PMID- 30295392
OWN - NLM
STAT- MEDLINE
DCOM- 20190122
LR  - 20221207
IS  - 1742-1241 (Electronic)
IS  - 1368-5031 (Linking)
VI  - 72
IP  - 12
DP  - 2018 Dec
TI  - Survey to estimate the prevalence of type 2 diabetes mellitus in hospital 
      patients in Germany by systematic HbA1c measurement upon admission.
PG  - e13273
LID - 10.1111/ijcp.13273 [doi]
AB  - OBJECTIVES: The objective of this survey was to estimate the prevalence of type 2 
      diabetes mellitus (T2DM) in hospitalised patients >/=55 years based on routine 
      HbA1c measurement upon admission, using the diagnosis algorithm according to the 
      German National Diabetes Care Guideline. DESIGN: Non-interventional survey. 
      SETTING: Four German maximum care hospitals. POPULATION: Consecutive patients 
      >/=55 years of age admitted to hospital. MAIN OUTCOME MEASURES: Participating 
      hospitals measured HbA1c upon admission and applied the algorithm for diagnosing 
      T2DM per the clinical recommendations of the American Diabetes Association (ADA) 
      and the German National Diabetes Care Guideline as part of the clinical routine 
      and allocated patients to three diagnostic categories: T2DM, increased risk for 
      T2DM, no T2DM. RESULTS: Between Oct 2014 and May 2015, the survey documented data 
      from 6092 patients; the analyses included 5820 patients fulfilling validity 
      criteria (95.5%). Of these, 1906 (32.7%) had a known history of T2DM. Among the 
      3914 remaining patients, 2181 had no T2DM (55.8%), 1180 an increased risk for 
      T2DM (30.1%) and 553 unrecognised T2DM (14.1%; 95% CI: 13.1%-15.3%). The overall 
      prevalence of known and unrecognised T2DM was 42.3% (95% CI: 41.0%-43.5%). 
      Patients with previously unrecognised T2DM were admitted to hospital 
      predominantly for cardiac disorders (21.9%), nervous system disorders such as 
      cerebral infarction (15.0%) and infections/infestations (13.4%). CONCLUSIONS: 
      This survey revealed an overall prevalence of known and unrecognised T2DM of more 
      than 40%. Among patients with unrecognised T2DM on admission, the prevalence of 
      T2DM was 14%. These data indicate that systematic documentation of T2DM in 
      in-patients is clinically useful. Hospitals should consider using the diagnostic 
      algorithm and to streamline pathways of care to secure adequate care considering 
      patients' diabetic risk profiles, and to manage related additional costs.
CI  - (c) 2018 John Wiley & Sons Ltd.
FAU - Muller-Wieland, Dirk
AU  - Muller-Wieland D
AD  - Department of Medicine, University Hospital RWTH Aachen, Aachen, Germany.
FAU - Merkel, Martin
AU  - Merkel M
AD  - Endocrinologicum Hannover, Hannover, Germany.
FAU - Hamann, Andreas
AU  - Hamann A
AD  - Hochtaunus Kliniken, Bad Homburg, Germany.
FAU - Siegel, Erhard
AU  - Siegel E
AD  - St. Josefskrankenhaus Heidelberg, Heidelberg, Germany.
FAU - Ottillinger, Bertram
AU  - Ottillinger B
AUID- ORCID: 0000-0002-7901-6165
AD  - Ottillinger Life Sciences, Hofolding, Germany.
FAU - Woker, Rainer
AU  - Woker R
AD  - MSD SHARP & DOHME GmbH, Haar, Germany.
FAU - Fresenius, Kristian
AU  - Fresenius K
AD  - MSD SHARP & DOHME GmbH, Haar, Germany.
LA  - eng
GR  - MSD SHARP & DOHME GmbH/
PT  - Journal Article
PT  - Observational Study
DEP - 20181008
PL  - India
TA  - Int J Clin Pract
JT  - International journal of clinical practice
JID - 9712381
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Aged
MH  - Algorithms
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*blood/diagnosis/*epidemiology
MH  - Female
MH  - Germany/epidemiology
MH  - Glycated Hemoglobin/*analysis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Admission
MH  - Prevalence
MH  - Surveys and Questionnaires
EDAT- 2018/10/09 06:00
MHDA- 2019/01/23 06:00
CRDT- 2018/10/09 06:00
PHST- 2018/04/20 00:00 [received]
PHST- 2018/09/15 00:00 [accepted]
PHST- 2018/10/09 06:00 [pubmed]
PHST- 2019/01/23 06:00 [medline]
PHST- 2018/10/09 06:00 [entrez]
AID - 10.1111/ijcp.13273 [doi]
PST - ppublish
SO  - Int J Clin Pract. 2018 Dec;72(12):e13273. doi: 10.1111/ijcp.13273. Epub 2018 Oct 
      8.