title: [Effect of antidiabetes treatment adjustment at discharge on 30-day outcomes of patients with diabetes mellitus presenting to an emergency department with hypoglycemia].
abstract: BACKGROUND
  To determine if antidiabetes treatment adjustment at discharge from an Emergency Department(ED) is associated with 30-day outcomes in patients with diabetes mellitus presenting to the ED with hypoglycemia.
  
  
  METHODS
  Retrospective cohort observational study. Patients with diabetes mellitus presenting to the ED with hypoglycemia directly discharged from the ED between 2012-2014 were included. Primary outcome was a 30-day composite adverse event(mortality or revisiting).
  
  
  RESULTS
  A total of 203 patients were included with a mean age of 69.7 (SD 18.9), mainly type 2 diabetics.Hypoglycemia was the primary diagnosis in 162(79%) of patients and antidiabetes treatment was adjusted at discharge in 98 (48%) of cases. Non-adjustment of antidiabetes treatment at ED discharge was an independent factor associated with a 30-day adverse event (OR=2.8; CI 95%=1.34-5.93; p=0.006).
  
  
  CONCLUSIONS
  Non-adjustment of antidiabetes treatment at discharge in patients with diabetes mellitus presenting to the ED with hypoglycemia could be an independent factor of suffering a 30-day adverse event.
authors.affiliation: Hospital Clínico San Carlos de Madrid. rcuervopinto@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Cuervo Pinto
authors.forename: E
authors.initials: E
authors.lastname: Rodríguez Adrada
authors.forename: C
authors.initials: C
authors.lastname: Domínguez Bernal
authors.forename: D
authors.initials: D
authors.lastname: Chaparro Pardo
authors.forename: F J
authors.initials: FJ
authors.lastname: Martín-Sánchez
authors.forename: J M
authors.initials: JM
authors.lastname: González del Castillo
mesh_terms: D000368:Aged; D003920:Diabetes Mellitus / Q000188:drug therapy*; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D010351:Patient Discharge; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D007004:Hypoglycemic Agents