Effect of Immediate Hemoglobin A1c on Glycemic Control in Children With Type I Diabetes Mellitus

Hospital admissions due to diabetes. Clinical Research News

Orv Hetil ; 40 :10 A neurológiai betegek körében a dysphagia elofordulása gyakori, és több oka van.

hospital admissions due to diabetes

Az utóbbi évek kutatásai a közvetlen neurológiai kórokok beleértve a gyakori stroke szerepét is részletesen feltárták. Felismerték az ún.

Background

Az ún. Egyértelmuvé vált a nyelészavar korai felismerésének és ellátásának szükségessége.

Description Summary: To determine trends in the incidence of foot-related hospitalisation and amputation amongst persons with diabetes in Queensland Australia between and that coincided with changes in state-wide ambulatory diabetic foot-related complication management. All data from cases admitted for the principal reason of diabetes foot-related hospitalisation or amputation in Queensland from were obtained from the Queensland Hospital Admitted Patient Data Collection dataset. Incidence rates for foot-related hospitalisation admissions, bed days used and amputation total, minor, major cases amongst persons with diabetes were calculated per 1, person-years with diabetes diabetes population and perperson-years general population. Age-sex standardised incidence and age-sex adjusted Poisson regression models were also calculated for the general population.

A stroke-betegek megfelelo tápláltsági állapota az eredményes rehabilitációnak, a szövodményszám csökkentésének, a rövidebb kórházi kezelésnek, az alacsonyabb mortalitásnak a záloga. A dysphagia a betegség kimenetelének független elorejelzoje lehet, különösen az elso három hónapban. A nyelészavar malnutritióval, kiszáradással és a kórházi tartózkodás hosszabb idotartamával jár együtt, emeli a gyógyszerköltségeket.

A stroke-beteg ellátásának egyik elso eleme a dysphagia szurése. Táplálásterápiára akkor szorul a stroke-beteg, amikor magas a kóros tápláltsági állapot kialakulásának kockázata, és per os táplálással nem fedezheto biztonságosan a megfelelo energia- tápanyag- és folyadékbevitel.

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A táplálásterápia módját, eszközeit, az energia- és tápanyagbeviteli célértékeket az orvos határozza meg, az alapbetegség súlyosságától, a társbetegségektol és a laborértékektol függoen. Az étrend minden esetben individuális és progresszív, azaz alkalmazkodik a beteg állapotához és annak változásához.

hospital admissions due to diabetes

A dietetikus feladata a megfelelo diéta összeállítása mellett a beteg, a hozzátartozó és a kezeloszemélyzet oktatása, az állapot követése, a beteg tápláltsági állapotának, tápanyagbeviteli értékeinek gyakori elemzése, szükség esetén tápszerek ajánlása.

Orv Hetil.

hospital admissions due to diabetes

Among neurological patients, the incidence of dysphagia is common and has several causes. Research in recent years has explored the role of direct neurological pathogens including frequent strokes. The frequency of 'silent aspiration', which often underlies aspirational pneumonia and can be a fatal complication, has been recently discovered.

hospital admissions due to diabetes

The concept of 'post-stroke pneumonia' has drastically changed the assessment of post-stroke pneumonia. Based on its characteristics, it clearly develops as a direct cerebral effect of stroke. The need for early hospital admissions due to diabetes and early care of swallowing disorder has become clear.

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Adequate nutritional status of stroke patients is the key to successful rehabilitation, reduction of complications, shorter hospitalization, and lower mortality.

Dysphagia can be an independent predictor of disease outcome, especially in the first three months.

hospital admissions due to diabetes

Swallowing disorder is associated with malnutrition, dehydration and longer lengths of hospital stay, increasing drug costs. One of the first elements in the care of a stroke patient is screening for dysphagia.

hospital admissions due to diabetes

The stroke patient needs nutritional therapy when the risk for abnormal nutritional condition is high or if the condition is already present, or when oral nutrition does not safely cover adequate energy, nutrient and fluid intake. The method and means of nutritional therapy, the goals of energy and nutrient intake are determined by the doctor, depending on the severity of the underlying disease, comorbidities and laboratory values. The diet is individual and progressive in each case.

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The dietitian's task is not only to compile a proper diet, but also to educate the patients and relatives. The dietitian is responsible for monitoring the patient's nutritional status.

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