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Substantial reduction in hospital stay of children and adolescents with diabetic ketoacidosis after implementation of Clinical Practice Guidelines in a university hospital in Saudi Arabia
Author(s) -
Al Nemri Abdulrahman,
Amer Yasser Sami,
Gasim Hala,
Osman Mohamed Elfaki,
Aleyadhy Ayman,
AL Otaibi Hessah,
Iqbal Shaikh Mohammed,
Aljurayyan Nasir Abdullah,
Assiri Asaad M.,
Babiker Amir,
Mohamed Sarar
Publication year - 2017
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12661
Subject(s) - diabetic ketoacidosis , medicine , ketoacidosis , diabetes mellitus , pediatrics , clinical practice , family medicine , emergency medicine , type 1 diabetes , endocrinology
Rationale, aims and objectives We aimed to determine the effect of Clinical Practice Guideline (CPG) implementation on length of hospital stay of children and adolescents with diabetic ketoacidosis (DKA). Methods This was a 6‐year (2008‐2014) case‐control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation. Results There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Baseline characteristics of the 2 groups were similar (age, sex, newly diagnosed patients, recurrent DKA, DKA severity, and mean glycosylated hemoglobin). The mean length of hospital stay (±SD) was 68.6 ± 53.1 hours after implementation of CPG compared with 107.4 ± 65.6 hours before implementation ( P < .001). The reduction in length of hospital stay equals to 1700 bed days saved per year per 1000 patients. Conclusions Implementation of CPG for DKA decreased the length of hospital stay.