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首页> 外文期刊>Endocrinology, Diabetes & Metabolism >Benchmarking care outcomes for young adults with type 1 diabetes in Australia after transition to adult care
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Benchmarking care outcomes for young adults with type 1 diabetes in Australia after transition to adult care

机译：在向成人护理过渡后，在澳大利亚的1型糖尿病患者的年轻成年人进行基准测试结果

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Aim To determine advantages conferred by a youth-specific transition clinic model for young adults with type 1 diabetes (T1D) at Westmead Hospital (WH) as compared with Australian registry data. Methods Prospectively collected data included age, diabetes duration, visit frequency, post code, BMI, mode of insulin delivery, continuous glucose monitoring, HbA1c, albumin creatinine ratio, BP, retinopathy and diabetic ketoacidosis (DKA) for all WH T1D clinic attendees aged 16–25 between January 2017 and June 2018 ( n =?269). Results were compared with data collected during the same time period from 2?separate Australian data registries, one longitudinal (Australasian Diabetes Data Network, ADDN) and one a spot survey (the Australian National Diabetes Audit, ANDA). Results Across the three cohorts, HbA1c was similar (respectively, WH, ADDN, ANDA; 8.7%[72mmol/mol], 8.7%[72mmol/mol], 8.5%[69mmol/mol]) and HbA1c was significantly higher in young adults 21?years (8.7–8.9%[73-75mmol/mol]) as compared with ≥21?years (8.5%[69mmol/mol], p ?.002). In the WH cohort, median interval between visits was shorter than in ADDN (4.5 vs. 9.0?months) and DKA was lower (respectively, 3.6 and 9.2/100 patient years; p ?.001). Conclusions While suboptimal HbA1c was recorded in all centres, the WH model of care saw increased attendance and reduced admissions with DKA as compared with other Australian adult centres.
机译：旨在确定在澳大利亚注册表数据（WH）的1型糖尿病（T1D）的青年特定转型诊所模型赋予的优势。方法预期收集的数据包括年龄，糖尿病持续时间，访问频率，后代码，BMI，胰岛素递送模式，连续葡萄糖监测，HBA1C，白蛋白肌酐比例，BP，视网膜病变和糖尿病酮症（DKA）为16岁的所有WH诊所参加者-25 2017年1月至2018年6月（n =？269）。结果与在同一时间段/澳大利亚数据登记处的同一时间段内收集的数据进行比较，一个纵向（澳大利亚糖尿病数据网络，addn）和一个现场调查（澳大利亚国家糖尿病审计，ANDA）。在三个队列中，HBA1C的结果相似（分别，WH，AddN，ANDA; 8.7％[72mmol / mol]，8.7％[72mmol / mol]，8.5％[69mmol / mol]）和HBA1c在年轻成年人显着高得多＆ 21岁（8.7-8.9％[73-75mmol / mol]）与≥21岁（8.5％[69mmol / mol]，P <。002）。在WH队员中，访问之间的中值间隔比在addn（4.5与9.0？月份）短，DKA较低（分别为3.6和9.2 / 100患者岁; P <。001）。结论，同时在所有中心记录了次优，HBA1C，与其他澳大利亚成年中心相比，WH的护理模式表明，DKA的出勤率和减少录取。

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