Study design and baseline characteristics of inpatients with diabetes mellitus in a tertiary hospital in China: A database study based on electronic medical records

Li, Sheyu; Yu, Chuan; Li, Yun; Li, Qianrui; Zhang, Rui; Hou, Qingtao; Zheng, Tao; Ma, Yi; Wang, Miye; Su, Naichuan; Wu, Ting; Liu, Zhiwen; Sheng, Xia; Li, Nan; Liu, Guanjian; Huang, Yong; Xu, Ting; Sun, Xin; Tian, Huayu

doi:10.1111/jebm.12291

Cited by 24 publications

(22 citation statements)

References 25 publications

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“…Diabetes mellitus is one of the most burdensome noncommunicable chronic diseases in China and the western world [1-3]. It represented 8.4% of all-cause deaths worldwide among adults aged 20 to 79 years in 2013 [4] and incurred a cost of US $1.31 trillion in 2015 [5].…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Functional Features in Chinese and US Mobile Apps for Diabetes Self-Management: A Systematic Search in App Stores and Content Analysis

Wu¹,

Zhou²,

Wang³

et al. 2019

JMIR Mhealth Uhealth

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Background Mobile health interventions are widely used for self-management of diabetes, which is one of the most burdensome noncommunicable chronic diseases worldwide. However, little is known about the distribution of characteristics and functions of in-store mobile apps for diabetes. Objective This study aimed to investigate the distribution of characteristics and functions of the in-store mobile apps for self-management of diabetes in the United States and China using a predefined functional taxonomy, which was developed and published in our previous study. Methods We identified apps by searching diabetes in English or Chinese in the Apple iTunes Store and Android Markets (both in the United States and China) and included apps for diabetes self-management. We examined the validity and reliability of the predefined functional taxonomy with 3 dimensions: clinical module, functional module, and potential risk. We then classified all functions in the included apps according to the predefined taxonomy and compared the differences in the features of these apps between the United States and China. Results We included 171 mobile diabetes apps, with 133 from the United States and 38 from China. Apps from both countries faced the challenges of evidence-based information, proper risk assessment, and declaration, especially Chinese apps. More Chinese apps provide app-based communication functions (general communication: Chinese vs US apps, 39%, 15/38 vs 18.0%, 24/133; P=.006 and patient-clinician communication: Chinese vs US apps, 68%, 26/38 vs 6.0%, 8/133; P<.001), whereas more US apps provide the decision-making module (Chinese vs US apps, 0%, 0/38 vs 23.3%, 31/133; P=.001), which is a high-risk module. Both complication prevention (Chinese vs US apps, 8%, 3/38 vs 3.8%, 5/133; P=.50) and psychological care (Chinese vs US apps, 0%, 0/38 vs 0.8%, 1/133; P>.99) are neglected by the 2 countries. Conclusions The distribution of characteristics and functions of in-store mobile apps for diabetes self-management in the United States was different from China. The design of in-store diabetes apps needs to be monitored closely.

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Section: Introductionmentioning

confidence: 99%

A Comparison of Functional Features in Chinese and US Mobile Apps for Diabetes Self-Management: A Systematic Search in App Stores and Content Analysis

Wu¹,

Zhou²,

Wang³

et al. 2019

JMIR Mhealth Uhealth

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“…As the third leading cause of mortality, diabetes mellitus is prevalent and seriously threatens human health worldwide (1). There are many serious complications of diabetes such as microvascular complications and kidney impairment (2,3). Nephropathy is the main complication of diabetes which could lead to kidney failure (4).…”

Section: Introductionmentioning

confidence: 99%

Thyroid stimulating hormone and free triiodothyronine are valuable predictors for diabetic nephropathy in patient with type 2 diabetes mellitus

Fei

Xing

et al. 2018

Ann. Transl. Med.

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“…The EMR system initially developed in 2008, includes the Health Information System (HIS), Laboratory Information System (LIS), and Picture Archiving and Communication System (PACS). The EMR contains detailed information regarding patient demographics, diagnoses, laboratory and microbiological tests, treatments, notes, and cost 22. Most of the data are stored in structured or semi-structured formats, including demographics, diagnoses, tests, prescriptions, and cost.…”

Section: Methodsmentioning

confidence: 99%

“…In 2018, more than 99% of records had International Classification of Diseases (ICD) coding, and validation of the ICD-10 code showed an accuracy of 88% (internal reports). The EMR has been previously used for clinical research 4,22…”

Section: Methodsmentioning

confidence: 99%

<p>Developing a Registry of Healthcare-Associated Infections at Intensive Care Units in West China: Study Rationale and Patient Characteristics</p>

Wang¹,

Zhu²,

He³

et al. 2019

CLEP

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PurposeLimited evidence is available to support the management of healthcare-associated infections (HAIs) in intensive care units (ICUs). Establishing a registry with complete and accurate information is urgently needed. The West China Hospital system has the most complete and largest data system for HAI in the ICU setting in China. By linking a multidimensional database, we developed a registry of HAI in ICU.MethodsThe ICU-HAI registry was established using a multi-source database that included electronic medical record (EMR), ICU system and ICU-HAI system in the West China Hospital healthcare system. Patients who were admitted to ICUs between 1 April 2015 and 30 March 2018 were included and data were extracted based on pre-designed, standardized data forms. We achieved the linkage of the three databases using a unique patient identification code, and cleaned the data based on standardized variable dictionaries and cleaning rules. We evaluated the quality of the registry through data verification and assessment of the quality of key variables.ResultsIn total, 23, 062 patients were included. The ICU mortality and hospital mortality were 5.4% and 5.5% respectively. A total of 855 patients developed ICU-HAIs, 1540 patients developed ventilator-associated events (VAE), and 171 patients developed possible ventilator-associated pneumonia (PVAP). Quality assessment showed that the accuracy of data extraction and linkage was 100%. Furthermore, 98% of all patients had at least one important laboratory tests performed, and the median number of tests performed was 4 to 5 per admission.ConclusionA unique registry for HAIs in the ICU setting was successfully established, which contains complete and accurate information for all patients in the ICU. The registry, linked from multiple data sources, provides unique research insights into the management of HAIs in the ICU setting in China.

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Study design and baseline characteristics of inpatients with diabetes mellitus in a tertiary hospital in China: A database study based on electronic medical records

Abstract: Our study indicated a wide distribution of diabetes throughout the inpatients in a tertiary hospital in southwest China. This EMR-based database of diabetes could be potentially useful in further investigations.

Cited by 24 publications

References 25 publications

A Comparison of Functional Features in Chinese and US Mobile Apps for Diabetes Self-Management: A Systematic Search in App Stores and Content Analysis

A Comparison of Functional Features in Chinese and US Mobile Apps for Diabetes Self-Management: A Systematic Search in App Stores and Content Analysis

Thyroid stimulating hormone and free triiodothyronine are valuable predictors for diabetic nephropathy in patient with type 2 diabetes mellitus

<p>Developing a Registry of Healthcare-Associated Infections at Intensive Care Units in West China: Study Rationale and Patient Characteristics</p>

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