Electronic dashboard-based remote glycemic management program reduces length of stay and readmission rate among hospitalized adults

doi:10.1111/jdi.13500

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23681

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23681

Title:	Electronic dashboard-based remote glycemic management program reduces length of stay and readmission rate among hospitalized adults
Authors:	Sheen, YJ;Huang, CC;Huang, SC;Lin, CH;Lee, IT;Sheu, WHH
Keywords:	Inpatient glycemic management;Length of stay;Readmission
Date:	2021
Issue Date:	2022-08-05T09:41:12Z (UTC)
Publisher:	WILEY
ISSN:	2040-1116
Abstract:	Aims/Introduction Currently, the impact of hospital-wide glycemic control interventions on length of hospital stay (LOS) and readmission rates are largely unknown. We investigated the impact of a 4-year hospital-wide remote glycemic management program on LOS and 30-day readmission rates among hospitalized adults who received glucose monitoring. Materials and Methods In this retrospective study, hospitalized patients who received glucose monitoring were classified into groups 1 (high glucose variability), 2 (hypoglycemia), 3 (hyperglycemia) and 4 (relatively stable). The monthly percentage changes, and average monthly percentage changes of hyperglycemia, hypoglycemia and treat to target were determined using joinpoint regression analysis. Results A total of 106,528 hospitalized patients (mean age 60.9 +/- 18.5 years, 57% men) were enrolled. We observed a significant reduction in the percentage of inpatients in poor glycemic control groups (groups 1, 2 and 3, all P < 0.001), and a reciprocal increase in the relatively stable group (group 4) from 2016 to 2019. We found a significant reduction in LOS by 11.4% (10.5-9.3 days, P = 0.002, after adjustment for age, sex, and admission department). The 30-day readmission rate decreased from 29.9% to 29.3%, mainly among those in group 4 in 2019 (P < 0.001 after adjustment of sex, age, admission department and LOS). Conclusions Improved glycemic control through a hospital-wide electronic remote glycemic management system reduced LOS and 30-day readmission rates. Findings observed in this study might be associated with the reduction in cost of avoidable hospitalizations.
URI:	http://dx.doi.org/10.1111/jdi.13500 https://www.webofscience.com/wos/woscc/full-record/WOS:000619848300001 https://ir.csmu.edu.tw:8080/handle/310902500/23681
Relation:	JOURNAL OF DIABETES INVESTIGATION ,2021,v12,issue 9, P1697-1707
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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