Cost Analyses after a single intervention using a computer application (DIAGETHER) in the treatment of diabetic patients admitted to a third level hospital
DOI:
https://doi.org/10.19230/jonnpr.1966Keywords:
Diabetes, diabetes treatment, medical software, DIAGETHER, costs, multicenter studies, computer applicationsAbstract
Goals: To quantify the savings that could be made by the hospital implementation of a computer application (DIAGETHER®), which advises the treatment of hyperglycemia of the diabetic patient in the emergency department when this patient is admitted to a third level hospital.
Methods: A multicenter interventional study was designed, including patients in two arms, one in the conventional treatment prescribed by the physician and the other applied the treatment indicated by the computer application DIAGETHER®. The days of hospitalization were collected in the two arms of intervention.
Results: A total of 183 patients were included, 86 received treatment with the computer application, and 97 received conventional treatment. The mean blood glucose level on the first day of admission in the GLIKAL group was 178.56 (59.53), compared to 212.93 (62.23) in the conventional group (p <0.001) and on the second day 173.86 (58.86) versus 196.37 (66.60) (p = 0.017). There was no difference in the frequency of hypoglycemia reported in each group (p = 0.555). A reduction in mean stay was observed in patients treated with DIAGETHER. The days of admission were 7 (2-39) days for the GLIKAL group and 10 (2-53) days for the PCH group (p <0.001).
Conclusions: The annual savings that could be generated with the use of the computer tool (DIAGETHER®), with the volume of diabetic patients admitted to the hospital, could decrease hospitalization days by 26,147 (14,134 patients for 1.85 days of stay reduction), this would generate a saving of 8,811,842 million euros per year (cost of stay / day of the diabetic patient, for the avings days generated).
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References
González P, Faure E, del Castillo A. Coste de la diabetes mellitus en España. Medicina Clínica 2006;127:776-884.
Estrategia en diabetes del Sistema Nacional de Salud. Actualización. MADRID: Ministerio de Sanidad, Servicios Sociales e Igualdad 2012.
Klonoff DC. Trends in FDA regulation of software to control insulin dosing. J Diabetes Sci Technol 2015;9:503-6.
Ballesta MJ, Carral F, Olveira G, Girón JA, Aguilar M. Economic costs associated with type II diabetes in Spanish patients. Eur JHealth Econ 2006;7:270-5.
Ibarra A. Prevalencia y características clínicas de pacientes diabéticos ingresados en un hospital general. Arch Med Interna 2015;37:57-60.
Crespo C BM, Soria-Juan A,Lopez-Albad A, López-Martínez N,Soria B. Costes directos de la diabetes mellitus y de sus complicaciones en España (Estudio SECCAID: Spain estimated cost Ciberdem Cabimerin Diabetes). Av diabetol 2013;29:182-9.
Oliva J, Lobo F, Molina B, Monereo S. Direct health care costs of diabetes patients in Spain. Diabetes Care 2004;27:2616-21.
HIDALGO Á, OLIVA J, RUBIO M, ZOZAYA N, VILLORO R, GARCÍA S. “Estudios de coste de la diabetes tipo 2: una revisión de la literatura”. Agencia de Evaluación de Tecnologías Sanitarias Instituto de Salud Carlos III - Ministerio de Economía y Competitividad 2015.
Carballo Cardona C, Gallego Rodríguez P, W Alba L,Zamorano Serrano M, Estévez Rueda MJ, Fernández-Pérez C. Adherencia de los Urgenciólogos al protocolo de Control Glucémico de la Herramienta GLIKAL©. JOURNAL OF NEGATIVE AND NO POSITIVE RESULTS 2016;1:1- 7.
Álvarez-Rodríguez E, Agud Fernández M,Caurel Sastre Z,Gallego Mínguez I,, Carballo Cardona C JAA, Piñero Panadero R,Rubio Casas O,Sáenz Abad D,Cuervo Pinto R. Recomendaciones de manejo de la diabetes, de sus complicaciones metabólicas agudas y de la hiperglucemia relacionada con corticoides en los servicios de urgencias. Emergencias 2016;28:400-17.
Álvarez-Rodrígueza E, Laguna Moralesb I,Rosende Tuyab A, Tapia Santamaríab R, Martín Martíneza A,, López Riquelmea P MPR, Portero Sánchez I. Frequency and management of diabetes and hyperglycemia at emergency departments: The GLUCE-URG study. Endocrinol Diabetes Nutr 2017;64:67-74.
Yan et al. Risk factors for recurrent emergency department visits for hyperglycemia in patients with diabetes mellitus. International Journal of Emergency Medicine 2017;10:8.
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