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首页> 外文期刊>Internal medicine journal >Access to a youth‐specific service for young adults with type 1 diabetes mellitus is associated with decreased hospital length of stay for diabetic ketoacidosis
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Access to a youth‐specific service for young adults with type 1 diabetes mellitus is associated with decreased hospital length of stay for diabetic ketoacidosis

机译：获得1型糖尿病患者的年轻成年人的特定青年服务与糖尿病酮症中的糖尿病患者的住院时间减少有关

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Abstract Background Management of type 1 diabetes mellitus in youth with diabetes (YWD) is complex, and glycaemic control often deteriorates during this challenging period. We hypothesise that attendance at a youth‐specific diabetes clinic reduces hospital admission rates and length of stay (LOS) for diabetic ketoacidosis (DKA). Aims To assess the impact of a youth‐specific diabetes service for YWD on DKA admissions in two adjacent local health districts. Methods A retrospective cohort analysis of admissions for DKA in YWD aged 15–25 years, presenting to four hospitals in Western Sydney in 2011 was performed. Number of admissions, LOS and DKA severity were assessed. Cost was analysed as a function of LOS. Groups were divided by attendance at a youth‐specific diabetes service and no record of attendance. Results There were 55 DKA admissions from 39 patients (median age 20.0 years); the majority of admissions (82%) was YWD not supported by a youth‐specific diabetes service. Median LOS was significantly longer in the unsupported group (3.0 vs 1.5 days, P = 0.028). Median pH at presentation in the unsupported group was significantly lower, 7.11 versus 7.23 ( P = 0.05). The admission rate was four times greater for those not supported by youth‐specific diabetes services, 5.5% compared with 1.6% ( P = 0.001). The estimated cost saved by youth‐specific services was over $250,000 pa. Conclusions Lack of access to supported care for YWD during transition from paediatric to adult care has an adverse impact on subsequent DKA admission rates and LOS.
机译：摘要1型糖尿病患有糖尿病（YWD）的1型糖尿病的背景管理是复杂的，血糖控制在这个具有挑战性期间通常会恶化。我们假设对青年特异性糖尿病诊所的出勤率降低了医院入学率和患有糖尿病酮症病症（DKA）的入住率和逗留时间。旨在评估青年特异性糖尿病服务对两国邻近当地卫生区的DKA招生的影响。方法对15-25岁的YWD中DKA招生的回顾性队列分析，在2011年在悉尼西部的四家医院举行。评估招生数量，LOS和DKA严重程度。作为LOS的功能分析了成本。小组分为出席青年特异性糖尿病服务，没有出席记录。结果39名患者中有55名DKA入院（20.0岁的中位数）;大多数入学（82％）是无青年糖尿病服务不支持的YWD。在不支持的组中，洛杉矶的中位数洛杉矶（3.0 Vs 1.5天，P = 0.028）。在不支持的组中介绍的中位pH值明显较低，7.11与7.23（P = 0.05）。对于青年特异性糖尿病服务不支持的人，入学率为4倍，5.5％，而1.6％（P = 0.001）。青年特定服务节省的估计成本超过250,000美元。结论从儿科对成人护理的转型期间缺乏对YWD的支持的护理对随后的DKA入学率和LOS的影响不利影响。

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