描述在麦吉尔大学健康中心过渡到成人1型糖尿病护理模式。

IF 2.3 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Canadian Journal of Diabetes Pub Date : 2025-03-01 DOI:10.1016/j.jcjd.2024.12.001

Samantha Jacobson MSc , Isabella Albanese MDCM, MSc , Jonathan-Raphaël Stetco , Natasha Garfield MDCM, FRCPC

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引用次数: 0

摘要

目的：通过评估临床就诊、血糖管理和糖尿病相关住院情况，描述1型糖尿病（T1DM）过渡护理模式。方法：这是一项描述性纵向单中心研究，纳入了2012年至2021年在我们的过渡诊所就诊的18至25岁T1DM患者（N=179）。结果：我们的数据分析显示，平均就诊率为79%，儿童最后一次就诊和成人第一次就诊的平均时间为6.9个月±5.8个月。患儿最后一次就诊、首次和最后一次转诊时HbA1c分别为8.92±1.84%、9.03±1.84%和8.47±1.74%。转到过渡诊所后，与糖尿病相关的住院频率没有变化。结论：与最后一次儿科就诊相比，参加我们的过渡诊所的青少年在最后一次过渡就诊时有较高的门诊出勤率和改善的血糖管理，没有增加糖尿病相关住院治疗。这突出了在从儿科到成人护理的关键过渡时期，在解决心理社会和生活方式挑战方面提供全面支持的潜在重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Type 1 Diabetes: Evaluating a Transition Care Model From Pediatric to Adult Care at the McGill University Health Centre

Objective

Our aim in this study was to describe a type 1 diabetes mellitus (T1DM) transition care model by assessing clinic attendance, glycemic management, and diabetes-related hospitalizations.

Methods

This work is a descriptive, longitudinal, single-centre study of patients with T1DM, who were 18 to 25 years of age and referred to our transition clinic from 2012 to 2021 (N=179).

Results

Our data analysis demonstrates an average clinic attendance rate of 79% and mean time between last pediatric and first adult visit of 6.9±5.8 months. Glycated hemoglobin levels at last pediatric visit, first transition visit, and last transition visit were 8.92±1.84%, 9.03±1.84%, and 8.47±1.74%, respectively. There was no change in frequency of diabetes-related hospitalizations after transfer to transition clinic.

Conclusions

Youth attending our transition clinic had high clinic attendance and improved glycemic management at their last transition visit compared with the last pediatric visit without an increase in diabetes-related hospitalizations. This work highlights the potential importance of comprehensive support in addressing psychosocial and lifestyle challenges during the critical transition period from pediatric to adult care.

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来源期刊

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.