The extensive inpatient burden of diabetes and diabetes-related foot disease in Barbados

被引:14
|
作者
Taylor, Charles G., Jr. [1 ]
Krimholtz, Mike [2 ]
Belgrave, Kevamae C. [2 ]
Hambleton, Ian [3 ]
George, Colette N. [1 ]
Rayman, Gerry [4 ]
机构
[1] Univ W Indies, Cave Hill, Barbados
[2] Queen Elizabeth Hosp, St Michael, Barbados
[3] Univ W Indies, Res Inst Trop Med, Cave Hill, Barbados
[4] Ipswich Hosp, Ctr Diabet, Ipswich, Suffolk, England
关键词
Inpatient diabetes; diabetes education; foot disease; inpatient audit; RISK;
D O I
10.7861/clinmedicine.14-4-367
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this study, we evaluated the burden and quality of adult inpatient diabetes care in Barbados. Inpatients were reviewed over 2 days to identify those with diabetes. Data were collected and analysed from identified patients, their notes and management charts using an audit methodology developed in the UK. Inpatient diabetes prevelance was found to be 42.5% (111 of 261 beds audited). Insulin-treated type 2 diabetes affected 41.8% of the patients. Diabetic foot disease accounted for 30% of admissions and 89% of diabetes-related admissions. Of the patients admitted without diabetic foot disease, 13.9% had their feet examined and 2.8% developed foot lesions during their stay. Medication errors were experienced by 41.4% of patients. We recorded the prevalence of inpatient diabetes in the English medical literature (42.5%) and this was significantly driven by diabetic foot disease. Care needs were complex and areas of potential improvement were identified.
引用
收藏
页码:367 / 370
页数:4
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