{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:24:23Z","timestamp":1792157063989,"version":"4.4.0"},"reference-count":17,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Diab Res Care"],"accepted":{"date-parts":[[2016,4,21]]},"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>We assessed the efficacy of routine glycated hemoglobin (HbA1c) testing to detect undiagnosed diabetes and prediabetes in an urban Australian public hospital emergency department (ED) located in an area of high diabetes prevalence.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Over 6\u2005weeks, all patients undergoing blood sampling in the ED had their random blood glucose measured. If \u22655.5\u2005mmol\/L (99\u2005mg\/dL), HbA1c was measured on the same sample. HbA1c levels \u22656.5% (48\u2005mmol\/mol) and 5.7\u20136.4% (39\u201346\u2005mmol\/mol) were diagnostic of diabetes and prediabetes, respectively. Hospital records were reviewed to identify patients with previously diagnosed diabetes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 4580 presentations, 2652 had blood sampled of which 1267 samples had HbA1c measured. Of these, 487 (38.4%) had diabetes (either HbA1c\u22656.5% or a prior diagnosis), and a further 347 (27.4%) had prediabetes. Among those with diabetes, 32.2% were previously undiagnosed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Routine HbA1c testing in the ED identifies a large number of people with undiagnosed diabetes and prediabetes, and provides an opportunity to improve their care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjdrc-2015-000191","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T22:14:13Z","timestamp":1464992053000},"page":"e000191","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":30,"title":["Diabetes case finding in the emergency department, using HbA1c: an opportunity to improve diabetes detection, prevention, and care"],"prefix":"10.1136","volume":"4","author":[{"given":"Tien-Ming","family":"Hng","sequence":"first","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"},{"name":"School of Medicine, Western Sydney University, Parramatta, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Hor","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"},{"name":"School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumathy","family":"Ravi","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqi","family":"Feng","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"},{"name":"School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia"},{"name":"Early Start Research Institute, University of Wollongong, Wollongong, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Lin","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Astell-Burt","sequence":"additional","affiliation":[{"name":"School of Science and Health, Western Sydney University, Parramatta, New South Wales, Australia"},{"name":"School of Geography and Geosciences, University of St Andrews, St Andrews, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Chipps","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"McLean","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"},{"name":"School of Medicine, Western Sydney University, Parramatta, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glen","family":"Maberly","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia"},{"name":"School of Medicine, Western Sydney University, Parramatta, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,6,3]]},"reference":[{"key":"2025073112404555000_4.1.e000191.1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-S005"},{"key":"2025073112404555000_4.1.e000191.2","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.10988"},{"key":"2025073112404555000_4.1.e000191.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.03.012"},{"key":"2025073112404555000_4.1.e000191.4","doi-asserted-by":"crossref","first-page":"e68","DOI":"10.1016\/j.diabres.2014.09.033","article-title":"Understanding geographical inequities in diabetes: multilevel evidence from 114,755 adults in Sydney, Australia","volume":"106","author":"Astell-Burt","year":"2014","journal-title":"Diab Res Clin Pract"},{"key":"2025073112404555000_4.1.e000191.5","doi-asserted-by":"crossref","first-page":"160","DOI":"10.5694\/j.1326-5377.2011.tb03762.x","article-title":"Detecting undiagnosed diabetes using glycated haemoglobin: an automated screening test in hospitalised patients","volume":"194","author":"Valentine","year":"2011","journal-title":"Med J Aust"},{"key":"2025073112404555000_4.1.e000191.6","unstructured":"Australian Diabetes Map Australia: Diabetes Australia; 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