WUTH publication: Management of hyperglycaemia in patients with acute coronary syndrome

Citation: Diabetic Medicine, March 2014, vol./is. 31/(77),
Author: Hegde P.; Ormsby N.; Kaivani F.M.; Bowen-Jones D.
Abstract: Introduction: Hyperglycaemia is associated with higher mortality in patients with acute
coronary syndrome (ACS). Conflicting evidence from studies in this area has resulted in a
lack of clarity over optimal treatment regimes. Aim: To quantify how this lack of
evidence and the inconclusive guidelines impact the management of hyperglycaemia.
Methods: This is a retrospective case notes analysis of 50 randomly selected patients
between October 2011 and March 2012 at Wirral University Teaching Hospital against
the NICE guidelines. Results: Of the 50 patients (32 male, 18 female), average age 74.5
years,43patients (86%) were known to have diabetes and seven (4%) were not at the time
of admission. Of the 43 patients 14 were on diet, 22 were on oral hypoglycaemic agents
and seven were insulin treated. Thirty-one patients had admissionblood glucose above
11mmol/l and 17 did not have any treatment within 48h despite having hyperglycaemia.
Five patients received glucose potassium insulin infusion and six had their usual
treatment. Only34patients had blood glucose chart and regular glucose monitoring. For 22
patients blood glucose was out of the target range in the first 48h. Only 10 patients were
referred to the diabetes team during their admission. Conclusion: Our audit demonstrates
the lack of knowledge and inconsistency in managing hyperglycaemia in patients with
ACS. This clearly prompts the need for a robust and comprehensive guideline in
managing this area. Current NICE guidelines are unhelpful.

New Resource!

Now available!  New resource for doctors preparing for their MRCP exams on Medical-Masterclass.com

Medical Masterclass is now available to all staff until 19th February 2016.

The website includes PACES video clips and over 3,000 MRCP(UK) part 1 and part 2 written examination-style questions for interactive self-assessment. You can also:

• Create a new self-assessment or mock exam

• View and listen to audio-visual files to help you prepare for the MRCP(UK) PACES exam

• Undertake a 30 question, 60 minute timed exam
  
  To access, ask at the library desk for a user name and password or contact the Library at mcardle.library@nhs.net. 

Please let us know what you think of this new resource.

WUTH publication: Creative cutting to contour and correct Hallux bone graft for three planes of correction

Citation: Foot & Ankle Surgery. 2013, 19(3), 199-201
Author: Ahluwalia RS, Blucher NC, Platt SR, Hennessy MS

Link to Pubmed record

For more information about obtaining the full text of journal articles, please visit our Document / Book Supply service.

To view all WUTH publications please link here.

Oxford Handbooks and Textbooks

New electronic Oxford Handbooks and Textbooks have been added to our stock. New topics include:

Echocardiography
Heart Failure
Paediatrics and Neonatology
Anaesthesia for Emergency Care
Pulmonary Hypertension
Surgical Consent
Renal Nursing
Medical Imaging
Palliative Nursing
Nutrition and Dietetics
Prescribing for Nurses and Allied Health Professionals
Oral and Maxillofacial Surgery
and many more ...

You can access these electronic resources via the Library Catalogue. 
Please view our helpsheet on accessing e-books.
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