Title |
Severe hypoglycaemia in diabetic patients in Pre-hospital and Emergency Department care: a cross-sectional survey
|
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Published in |
BMC Research Notes, April 2018
|
DOI | 10.1186/s13104-018-3363-0 |
Pubmed ID | |
Authors |
César Esteves, Celestino Neves, João Jaime Sá, Davide Carvalho |
Abstract |
We aimed to characterize hypoglycaemia episodes and patients examined by a Pre-hospital Medical Emergency Unit (PH) and in the Emergency Department (ED) of our hospital. We identified 86 episodes of severe hypoglycaemia (PH: n 37; ED: n 49; both: n 12). Hypoglycaemia accounted for 4.7% of all emergency calls attended by the PH (n 793) and 0.11% of all ED episodes (n 54,366). Among episodes examined by the PH, 64.5% of involved patients had type 2 diabetes and 54.1% were not referred to the ED. Transportation of the patient to the ED was more likely in type 2 diabetes (p = 0.014). Among episodes evaluated in the ED 66.1% of the patients were more than 65 years old and 81.4% had type 2 diabetes. 66% of the patients were insulin treated. One-third of examined patients were admitted to the ward, the majority having type 2 diabetes. |
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Geographical breakdown
Country | Count | As % |
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Unknown | 24 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 3 | 13% |
Student > Bachelor | 3 | 13% |
Lecturer > Senior Lecturer | 2 | 8% |
Student > Master | 2 | 8% |
Professor | 2 | 8% |
Other | 3 | 13% |
Unknown | 9 | 38% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 5 | 21% |
Nursing and Health Professions | 4 | 17% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 8% |
Decision Sciences | 1 | 4% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Other | 2 | 8% |
Unknown | 9 | 38% |