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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/23691
Title: Non-compliance to Clinical Practice Guideline for screening of Gestational Diabetes Mellitus in Siriraj Hospital
Authors: Irene Ruengkhachorn
Prasert Sunsaneevithayakul
Dittakarn Boriboonhirunsarn
Mahidol University
Keywords: Medicine
Issue Date: 21-Jul-2006
Citation: Journal of the Medical Association of Thailand. Vol.89, No.6 (2006), 767-772
Abstract: Objective: To evaluate the rate of non-compliance to Clinical Practice Guideline (CPG) for screening of Gestational Diabetes Mellitus (GDM) and related factors in Siriraj Hospital. Study design: Descriptive cross-sectional study. Setting: Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University. Material and Method: One-hundred-and-fifty-nine pregnant women at risk for GDM and who delivered at Siriraj Hospital were enrolled. Data were collected from history and medical records including base line characteristics, clinical risk factors of GDM, and compliance to guideline. Rate of non-compliance and related factors were evaluated. Results: The rate of non-compliance to GPG for screening of GDM at Siriraj Hospital was 22% (95%CI 16.3%-29.1%). The rate was highest among women who had AnteNatal Care (ANC) at a private clinic (82.1%), followed by the private cases in the hospital (40%). Those who received ANC at the hospital had the lowest non-compliance rate of 6.6%. The most common neglected risk factor was maternal age ≥ 30 years. Significant higher compliance was found among women with 2 or more clinical risk factors compared to those with only 1 risk factor (p = 0.028). Conclusion: The rate of non-compliance to CPG for screening of GDM at Siriraj Hospital was 22%. Highest non-compliance rate was found among the private cases. The most common neglected risk factor was maternal age ≥ 30 years.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33745991836&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/23691
ISSN: 01252208
01252208
Appears in Collections:Scopus 2006-2010

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