Comparative Effectiveness of Strategies used for Glucose Management Among Diabetic Patients over 60 Years of Age Hospitalized in the Provincial Guangdong General Hospital from 2008 to 2017

Liu, Xin

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Year:: 2019
Contributor:: Liu, Xin (creator); Liu, Simin (Advisor); Lai, Shuiqing (Reader); Brown University. Department of Epidemiology (sponsor)
Genre:: theses
Subject:: Diabetes--Treatment
Extent:: , None p.
DOI: https://doi.org/10.26300/wbv8-vc27

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Abstract:: Objective To evaluate the effectiveness of glucose management strategies in Guangdong General Hospital after Jan 1st, 2013. Research design This is a retrospective cohort study. 3,772 admission records of patients over 60 with diabetes were evaluated. The primary cohort analysis used general equation estimate model to analyze the relationship between hypoglycemia episodes along with a length of hospital stay and initiation of glucose management intervention. Sensitivity analysis was conducted in patients who both received intervention and non-intervention in different admissions. Results The average hospital stay was 0.86 (-1.14, -0.58) day shorter in the intervention group which is consistent with the results in the sensitivity analysis. The probability of patients who received glucose management intervention to develop hypoglycemia was 0.87 (95% CI: 0.77, 0.98) compared to those who did not. However, the sensitivity analysis shows no significant difference in hypoglycemia probability between patients in the intervention group and non-intervention group (OR = 1.32, 95% CI: 0.79, 2.22). Conclusion Overall, the glucose management intervention in Guangdong General Hospital made improvement in the treatment of diabetes elders. Strategies for intervention could be improved by future clinical practices.
Notes:: Thesis (M. P. H.)--Brown University, 2019

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Rights: In Copyright
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Citation

Liu, Xin, "Comparative Effectiveness of Strategies used for Glucose Management Among Diabetic Patients over 60 Years of Age Hospitalized in the Provincial Guangdong General Hospital from 2008 to 2017" (2019). Epidemiology Theses and Dissertations. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/wbv8-vc27

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Epidemiology Theses and Dissertations

Theses and Dissertations for the Epidemiology department.
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