The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country
The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country
Date
2020
Authors
McMahon, L.E.
O'Malley, E.G.
Reynolds, C.M.E.
Turner, M.J.
Journal Title
Journal ISSN
Volume Title
Publisher
BMC Health Services Research
Abstract
In 2010, national guidelines were published in Ireland recommending more sensitive criteria for the diagnosis of Gestational Diabetes Mellitus (GDM). The criteria were based on the 2008 Hyperglycemia and Adverse Pregnancy Outcomes (HAPO) Study and were endorsed subsequently by the World Health Organization (WHO). Screening nationally is selective based on risk factors. We examined the impact of the new criteria on hospital trends nationally for GDM over the 10 years 2008–17.
Description
Data from three national databases, the Hospital Inpatient Enquiry System (HIPE), National Perinatal Reporting System (NPRS) and the Irish Maternity Indicator System (IMIS), were analyzed using descriptive statistics, analysis of variance, and Poisson loglinear modelling.
Keywords
Gestational diabetes mellitus (GDM)
Citation
McMahon, L.E., O’Malley, E.G., Reynolds, C.M.E. et al. The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country. BMC Health Serv Res 20, 795 (2020). https://doi.org/10.1186/s12913-020-05655-y