1. Prevalence of undiagnosed dysglycemia in an emergency department observation unit
- Author
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Rifka C. Schulman, Manju Rentala, Mark Kim, Christopher J. Valente, Annabella V. Salvador-Kelly, Benjamin Greenblatt, Yevgeniy Romanenko, Robert A. Silverman, Nancy Kwon, Mackenzie G. Schleicher, Donna L. Jornsay, and Allison Tiberio
- Subjects
Pediatrics ,medicine.medical_specialty ,endocrine system diseases ,Adult patients ,Haemoglobin A1c ,business.industry ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,nutritional and metabolic diseases ,030208 emergency & critical care medicine ,030209 endocrinology & metabolism ,Emergency department ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Diabetes mellitus ,Internal Medicine ,medicine ,Young adult ,business ,Watchful waiting ,Mass screening ,Observation unit - Abstract
Background The proposed 2015 US Preventive Services Task Force guidelines recommend diabetes screening for individuals ≥45 years or demonstrating other risk factors for dysglycemia. Still, many patients with dysglycemia remain undiagnosed, and opportunities for early intervention are lost. Methods To test novel approaches for diagnosis using the haemoglobin A1c (HbA1c) test, we screened adult patients who were admitted to an observation unit from the emergency department with no known history of pre-diabetes or diabetes. Results Of 256 subjects, 9% were newly diagnosed with diabetes and 52% were newly diagnosed with pre-diabetes. Of those aged 18–29 years, 33% were newly diagnosed with dysglycemia, while 55% of those aged 30–44 years and 70% of those aged ≥45 years were newly diagnosed with dysglycemia. Conclusions Our results suggest that regardless of age, a large proportion of patients in the emergency department observation unit have undiagnosed dysglycemia, an important finding given the large number of observation admissions. Copyright © 2015 John Wiley & Sons, Ltd.
- Published
- 2015
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