Toggle Main Menu Toggle Search

Open Access padlockePrints

Improving the early management of blood glucose in emergency admissions with chest pain

Lookup NU author(s): Professor Roy Taylor

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

Hyperglycaemia is associated with a worse prognosis after myocardial infarction and good blood glucose control in the peri-infarct period has been shown to improve outcome. Our primary study was undertaken with the aims of assessing the prevalence and management of hyperglycaemia in patients admitted with acute chest pain. Ninety-three patients admitted to either Coronary Care (CCU) or Emergency Medical Admission Units (EMAU) with chest pain were studied and of these 14 (15%) had severe hyperglycaemia (> 11.0 mmol/L). Blood glucose was not measured in seven (8%) patients and in only 1/14 (7%) patient were established guidelines for the management of hyperglycaemia applied. A revision of management protocol was undertaken and after 18 months we repeated the review of management of hyperglycaemia. Of 114 patients 22 (21%) had severe hyperglycaemia, blood glucose was not measured in ten (9%) and management guidelines were followed in 13 (65%). A major improvement in management of blood glucose in emergency admissions with chest pain has been demonstrated. Further staff education, discussion and review of protocol are indicated to improve and maintain performance on CCU and EMAU. Copyright © 2001 John Wiley & Sons, Ltd.


Publication metadata

Author(s): Taylor R; Rutter MK; Wilcox E; Easton J; Skinner J

Publication type: Article

Publication status: Published

Journal: Practical Diabetes International

Year: 2001

Volume: 18

Issue: 3

Pages: 75-78

Print publication date: 01/01/2001

ISSN (print): 1357-8170

ISSN (electronic): 1528-252X

Publisher: John Wiley & Sons

URL: http://dx.doi.org/10.1002/pdi.134

DOI: 10.1002/pdi.134


Altmetrics

Altmetrics provided by Altmetric


Actions

Find at Newcastle University icon    Link to this publication


Share