Implementing a pharmacist-led transition of care model for posttransplant hyperglycemia.
Purpose The implementation of a pharmacist-managed transition of care program for kidney transplant recipients with posttransplant hyperglycemia (PTHG) is described. Methods In September 2015, a collaborative practice agreement between pharmacists and transplant providers at an academic medical cent...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 78; no. 13; pp. 1207 - 1216 |
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| Autores principales: | , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
7/1/2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151046475&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151046475 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 7/1/2021 vid: 78 iid: 13 pid: 622 pub: Oxford University Press / USA artinfo: ui: 151046475 151046475 151046475 10.1093/ajhp/zxab151 151046475 ppf: 1207 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementing a pharmacist-led transition of care model for posttransplant hyperglycemia. aug: au: Do, Vincent Haakinson, Danielle Belfort-DeAguiar, Renata Cohen, Elizabeth affil: Yale New Haven Hospital , New Haven CT , USA sug: subj: Kidney Transplantation Adverse Effects Transplant Recipients Pharmacists Transitional Programs Pharmacy Service Hyperglycemia Drug Therapy Human Collaboration Academic Medical Centers Hospitalization Quality Improvement Treatment Outcomes Emergency Service Hypoglycemia Fisher's Exact Test T-Tests Pretest-Posttest Design Office Visits Professional-Patient Relations ab: Purpose The implementation of a pharmacist-managed transition of care program for kidney transplant recipients with posttransplant hyperglycemia (PTHG) is described. Methods In September 2015, a collaborative practice agreement between pharmacists and transplant providers at an academic medical center for management of PTHG was developed. The goal of the pharmacist-run service was to reduce hospitalizations by providing care to patients in the acute phase of hyperglycemia while they transitioned back to their primary care provider or endocrinologist. For continuous quality improvement, preimplementation data were collected from August 2014 to August 2015 and compared to postimplementation data collected from August 2017 to August 2018. The primary endpoint was hospitalizations due to hyperglycemia within 90 days post transplantation. Secondary endpoints included emergency department (ED) visits due to hypoglycemia and the number of interventions performed, number of encounters completed, and number of ED visits or admissions for hypoglycemia. A Fisher's exact test was used to compare categorical data, and a Student t test was used to compare continuous data. A P value of <0.05 was considered to be statistically significant. Results Forty-three patients in the preimplementation group were compared to 35 patients in the postimplementation group. There was a significant reduction in hospitalizations due to hyperglycemia in the postimplementation versus the preimplementation group (9 vs 1, P < 0.05); there was a reduction in ED visits due to hyperglycemia (5 vs 0, P = 0.06). There were no ED visits or hospitalizations due to hypoglycemia in either group. Clinical transplant pharmacists performed an average of 8.3 (SD, 4.4) encounters per patient per 90 days. Conclusion A collaborative practice agreement was created and successfully implemented. A pharmacist-managed PTHG program could be incorporated into the standard care of kidney transplant recipients to help minimize rehospitalizations due to hyperglycemia. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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