TY - JOUR
T1 - A clinical audit on diabetes care in patients with type 2 diabetes in Al-Ain, United Arab Emirates
AU - Shehab, Abdulla
AU - Elnour, Asim
AU - Abdulle, Abdishakur
PY - 2012
Y1 - 2012
N2 - Objectives: To implement a prospective interventional clinical audit to evaluate the current clinical practice and the effect of standard interventions on the management of type 2 diabetes (T2DM). Methods: 254 patients with T2DM where recruited in a specialized diabetes care center in Al-Ain, UAE. The diabetes care components were audited before (baseline) and after (3 and 6 months) implementation of Institute of Clinical System Im-provement (ICSI) guidelines. Data was compared against international guidelines to achieve target goals of normo-glycemia, blood pressure (BP), and low density lipoprotein-cholesterol (LDL-C). We measured changes in mean scores of patient satisfaction level regarding diabetes care at similar intervals, by validated Patient Satisfaction Questionnaire (PSQ-18). Results: We observed a significant reduction in fasting blood glucose (FBG; mean± SD; 9.3 ± 0.03 vs 7.4 ± 0.3mmol/l; P=0.03), and HbA1c (8.7 ± 0.02 vs 8.1 ± 0.02 %; P=0.04) levels after 6 months compared with baseline. Patients who achieved target FBG and HbA1c levels improved significantly (45.7 vs 81.1%; P=0.03), and (40.1 vs 73.6%; P=0.04), re-spectively. The LDL-C levels improved, though this was not statistically significant. Patients achieving target of BP con-trol improved significantly (SBP 142±7.6 and DBP 95±6.2 vs SBP 136±8.2 and DBP 87±5.8 mmHg;P=0.05). Conclusions: The results of this interventional audit were generally positive and emphasized the feasibility of improving the current clinical practice. Our individualized approach has helped us to achieve a better target in glycemic and BP con-trol as well as patient satisfaction. Further research is needed to understand the long-term impact of our structured ap-proach to improve the quality of T2DM care in the UAE.
AB - Objectives: To implement a prospective interventional clinical audit to evaluate the current clinical practice and the effect of standard interventions on the management of type 2 diabetes (T2DM). Methods: 254 patients with T2DM where recruited in a specialized diabetes care center in Al-Ain, UAE. The diabetes care components were audited before (baseline) and after (3 and 6 months) implementation of Institute of Clinical System Im-provement (ICSI) guidelines. Data was compared against international guidelines to achieve target goals of normo-glycemia, blood pressure (BP), and low density lipoprotein-cholesterol (LDL-C). We measured changes in mean scores of patient satisfaction level regarding diabetes care at similar intervals, by validated Patient Satisfaction Questionnaire (PSQ-18). Results: We observed a significant reduction in fasting blood glucose (FBG; mean± SD; 9.3 ± 0.03 vs 7.4 ± 0.3mmol/l; P=0.03), and HbA1c (8.7 ± 0.02 vs 8.1 ± 0.02 %; P=0.04) levels after 6 months compared with baseline. Patients who achieved target FBG and HbA1c levels improved significantly (45.7 vs 81.1%; P=0.03), and (40.1 vs 73.6%; P=0.04), re-spectively. The LDL-C levels improved, though this was not statistically significant. Patients achieving target of BP con-trol improved significantly (SBP 142±7.6 and DBP 95±6.2 vs SBP 136±8.2 and DBP 87±5.8 mmHg;P=0.05). Conclusions: The results of this interventional audit were generally positive and emphasized the feasibility of improving the current clinical practice. Our individualized approach has helped us to achieve a better target in glycemic and BP con-trol as well as patient satisfaction. Further research is needed to understand the long-term impact of our structured ap-proach to improve the quality of T2DM care in the UAE.
KW - Al Ain
KW - Audit
KW - Care
KW - Clinical
KW - Diabetes
KW - UAE
UR - http://www.scopus.com/inward/record.url?scp=84871027687&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871027687&partnerID=8YFLogxK
U2 - 10.2174/1874192401206010126
DO - 10.2174/1874192401206010126
M3 - Article
AN - SCOPUS:84871027687
SN - 1874-1924
VL - 6
SP - 126
EP - 132
JO - Open Cardiovascular Medicine Journal
JF - Open Cardiovascular Medicine Journal
IS - 1
ER -