Diabetes Research and Clinical Practice
Volume 62, Issue 1 , Pages 23-32 , October 2003

Impact of a critical pathway on inpatient management of diabetic ketoacidosis

  • Liza L. Ilag

      Affiliations

    • Department of Internal Medicine, Division of Endocrinology and Metabolism, University of Michigan, 3920 Taubman Center, Ann Arbor, MI 48109-0354, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-734-936-8279; fax: +1-734-936-9240
    • ,
  • Steven Kronick

      Affiliations

    • Emergency Department, University of Michigan, Ann Arbor, MI, USA
    • ,
  • Robert D. Ernst

      Affiliations

    • Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, MI, USA
    • ,
  • Louise Grondin

      Affiliations

    • Department of Nursing, University of Michigan, Ann Arbor, MI, USA
    • ,
  • Cesar Alaniz

      Affiliations

    • Department of Pharmacy, University of Michigan, Ann Arbor, MI, USA
    • ,
  • Lei Liu

      Affiliations

    • Departments of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA
    • ,
  • William H. Herman

      Affiliations

    • Department of Internal Medicine, Division of Endocrinology and Metabolism, University of Michigan, 3920 Taubman Center, Ann Arbor, MI 48109-0354, USA
    • Departments of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA

Received 29 July 2002 ,Revised 6 March 2003 ,Accepted 10 June 2003.

References 

  1. Basu A, Close CF, Jenkins D, Krentz AD. Persisting mortality in diabetic ketoacidosis. Diabetic Medicine. 1993;10:282–284
  2. Lebovitz HE. Diabetic ketoacidosis. Lancet. 1995;345:767–772
  3. Siperstein MD. Diabetic ketoacidosis and hyperosmolar coma. Endocrinology and Metabolism Clinics of North America. 1992;21:415–432
  4. L.S. Geiss (Ed.), Diabetes Surveillance. Atlanta, Georgia, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, 1997.
  5. Davidson JK. Diabetic ketoacidosis and the hyperglycemic hyperosmolar state. In:  Davidson JK editors. Clinical Diabetes Mellitus: A Problem-Oriented Approach. 2nd ed.. New York: Thieme Medical Publications Inc; 1991;p. 394–413
  6. Wiggam MI, O'Kane MJ, Harper R, Atkinson AB, Hadden DR, Trimble ER, et al. Treatment of diabetic ketoacidosis using normalization of blood 3-hydroxybutyrate concentration as the endpoint of emergency management. Diabetes Care. 1997;20:1347–1352
  7. Kitabchi AE, Wall BM. Diabetic ketoacidosis. Medical Clinics of North America. 1995;79:9–37
  8. Matz R. Managing fluid abnormalities in uncontrolled diabetes mellitus. Journal of Critical Illness. 1997;12:278–282
  9. Matz R. Coping with electrolyte imbalances in uncontrolled diabetes mellitus. Journal of Critical Illness. 1997;12:341–345
  10. Umpierrez GE, Khajavi M, Kitabchi AE. Review: diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic syndrome. American Journal of the Medical Sciences. 1996;311:225–233
  11. Fleckman AM. Diabetic ketoacidosis. Endocrinology and Metabolism Clinics of North America. 1993;22:181–207
  12. D.S. Schade, Diabetic ketoacidosis, in: C.W. Bardin (Ed.), Current Therapy in Endocrinology and Metabolism-3, B.C. Decker Inc., Philadelphia, P.A., 1998, pp. 506–508.
  13. Kitabchi AE, Umpierrez GE, Murphy MB, Barrett EJ, Kreisberg RA, Malone JI, et al. Management of hyperglycemic crises in patients with diabetes mellitus (Technical Review). Diabetes Care. 2001;24:131–153
  14. American Diabetes Association. Position statement: hyperglycemic crises in patients with diabetes mellitus. Clinical Diabetes. 2001;19:82–90
  15. Moss JM. Diabetic ketoacidosis: effective low-cost treatment in a community hospital. Southern Medical Journal. 1987;80:875–881
  16. May ME, Young C, King J. Resource utilization in treatment of diabetic ketoacidosis in adults. American Journal of the Medical Sciences. 1993;306:287–294
  17. Alsever R. Specialist versus primary care: not an easy question. Physician Executive. 1987;21:39–41
  18. Levetan CS, Passaro MD, Jablonski KA, Ratner RE. Effect of physician specialty on outcomes in diabetic ketoacidosis. Diabetes Care. 1999;22:1790–1795
  19. Hamburger S, Soffer A. Treatment of diabetic ketoacidosis by endocrinologists versus nonendocrinologists: patterns in laboratory usage and length of stay. Southern Medical Journal. 1981;74:1365–1367
  20. Hamburger S, Barjenbruch P, Soffer A. Treatment of diabetic ketoacidosis by internists and family physicians: a comparative study. Journal of Family Practice. 1982;14:719–722
  21. Singh RK, Perros P, Frier BM. Hospital management of diabetic ketoacidosis: are clinical guidelines implemented effectively?. Diabetic Medicine. 1997;14:482–486
  22. Pearson SD, Goulart-Fisher D, Lee TH. Critical pathways as a strategy for improving care: problems and potential. Annals of Internal Medicine. 1995;123:941–948
  23. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine. 1985;13:818–829
  24. J.E. Gerich, Hyperosmolar nonketotic coma, in: C.W. Bardin (Ed.), Current Therapy in Endocrinology and Metabolism-3, B.C. Decker Inc., Philadelphia, PA, 1988, p. 309.
  25. Levetan CS. Controlling hyperglycemia in the hospital: a matter of life and death. Clinical Diabetes. 2000;18:17–24
  26. Levetan CS, Salas JR, Wilets IF, Kumoff B. Impact of endocrine and diabetes team consultation on hospital length of stay for patients with diabetes. American Journal of Medicine. 1995;99:22–28
  27. Koproski J, Pretto Z, Poretsky L. Effects of an intervention by a diabetes team in hospitalized patients with diabetes. Diabetes Care. 1997;20:1553–1555

PII: S0168-8227(03)00143-8

doi: 10.1016/S0168-8227(03)00143-8

Diabetes Research and Clinical Practice
Volume 62, Issue 1 , Pages 23-32 , October 2003

Article Tools