STUDY TO EVALUATE ON COMPLIANCES WITH THE ADA GUIDELINES FOR STATIN THERAPY AMONG PATIENTS OF TYPE II DIABETES MELLITUS NON CARDIAC VARIANT IN A TERTIARY CARE TEACHING HOSPITAL, KARNATAKA, SOUTH INDIA. – A STANDARD BASED CLINICAL AUDIT

Dr. Prasad M. C, Dr. Sathish Raju N, Dr.Subhash Chandra B J, Dr. Ashok P, Dr. Nandini K Nayak

Abstract


Background: - Based on the recent update of the 2019 American Diabetes Assosciation guidelines for medical care in Diabetes Mellitus patients, initiation of Statin therapy is now a recommended for all patients with risk factors and patient aged more than 40yrs even without risk factors.

Aim & Objectives:- To improve the care being provided to patients with Diabetes mellitus within the organization

Methods: - It was Retrospective, analytical, standard based clinical audit of patient care. The study setting was a tertiary care, teaching hospital in Mysuru city. All the patients were screened for usage of statins and their intensity in different age group and tabulated. The data was analysed and results were interpreted and concluded.

Results:- Out of 32 patients there were 20 male patients and 12 Female. Majority of patient were 40 years and above. Out of 32 patients, 24 patients had risk factors. 3 out of 6 diabetic patients in the age group <40 years with risk factors and received statin therapy. 4 out of 6 diabetic patients with no risk factors aged more than 40 years received statin therapy.15 out of 18 diabetic patients with Atherosclerotic Cardiovascular Disease risk factors with age of 40 and above received Statin therapy.

Conclusion: - In conclusion, this audit shows there is a gap between guidelines and clinical practice in the provision of statin therapy diabetes care. Overall, statin use is beneficial and should be recommended in diabetic patients to target their increased Cardiovascular Disease risk. The quality of care was found to be suboptimal; however, by motivating the primary care doctors via combinations of health care professional education, audit and peer review, the quality of diabetes care in study setting could be improved.


Keywords


Diabetes Mellitus, clinical Audit, statins, Quality

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