低血糖的急診處理及相關(guān)問(wèn)題討論王超杰-展示頁(yè)
2024-10-11 14:47本頁(yè)面
【正文】 Andrew I. Geller of the division of healthcare quality promotion at the Centers for Disease Control and Prevention, Atlanta, and his associates. ? ? The case rate was per 1,000 insulintreated patients among those aged 80 years and older. In parison, the rate was only per 1,000 among those aged 4564 years. Older patients were more than twice as likely as younger ones to require an ED visit and nearly five times as likely to require hospitalization, Dr. Geller and his associates said (JAMA Intern. Med. 2020 March 10 [doi:]). ? ? The most mon precipitating factor was mealrelated misadventure – failing to eat shortly after taking rapidacting insulin or failing to adjust the insulin regimen to account for a missed meal or a very small meal. Hypoglycemia also was frequently preceded by the patient taking the wrong dose of insulin or the wrong insulin product, usually taking rapidacting insulin instead of longacting insulin. ? ? These data probably underestimate the total burden of hypoglycemic events because hypoglycemia, although a frequent cause of [emergency medical services] calls, is most often cared for outside the ED setting. Patients who have hypoglycemia unawareness and whose episodes do not result in EMS or ED care [were] not counted, nor [were] those who died en route to the ED, they added. ? ? No financial conflicts
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