Abstract
BackgroundUncontrolled hyperglycemia in hospitalized patients, with or without diabetes mellitus, is associated with many adverse outcomes. Resident physicians are the primary managers of inpatient glycemic control (IGC) in many academic and community medical centers; however, no validated survey tools related to their perceptions and knowledge of IGC are currently available. As identification of common barriers to successful IGC amongst resident physicians may help foster better educational interventions (ultimately leading to improvements in IGC and patient care), we sought to construct and preliminarily evaluate such a survey tool.MethodsWe developed the IGC questionnaire (IGCQ) by using previously published but unvalidated survey tools related to physician perspectives on inpatient glycemic control as a framework. We administered the IGCQ to a cohort of resident physicians from the University of Mississippi Medical Center, University of Louisville, Emory University, and the University of Virginia. We then used classical test theory and Rasch Partial Credit Model analyses to preliminarily evaluate and revise the IGCQ. The final survey tool contains 16 total items and three answer-choice categories for most items.ResultsTwo hundred forty-six of 438 (56.2%) eligible resident physicians completed the IGCQ during various phases of development.ConclusionsWe constructed and preliminarily evaluated the IGCQ, a survey tool that may be useful for future research into resident physician perceptions and knowledge of IGC. Future studies could seek to externally validate the IGCQ and then utilize the survey tool in pre- and post-intervention assessments.
Highlights
Uncontrolled hyperglycemia in hospitalized patients, with or without diabetes mellitus, is associated with many adverse outcomes
The recent consortium for Planning Research in Inpatient Diabetes (PRIDE) was formed to promote clinical research leading to advancement and improvement of inpatient glycemic control (IGC)
Since resident physicians are the primary managers of IGC in many academic and community medical centers, it is important to understand their baseline knowledge and perceptions
Summary
Uncontrolled hyperglycemia in hospitalized patients, with or without diabetes mellitus, is associated with many adverse outcomes. Resident physicians are the primary managers of inpatient glycemic control (IGC) in many academic and community medical centers; no validated survey tools related to their perceptions and knowledge of IGC are currently available. Uncontrolled hyperglycemia in hospitalized patients, with or without diabetes mellitus (DM), is associated with adverse outcomes including increased rates of infection and mortality and longer hospital stay [4,5,6,7] Various studies in both critically and noncritically ill hyperglycemic inpatients demonstrate that improved inpatient glycemic control (IGC) can reduce rates of hospital complications, infections, and cost [8,9,10,11]. Scant data are available [14,15,16,17] and no validated survey tools for this topic exist in the medical literature
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