title: Improving acute care for adolescents and young adults on medical admission units: The interventions that matter.
abstract: It had become a familiar routine. My seventh admission with diabetic ketoacidosis (DKA) in a year. Each time I was admitted it was the same; a DKA protocol, a diabetes specialist nurse visit, and a few questions from the doctors checking if "everything is okay?" On each admission, I would be discharged home after a couple of days. We all knew I'd be back again within a month or two.
authors.affiliation: Diabetes and endocrine specialist registrar Queen Alexandra Hospital, Cosham, Portsmouth.
authors.forename: C A
authors.initials: CA
authors.lastname: Whicher
authors.affiliation: Core Medical Trainee Queen Alexandra Hospital, Cosham, Portsmouth.
authors.forename: R
authors.initials: R
authors.lastname: Shah
authors.affiliation: Consultant Physician United Hospitals Birmingham Trust, Raddlebarn Road, Selly Oak, Birmingham.
authors.forename: H
authors.initials: H
authors.lastname: Gleeson
authors.affiliation: Consultant Physician Chelsea and Westminster Hospital, 369 Fulham Road, London.
authors.forename: L
authors.initials: L
authors.lastname: Vaughan
authors.affiliation: Consultant Physician Queen Alexandra Hospital, Cosham, Portsmouth.
authors.forename: L
authors.initials: L
authors.lastname: Albon
mesh_terms: D000293:Adolescent; D015331:Cohort Studies; D003422:Critical Care / Q000379:methods; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000628:therapy*; D004632:Emergency Medical Services / Q000379:methods; D004638:Emergency Treatment; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D033262:Narration; D020380:Needs Assessment; D017063:Outcome Assessment, Health Care; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012008:Recurrence; D012720:Severity of Illness Index; D055815:Young Adult