SFEBES2021 Poster Presentations Metabolism, Obesity and Diabetes (78 abstracts)
DKA registry: Creating a single data collection system for DKA in the West Midlands has helped identify best practices across hospitals
Catherine Cooper 1 , Amy Birchenough 2 , Lakshmi Rengarajan 3 , Ali Abdall-Razak 2 , Megan Owen 1 , Quratulain Yousuf 1 , Sungeen Khan 2 , Zachary Pierrepont 2 , Parijat De 4 , Senthilkumar Krishnasamy 5 , Parth Narendran 3 & Punith Kempegowda 6
1Walsall Manor Hospital, Walsall, United Kingdom; 2Birmingham City Hospital, Birmingham, United Kingdom; 3University Hospitals Birmingham, Birmingham, United Kingdom; 4Sandwell and West Birmingham NHS Foundation Trust, Birmingham, United Kingdom; 5Walsall Manor Hospital, Birmingham, United Kingdom; 6Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom
Background: There are several good practices to improve DKA management across hospitals. However, the lack of a unified system limits comparisons and learning from each other.
Objectives: To establish a DKA registry to identify best practices across centres in the West Midlands.
Methods: All people admitted with DKA at four hospitals in the West Midlands (named A, B, C, D for anonymity) from 1st January 2020 to 31st December 2020 were included in the study. Pseudonymised data was collected using a Google form. Comparison between hospitals was performed using the Independent-Samples Kruskal-Wallis Test.
Results: A total 341 DKA episodes were included (A-76, B-152, C-49 and D-64). Results are presented In comparison to recommendations by the Joint British Diabetes Societies Inpatient Care Group. There was no difference in administering fluids (A- median: 100.0%, B- 87.5%, C- 93.8%, D- 93.8%) and fixed-rate intravenous insulin infusion (A- 100.0%, B- 99.5, C- 100.0%, D- 96.0%) between the four hospitals. However, there were differences in glucose (A- 77.5%, B- 117.9%, C-76.1%, D- 123.4%) and ketone monitoring (A- 10.0%, B- 56.2%, C- 10.5%, D-14.0%). DKA duration was lower in Hospital B (A- 18.5h, B: 11.1h, C- 20.8h, D- 15.0h). However, there was no difference in the length of stay for people admitted with DKA (A- 2.9 days, B- 3.5 days, C- 3.9 days, D- 2.9 days).
Conclusion: Certain good practices such as better glucose and ketone monitoring and reduced DKA duration were identified. We recently met the stakeholders who shared their good practices and we are now working with the other hospitals to make improvements and provide the best possible and uniform care for people with DKA across centres.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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