Use of a simplified local guideline improves “front door” management of diabetes and hyperglycaemia in people admitted to hospital with COVID-19

Authors

  • Elizabeth Fetherston Sunderland and South Tyneside NHS Foundation Trust
  • Su Tee Sunderland and South Tyneside NHS Foundation Trust
  • Mei Lan Kwok Sunderland and South Tyneside NHS Foundation Trust
  • Satish Artham Sunderland and South Tyneside NHS Foundation Trust
  • Peter Carey Sunderland and South Tyneside NHS Foundation Trust
  • Rahul Nayar Sunderland and South Tyneside NHS Foundation Trust
  • David Bishop Sunderland and South Tyneside NHS Foundation Trust
  • Ashwin Joshi Sunderland and South Tyneside NHS Foundation Trust

DOI:

https://doi.org/10.15277/bjd.2022.397

Keywords:

COVID-19, diabetes, hyperglycaemia, guideline, local, national, dexamethasone, audit, compliance, standards

Author Biographies

Elizabeth Fetherston, Sunderland and South Tyneside NHS Foundation Trust

Core Medical Trainee - Joint first author

Su Tee, Sunderland and South Tyneside NHS Foundation Trust

Joint first author

References

Dexamethasone in Hospitalized People with Covid-19. The RECOVERY Collaborative Group. N Engl J Med 2021;384:693-704. https://doi.org/10.1056/NEJMoa2021436

Mendes TB, Câmara-de-Souza AB, Halpern B. Hospital management of hyperglycemia in the context of COVID-19: evidence-based clinical considerations. Diabetol Metab Syndr 2022;14:37. https://doi.org/10.1186/s13098-022-00808-x

Concise advice on Inpatient Diabetes (COVID:Diabetes) Guidelines. National inpatient diabetes COVID-19 response group. Version 1.4 29/6/2020. https://www.diabetes.org.uk/resources-s3/public/2020-08/NEW%20-%20COvID_Dex_v1.4.pdf

Williamson EJ, Walker AJ, Bhaskaran A, et al. Factors associated with COVID-19-related death using OpenSAFELY. Nature 2020;584(7821): 430-36. https://doi.org/10.1038/s41586-020-2521-4

Hayek S, Ben-Shlomo Y, Balicer R, et al. Preinfection glycaemic control and disease severity among people with type 2 diabetes and COVID-19: A retrospective, cohort study. Diabetes Obes Metab 2021;23(8):1-6. (https://doi.org/10.1111/dom.14393)

https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/coronaviruscovid19infectionsurveypilot/previousReleases

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Published

2022-12-21

Issue

Vol. 22 No. 2 (2022): December 2022

Section

Quality Improvement Winning Paper

License

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