{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T11:22:37Z","timestamp":1770290557779,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,11,29]],"date-time":"2016-11-29T00:00:00Z","timestamp":1480377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, aims and objectives<\/jats:title><jats:p>We aimed to determine the effect of Clinical Practice Guideline (CPG) implementation on length of hospital stay of children and adolescents with diabetic ketoacidosis (DKA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a 6\u2010year (2008\u20102014) case\u2010control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Baseline characteristics of the 2 groups were similar (age, sex, newly diagnosed patients, recurrent DKA, DKA severity, and mean glycosylated hemoglobin). The mean length of hospital stay (\u00b1SD) was 68.6\u00a0\u00b1\u00a053.1\u00a0hours after implementation of CPG compared with 107.4\u00a0\u00b1\u00a065.6\u00a0hours before implementation (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). The reduction in length of hospital stay equals to 1700 bed days saved per year per 1000 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of CPG for DKA decreased the length of hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12661","type":"journal-article","created":{"date-parts":[[2016,11,29]],"date-time":"2016-11-29T06:56:37Z","timestamp":1480402597000},"page":"173-177","source":"Crossref","is-referenced-by-count":6,"title":["Substantial reduction in hospital stay of children and adolescents with diabetic ketoacidosis after implementation of Clinical Practice Guidelines in a university hospital in Saudi Arabia"],"prefix":"10.1111","volume":"23","author":[{"given":"Abdulrahman","family":"Al Nemri","sequence":"first","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser Sami","family":"Amer","sequence":"additional","affiliation":[{"name":"Quality Management King Khalid University Hospital  Riyadh Saudi Arabia"},{"name":"CPGs Steering Committee King Saud University Medical City  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hala","family":"Gasim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Elfaki","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Aleyadhy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hessah","family":"AL Otaibi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaikh Mohammed","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasir Abdullah","family":"Aljurayyan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asaad M.","family":"Assiri","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"},{"name":"Prince Abdullah bin Khalid Coeliac Disease Research Chair King Saud University College of Medicine  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Babiker","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"},{"name":"Department of Pediatrics National Guard Hospital  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarar","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine King Saud University  Riyadh Saudi Arabia"},{"name":"Department of Pediatrics Prince Sultan Military Medical City  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60568-7"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2006.01925.x"},{"key":"e_1_2_9_4_1","first-page":"413","article-title":"Incidence trends of childhood type 1 diabetes in eastern Saudi Arabia","volume":"31","author":"Abduljabbar MA","year":"2010","journal-title":"Saudi Med J"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-1105"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-012-2690-2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pdi.622"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2008.02461.x"},{"key":"e_1_2_9_9_1","unstructured":"NHDS \u2010 National Hospital Discharge Survey.1965\u20132010. 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