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首页> 外文期刊>Internal medicine journal >Utility of the Hospital Admission Risk Programme diabetes risk calculator in identifying patients with type 2 diabetes at risk of unplanned hospital presentations
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Utility of the Hospital Admission Risk Programme diabetes risk calculator in identifying patients with type 2 diabetes at risk of unplanned hospital presentations

机译：医院入院风险计划糖尿病风险计算器鉴定2型糖尿病患者的风险，患有计划外的医院演示的风险

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Abstract Background Prevention of hospitalisation is an important aspect of type 2 diabetes (T2D) management. Aims We retrospectively determined the utility of the Hospital Admission Risk Programme (HARP) diabetes risk calculator (HARP tool) in identifying patients with T2D more likely to have unplanned hospital presentations. Methods The HARP tool includes a clinical assessment score (Part A) and a psychosocial and self‐management impact score (Part B), and categorises patients into low, medium, high or urgent risk of acute hospitalisation. It was completed for T2D patients attending Royal North Shore Hospital, Sydney, in 2013. Results Within the cohort of 278 patients (age 65.3 ± 10.5 years; 62.9% male; diabetes duration 10.7 ± 6.6 years), 67.3% were classified as low risk, 32.7% as medium risk and none as high or urgent risk. Following adjustment for confounders, a medium HARP score was associated with a 3.1‐fold increased risk of unplanned hospital presentations in the subsequent 12 months (95% confidence interval: 1.35–7.31; P = 0.008). Part A scores were significantly higher for patients that presented to hospital compared to those that did not (14.2 ± 6.8 vs 11.4 ± 5.5; P = 0.034), whereas there was no difference in Part B scores ( P = 0.860). Conclusions In patients with low and medium HARP scores, clinical features were more predictive of hospital presentations than certain psychosocial or self‐management factors in the present cohort. Further studies are required to characterise unplanned hospitalisation in patients with higher HARP scores, or whether additional psychosocial assessments could improve the tool's predictability.
机译：摘要背景预防住院病是2型糖尿病（T2D）管理的重要方面。目的我们回顾性地确定了医院入院风险计划（HARP）糖尿病风险计算器（HARP工具）在识别T2D患者更有可能有计划外的医院演示的患者的效用。方法HARP工具包括临床评估评分（A部分）和心理社会和自我管理影响得分（B部分），并将患者分类为急性住院的低，中，高或紧急风险。它已完成于2013年悉尼皇家北岸医院的T2D患者。结果278名患者队列（年龄65.3±10.5岁; 62.9％男性;糖尿病持续时间10.7±6.6岁），67.3％被归类为低风险，32.7％作为中等风险，也不是高或紧迫的风险。在对混凝箱进行调整后，中际仓库评分与随后的12个月内未计划的医院介绍的风险增加3.1倍（95％置信区间：1.35-7.31; p = 0.008）。与没有（14.2±6.8 Vs 11.4±5.5）相比向医院提出的患者的分数显着提高了（14.2±6.8±5.5; p = 0.034），而第b部分分数没有差异（p = 0.860）。结论患有较低和中HARP分数的患者，临床特征比目前队列中的某些心理社会或自我管理因素更具预测的医院演示。需要进一步的研究来表征患有更高竖琴评分的患者的计划生育住院，或者是否可以提高工具的可预测性。

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