Insulin-Related Hypoglycemia and Errors Leading to ER Visits, Hospitalizations

the MPR take:

A study published in the journal JAMA Internal Medicine sought to evaluate the burden, rates, and characteristics of emergency department (ED) visits and emergency hospitalizations for insulin-related hypoglycemia and errors (IHEs). Data was obtained from the National Electronic Injury Surveillance System's Cooperative Adverse Drug Event Surveillance project and a national household survey of insulin use (the National Health Interview Survey) from January 1, 2007–December 31, 2011. Approximately 97,648 ED visits occurred annually for IHEs, with nearly one-third requiring hospitalization. Patients aged ≥80 years were over twice as likely to visit the ED and nearly 5 times as likely to be subsequently hospitalized for IHEs compared to those aged 45–64 years. Because the most common IHE precipitants were reduced food intake and mix-ups regarding administration of the insulin product, the authors suggest that meal planning and proper insulin product dispensing should be included in hypoglycemia prevention efforts.

Insulin-Related Hypoglycemia and Errors Leading to ER Visits, Hospitalizations
Insulin-Related Hypoglycemia and Errors Leading to ER Visits, Hospitalizations

Importance: Detailed, nationally representative data describing high-risk populations and circumstances involved in insulin-related hypoglycemia and errors (IHEs) can inform approaches to individualizing glycemic targets. Design, Setting, and Participants: Nationally representative public health ...

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