AnanalysisofmonitoringdataofinformationizedbloodglucosemanagementinhospitalsinChongqing,China
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    Abstract:

    Objective:Toevaluatethebloodglucosechangesinhospitalizedpatientswithdiabetesbybigdataanalysisofpatientsus-inginformationtechnologyaccordingtotheepidemiologyofdiabetesandthecurrentstatusofprevention,treatment,andmanagementofdiabetesintheregion,tounderstandtheweaklinksofmonitoringhospitalizedpatients'bloodglucose,andtoguideclinicalbloodglucosemanagement.Methods:Basedonamulticenterinformationizedbloodglucosemanagementplatform,fromSeptember2016toJanuary2018,thebedsidebloodglucosedataof10608hospitalizedpatientswithdiabeteswerecollectedfromtheYongchuanHospi-talofChongqingMedicalUniversity,TheSecondAffiliatedHospitalofChongqingMedicalUniversity,andtheChongqingThreeGorgesCentralHospital.Thepopulationmodel,patientmodel,andpatient-daymodelwereusedtoanalyzethebloodglucoseconstituentratioofinpatientswithdiabetes:proportionsofpatientswithhyperglycemia,hypoglycemia,andidealbloodglucoselevel.Results:Atotalof253738point-of-caretestingbloodglucosemonitoringdatawerecollected.Thepopulationmodelanalysisshowedthattheprevalenceofhyperglycemiareached38.3%,andtheindividualswithanidealbloodglucoselevelonlyaccountedfor20.5%.Thepatientmodelanalysisshowedthat13.2%ofthepatientshadhypoglycemiaduringhospitalization;patientswithseverehypoglycemiaaccountedfor1.2%;patientswithseverehypogl-ycemiaaccountedfor9.4%ofpatientswithhypoglycemia.Thepatient-daymodelanalysisshowedthatthepatientswithanidealbloodglucoselevelaccountedfor49.6%;theincidenceofhyperglycemiawas60.2%;theincidenceofseverehyperglycemiawas18.8%.Conclusion:Theproportionofhospitalizeddiabetespatientswithanidealbloodglucoselevelislow,andthepro-portionofthosewithhyperglycemiaishigh.Afteraperiodofhospitalization,theincidenceofhyperglycemiaisdecreasing,butthetra-ditionalendocrinologypassiveconsultationmodecausesthatsomehyperglycemiaeventsarenotmanagedintime.Hypoglycemiaeventsoccurinalltimeperiods,andsomepatientshaveseverehypoglycemiaevents.Thehigh-riskperiodsofhypoglycemiaarebeforelunchandfasting.Thefrequencyofbloodglucosemonitoringbeforedinnerislow.

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ZhouMengmeng, GongFang2,ZhaoXili1,YangGangyi1,LiZhiyong2,YangZengqun, ChenYan3. AnanalysisofmonitoringdataofinformationizedbloodglucosemanagementinhospitalsinChongqing,China[J]. Journal of Chongqing Medical University,2020,45(3):415-

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  • Online: April 28,2020
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