罢工前前两次和罢工后前两次的糖化血红蛋白值与前一年同期的糖化血红蛋白值进行比较。说丹麦语的病人回答了一份问卷。结果155例患儿，罢工前HbA1c均值分别为8.1和8.1 (p = 0.39)，罢工后第一次就诊HbA1c均值分别为8.5 （p < 0.0001）和8.4 （p = 0.14）。在2007年测量的HbA1c值之间没有发现差异（p < 0.05）。在发放的152份问卷中，回收113份（74.3%）。其中48人（42.5%）表示需要帮助，49人（43.3%）表示他们的孩子的糖尿病因罢工而恶化。结论：在这项计划外的研究中，平均HbA1c增加0.4%支持了先前的研究结果，即糖尿病门诊就诊间隔对于确保糖尿病儿童可接受的代谢控制很重要。
Aim:To evaluate whether the metabolic status had been influenced by the longer interval between visits because of a strike at the diabetes outpatient clinic.Methods:During the strike from April 16 to June 15, 2008 all routine visits were cancelled. The HbA1c values from the last two visits prior to and the first two visits after the strike were compared with the values from the same periods the previous year. Danish speaking patients answered a questionnaire.Results:For 155 children included, the mean HbA1c values before the strike were 8.1 and 8.1 (p = 0.39), while the value increased to 8.5 at the first visit (p < 0.0001) and 8.4 at the second visit following the strike (p = 0.14). No differences were found between any of the HbA1c values measured in 2007 (p > 0.05). Of the 152 questionnaires handed out, 113 (74.3%) were returned. Of these, 48 (42.5%) stated to have needed help, and 49 (43.3%) that their children's diabetes had deteriorated because of the strike.Conclusions:In this unplanned study, the increase of 0.4% in mean HbA1c supports previous findings that the interval between visits at a diabetic clinic is important for ensuring an acceptable metabolic control in children with diabetes.