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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Serious harm from inpatient hypoglycaemia: a survey of hospitals in the UK (Short Report)
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Serious harm from inpatient hypoglycaemia: a survey of hospitals in the UK (Short Report)

机译：住院低血糖严重危害：英国一家医院的调查（简短报告）

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Aim To estimate the incidence of serious harm to inpatients with diabetes from hypoglycaemia.Method An anonymised questionnaire was e-mailed to lead organisers at the 142 acute NHS Trusts that contributed to the National Diabetes Inpatient Audit 2012. Each diabetes team was asked collectively to recall and report any serious adverse events from inpatient hypoglycaemia in the previous year. A total of 83 Trusts agreed to participate. Serious harm was defined as death, a cardiac or cerebral event or a fall resulting in permanent physical injury or fracture.Results A total of 41 Trusts returned the survey. Of these, only 28 (68.3%) were confident that robust methods existed in their Trust to ensure all such events were reported, and only 23 (56.1%) were confident that all such events were reported to the diabetes team. Despite these reporting concerns, the retrospective nature of the survey and the reliance on recall, 12 serious adverse events were reported from nine trusts: three deaths; two cases of permanent cerebral damage; two successfully resuscitated cardiac arrests; three seizures; and two undefined events. Insulin therapy was implicated in 10 events. Importantly, three events with two deaths occurred in patients who had received insulin/dextrose to correct hyperkalaemia; only one of whom had diabetes.Conclusions An alarming number of serious adverse events was reported: 12 serious adverse events with three deaths over a 1-year period in 41 Trusts. This may be the tip of the iceberg, considering the potential under-reporting. Robust reporting mechanisms are required to determine the full extent of this serious preventable harm.
机译：目的估计低血糖引起的糖尿病患者严重伤害的发生率。方法通过匿名问卷向142个急性NHS信托组织的主要组织者发送电子邮件，该信托组织对2012年美国糖尿病住院患者审计做出了贡献。每个糖尿病小组都被要求集体召回并报告上一年住院低血糖引起的任何严重不良事件。共有83个信托机构同意参与。严重伤害的定义是死亡，心脏或脑部事件或跌倒导致永久性身体伤害或骨折。结果共有41个Trusts返回调查。其中，只有28个（68.3％）确信自己的Trust中存在可靠的方法来确保报告所有此类事件，只有23个（56.1％）确信所有此类事件均已报告给糖尿病小组。尽管存在这些报告方面的担忧，调查的回顾性以及对召回的依赖，但九个信托机构仍报告了12例严重不良事件：三例死亡;三例死亡。 2例永久性脑损伤;两个成功复苏的心脏骤停;三次发作;和两个未定义的事件。胰岛素治疗涉及10次事件。重要的是，接受胰岛素/葡萄糖纠正高钾血症的患者发生了三起事件，两人死亡。结论报告了数量惊人的严重不良事件：41个基金会中有12个严重不良事件，在1年期间内有3例死亡。考虑到潜在的报告不足，这可能是冰山一角。需要强有力的报告机制来确定这种严重的可预防危害的全部范围。

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