Audit of patients with type 2 diabetes following a critical cardiac event
Background: Evidence indicates that type 2 diabetes leads to complications such as a cardiac event, which often requires admission to a coronary care unit (CCU). Although there is a considerable body of knowledge about the management and characteristics of people with type 2 diabetes and myocardial infraction, there are few reports of the disease and demographic characteristics of the entire group of patients with diabetes admitted to a CCU.
Purpose: To gain greater understanding of the characteristics of patients with diabetes hospitalized for a critical cardiac event in order to assist in the development of an appropriate self-management programme for CCU patients with diabetes.
Methods: Data were collected retrospectively from computerized records and charts of all patients with diabetes admitted to the CCU from 1 January 2000 to 31 December 2003.
Findings: The proportion of type 2 diabetic patients admitted to CCU with a critical cardiac event over the 4-year study period was consistent at 14.7%, 233 in 1589 patients. More than 22% of CCU patients with diabetes were readmitted to hospital within 28 days compared with only 6% of CCU patients without diabetes. Predictors for readmission and length of stay were also examined.
Conclusions: A considerable proportion of a CCU population had type 2 diabetes and these patients had significantly higher readmission rates. The implications of this study for the development of a self-management programme for patients with diabetes who experienced a critical cardiac event are discussed.
Implications for practice: Innovative programmes are required to reduce the rate of readmission for patients with both diabetes and a critical cardiac event. These should:
1 ensure transition programmes, such as self-management, commence within the CCU environment and continue following discharge, and
2 integrate diabetes and cardiac self-management programmes to condense the large amount of information provided to patients for managing two serious conditions.
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|Item Type:||Journal Article|
|Additional Information:||Self-archiving of the author-version in institutional repositories is not currently supported by this publisher. For more information, please refer to the journal's website (see hypertext link) or contact the author.|
|Keywords:||Audit, Critical Cardiac Event, Education, Self, Management, Type 2 Diabetes|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 2008 John Wiley & Sons|
|Deposited On:||03 Nov 2008|
|Last Modified:||29 Feb 2012 23:51|
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