Patient Understanding of Discharge Instructions for Home Diabetes Self-Management and Risk for Hospital Readmission and Emergency Department Visits

Pinkhasova, Diana; Swami, Janya; Patel, Neeti; French, Esra Karslioglu; Hlasnik, Deborah S.; Delisi, Kristin; Donihi, Amy C.; Rubin, Daniel J.; Siminerio, Linda; Wang, Li; Korytkowski, Mary T.

doi:10.1016/j.eprac.2021.03.013

Cited by 5 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Individuals may be discharged to varied settings, including home (with or without visiting nurse services), assisted living, rehabilitation, or skilled nursing facilities. For individuals discharged to home or assisted living, the optimal discharge plan will need to consider diabetes type and severity, effects of the illness on blood glucose levels, and the individual's capabilities and preferences (29,152,153). See Section 13, "Older Adults," for more information.…”

Section: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Statementioning

confidence: 99%

“…• When and how to take blood glucoselowering medications, including insulin administration. • Sick-day management (29,153).…”

Section: Structured Discharge Communicationmentioning

confidence: 99%

“…In a cross-sectional study comparing usual care to specialists reviewing diabetes cases and making recommendations virtually through the EHR, rates of both hyperglycemia and hypoglycemia were reduced by 30-40% (26). Providing inpatient diabetes education and developing a diabetes discharge plan that includes continued access to diabetes medications and supplies and ongoing education and support are key strategies to improve outcomes (27)(28)(29). Details of diabetes care team composition are available in the Joint Commission standards for programs and from the Society of Hospital Medicine (30,31).…”

mentioning

confidence: 99%

See 2 more Smart Citations

16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2023

ElSayed¹,

Aleppo²,

Aroda³

et al. 2022

Diabetes Care

138

View full text Add to dashboard Cite

The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

show abstract

Section: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Statementioning

confidence: 99%

“…• When and how to take blood glucoselowering medications, including insulin administration. • Sick-day management (29,153).…”

Section: Structured Discharge Communicationmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2023

ElSayed¹,

Aleppo²,

Aroda³

et al. 2022

Diabetes Care

138

View full text Add to dashboard Cite

show abstract

“…22 The Readmission and Comprehension of Diabetes Education at Discharge study is a prospective, non-blinded, observational study that examined the factors associated with risk of hospital readmission among patients with diabetes as a secondary diagnosis. 23 This analysis was conducted to examine sex differences in demographics, metabolic and glycemic measures, diabetes-related complications, discharge disposition, and frequency of emergency room (ER) visits and readmissions within 90 days following an index hospitalization.…”

mentioning

confidence: 99%

Sex differences in glycemic measures, complications, discharge disposition, and postdischarge emergency room visits and readmission among non-critically ill, hospitalized patients with diabetes

Patel¹,

Swami²,

Pinkhasova³

et al. 2022

BMJ Open Diab Res Care

Self Cite

View full text Add to dashboard Cite

IntroductionThe purpose of this prospective observational cohort study was to examine sex differences in glycemic measures, diabetes-related complications, and rates of postdischarge emergency room (ER) visits and hospital readmissions in non-critically ill, hospitalized patients with diabetes.Research design and methodsDemographic data including age, body mass index, race, blood pressure, reason for admission, diabetes medications at admission and discharge, diabetes-related complications, laboratory data (hematocrit, creatinine, hemoglobin A1c, point-of-care blood glucose measures), length of stay (LOS), and discharge disposition were collected. Patients were followed for 90 days following hospital discharge to obtain information regarding ER visits and readmissions.Results120 men and 100 women consented to participate in this study. There were no sex differences in patient demographics, diabetes duration or complications, or LOS. No differences were observed in the percentage of men and women with an ER visit or hospital readmission within 30 (39% vs 33%, p=0.40) or 90 (60% vs 49%, p=0.12) days of hospital discharge. More men than women experienced hypoglycemia prior to discharge (18% vs 8%, p=0.026). More women were discharged to skilled nursing facilities (p=0.007).ConclusionsThis study demonstrates that men and women hospitalized with an underlying diagnosis of diabetes have similar preadmission glycemic measures, diabetes duration, and prevalence of diabetes complications. More men experienced hypoglycemia prior to discharge. Women were less likely to be discharged to home. Approximately 50% of men and women had ER visits or readmissions within 90 days of hospital discharge.Trial registration numberNCT03279627.

show abstract

Stationäre Patienten mit der Nebendiagnose Diabetes mellitus: Managementkonzepte

Jenssen

Pietsch

2022

Diabetologie

View full text Add to dashboard Cite

Patient Understanding of Discharge Instructions for Home Diabetes Self-Management and Risk for Hospital Readmission and Emergency Department Visits

Cited by 5 publications

References 32 publications

16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2023

16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2023

Sex differences in glycemic measures, complications, discharge disposition, and postdischarge emergency room visits and readmission among non-critically ill, hospitalized patients with diabetes

Stationäre Patienten mit der Nebendiagnose Diabetes mellitus: Managementkonzepte

Contact Info

Product

Resources

About