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Medical education on hospital hyperglycemia improving knowledge and outcomes
Lopes, Jivago da Fonseca; Andrade Neto, Pedro da Rocha; Borges, Magno Tauceda; Krause, Matheus Carret; Simi, Mariano Otto Schmitz; Bohlke, Maristela; Weinert, Leticia Schwerz.
Afiliación
  • Lopes, Jivago da Fonseca; Universidade Católica de Pelotas. Pelotas. BR
  • Andrade Neto, Pedro da Rocha; Universidade Federal de Pelotas. Pelotas. BR
  • Borges, Magno Tauceda; Universidade Federal de Pelotas. Pelotas. BR
  • Krause, Matheus Carret; Universidade Federal de Pelotas. Pelotas. BR
  • Simi, Mariano Otto Schmitz; Universidade Federal de Pelotas. Pelotas. BR
  • Bohlke, Maristela; Universidade Católica de Pelotas. Pelotas. BR
  • Weinert, Leticia Schwerz; Universidade Católica de Pelotas. Pelotas. BR
Arch. endocrinol. metab. (Online) ; 68: e230003, 2024. tab, graf
Article en En | LILACS-Express | LILACS | ID: biblio-1533672
Biblioteca responsable: BR1.1
ABSTRACT
ABSTRACT

Objective:

To evaluate the effects of medical education on hospital hyperglycemia on physician's technical knowledge and the quality of medical prescriptions, patient care, and clinical outcomes. Subjects and

methods:

The intervention included online classes and practical consultations provided by an endocrinologist to medical preceptors and residents of the Department of Internal Medicine. A pretest and a post-test (0 to 10 points) were applied before and after the intervention and patients medical records were reviewed before and after the intervention. The outcomes were improvement in medical knowledge, in the quality of prescriptions for patients in the clinical area, and clinical outcomes.

Results:

The global mean of correct answers improved with the intervention [before 6.9 points (±1.7) versus after the intervention 8.8 points (±1.5) (p < 0.001)]. The number of patients who did not have at least one blood glucose assessment during the entire hospitalization for acute illness decreased from 12.6% before to 2.6% (p < 0.001) after the intervention. There was also a significant reduction in hospital hypoglycemia rates (p < 0.026). The use of sliding-scale insulin as the main treatment was quite low before and after the intervention (2.2% and 0%). After 6 months, medical knowledge did not show significant reduction.

Conclusion:

Medical education on hospital hyperglycemia can improve medical knowledge and clinical outcomes for patients. The improvement in medical knowledge was maintained after 6 months.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Arch. endocrinol. metab. (Online) Asunto de la revista: ENDOCRINOLOGIA / METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Arch. endocrinol. metab. (Online) Asunto de la revista: ENDOCRINOLOGIA / METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil