Food Insecurity and Insulin Use in Hyperglycemic Patients Presenting to the Emergency Department. (Record no. 8976)

000 -LEADER
fixed length control field 03071nam a22004697a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200902s20202020 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number 32726270
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1936-900X
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code westjem.2020.4.45918 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.5811/westjem.2020.4.45918 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC7390541 [pmc]
190 ## -
-- Nhoung HK
190 ## -
-- Goyal M
190 ## -
-- Cacciapuoti M
190 ## -
-- Day H
190 ## -
-- Hashemzadeh T
190 ## -
-- Magee M
190 ## -
-- Jarris YS
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Goyal, Munish
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Magee, Michelle
245 ## - TITLE STATEMENT
Title Food Insecurity and Insulin Use in Hyperglycemic Patients Presenting to the Emergency Department.
251 ## -
-- The Western Journal of Emergency Medicine. 21(4):959-963, 2020 Jul 03.
252 ## -
-- West J Emerg Med. 21(4):959-963, 2020 Jul 03.
253 ## -
-- The western journal of emergency medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
-- epublish
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020
269 ## -
-- FY2021
520 ## - SUMMARY, ETC.
Summary, etc. INTRODUCTION: The prevalence of food insecurity (FI) and insulin rationing among patients with diabetes who present to the emergency department (ED) is unclear. We examined the prevalence of food insecurity and subtherapeutic insulin use among patients who presented to the ED with a blood glucose level of greater than 250 milligrams per deciliter.
520 ## - SUMMARY, ETC.
Summary, etc. METHODS: This was a single-center, cross-sectional survey of clinically stable, hyperglycemic adults in the ED for food insecurity using the Hunger Vital Sign screening tool. Patients who were insulin dependent were asked about insulin usage and rationing.
520 ## - SUMMARY, ETC.
Summary, etc. RESULTS: Of the 85 eligible patients, 76 (89.4%) were enrolled; 35 (46%) screened positive for food insecurity. Food insecure patients were 1.9 times more likely to be hospitalized than non-food insecure patients (relative risk = 1.90 [1.21-2.99], p<.01). Food insecure patients were younger than non-food insecure patients (50.4 vs 57.5 p<.02), and had significantly higher hemoglobin A1c (HgbA1c) levels (11.2% vs 9.9% p = 0.04). Of the 49 patients prescribed insulin, 17 (34.6%) stated they had used less insulin during the prior week than had been prescribed, and 21 (42.9%) stated they had used less insulin during the prior year than had been prescribed. Food insecure patients were more likely to have used less insulin than prescribed in the prior year (odds ratio = 3.60 [1.09-11.9], p = 0.04).
520 ## - SUMMARY, ETC.
Summary, etc. CONCLUSION: Our exploratory findings suggest almost half of clinically stable adults presenting to our inner-city ED with hyperglycemia experience food insecurity. More than one-third of those prescribed insulin used less than their prescribed amount in the prior year.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
656 ## - INDEX TERM--OCCUPATION
Occupation Emergency Medicine
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Occupation Medicine/Endocrinology
657 ## - INDEX TERM--FUNCTION
Function Journal Article
857 ## -
-- https://dx.doi.org/10.5811/westjem.2020.4.45918
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier https://dx.doi.org/10.5811/westjem.2020.4.45918
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 2020-09-02 32726270 2020-09-02 2020-09-02 Journal Article

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