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Audit of patients with type 2 diabetes following a critical cardiac event

Wu, Chiung-Jung & Chang, Anne M. (2008) Audit of patients with type 2 diabetes following a critical cardiac event. International Nursing Review, 55(3), pp. 327-332.

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Abstract

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.

Impact and interest:

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4 citations in Web of Science®

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ID Code: 15450
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
DOI: 10.1111/j.1466-7657.2008.00636.x
ISSN: 0020-8132
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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