Summary
Managing the discharge of diabetic patients from the emergency department: a consensus paper
Cuervo Pinto R, Álvarez-Rodríguez E, González Pérez de Villar N, Artola-Menéndez S, Girbés Borrás J, Mata-Cases M, Galindo Rubio M, Puig Larrosa J, Muñoz Albert R, Díaz Pérez JA
Affiliation of the authors
Servicio de Urgencias, Hospital Universitario Clínico San Carlos. Madrid, Spain. Grupo de Trabajo SEMESDiabetes. Servicio de Urgencias, Hospital Universitario Severo Ochoa, Leganés, Madrid. Spain. Servicio de Endocrinología, Hospital Universitario de La Paz, Madrid, Spain. Grupo de Diabetes de la Sociedad Española de Endocrinología y Nutrición. Centro de Salud “José Marvá”. Madrid, Spain. Sociedad Española de Diabetes. Unidad de Endocrinología, Hospital Arnau de Vilanova, Valencia, Spain. Centro de Atención Primaria “La Mina” del Institut Català de la Salut, Sant Adrià de Besòs, Barcelona, Spain. Servicio de Endocrinología y Nutrición, Hospital Universitario Clínico San Carlos, Madrid, Spain. Servicio de Urgencias, Hospital de Denia, Alicante, Spain. Servicio de Urgencias, Hospital de la Ribera, Alzira, Valencia, Spain.
DOI
Quote
Cuervo Pinto R, Álvarez-Rodríguez E, González Pérez de Villar N, Artola-Menéndez S, Girbés Borrás J, Mata-Cases M, et al. Managing the discharge of diabetic patients from the emergency department: a consensus paper. Emergencias. 2017;29:343-1
Summary
Eighty to 90% of patients attended in emergency departments are discharged to home. Emergency department physicians are therefore responsible for specifying how these patients are treated afterwards. An estimated 30% to 40% of emergency patients have diabetes mellitus that was often decompensated or poorly controlled prior to the emergency. It is therefore necessary to establish antidiabetic treatment protocols that contribute to adequate metabolic control for these patients in the interest of improving the short-term prognosis after discharge. The protocols should also maintain continuity of outpatient care from other specialists and contribute to improving the long-term prognosis. This consensus paper presents the consensus of experts from 3 medical associations whose members are directly
involved with treating patients with diabetes. The aim of the paper is to facilitate the assessment of antidiabetic treatment when the patient is discharged from the emergency department and referred to outpatient care teams.