Impact of the Diabetes Inpatient Care and Education (DICE) project on length of stay and mortality
Diabetic Medicine Aug 09, 2019
Akiboye F, Adderley NJ, Martin J, et al. - In-hospital mortality and readmissions, researchers ascertained if the Diabetes Inpatient Care and Education (DICE) programme, a whole-systems approach to managing inpatient diabetes, reduces the length of stay. Initiatives for DICE included identification of all admissions to diabetes, a novel DICE care-pathway, an online system for prioritizing referrals, use of web-linked glucose meters, an enhanced diabetes team, and novel doctoral diabetes training. From January 2008 to June 2016, patient administration system data were extracted for people admitted to Ipswich Hospital. Odds ratios for mortality were 0.63 and 0.81 in people with and without diabetes, respectively. However, in people with diabetes, the change in trend was not significant, while those without diabetes showed an apparent increase. In 30-day readmissions, there was no significant change but interrupted time series analysis exhibited a rising trend in both groups. The DICE programme was linked to a shorter length of stay in inpatients with diabetes beyond that seen in diabetes-free people.
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