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These Patients Prone to Avoidable Hospitalizations
Diabetes Care; ePub 2018, Jan 29; Rubens, et al
Overall rates of diabetes-related preventable hospitalizations did not change substantially over a 10-year period, according to a recent analysis. However, they did increase significantly in 18-to-44-year-olds, and acute complications were the culprit. Participants were from the National Health Interview Survey and had diabetes. Investigators evaluated trends in diabetes-related preventable hospitalization rates between 2005 and 2014. Among the results:
- Nearly 5.4 million diabetes-related preventable hospitalizations were reported.
- Such hospitalizations increased by ~77,000 over the study period, to ~577,000.
- Age-adjusted hospitalization rates did not change substantially.
- Such rates due to diabetes short-term complications increased significantly, whereas rates due to uncontrolled diabetes decreased significantly.
- Among 18- to 44-year-olds, there was a significant increase in hospitalizations due to acute complications.
- Overall, average length of stay decreased from 5.7 to 5.3 days.
- Total hospitalization costs due to preventable causes increased from $5.32 to $6.28 billion.
- Average hospitalization costs/patient decreased from ~$12,000 to ~$11,400.
Citation:
Rubens M, Saxena A, Ramamoorthy V, et al. Trends in diabetes-related preventable hospitalizations in the U.S., 2005–2014. [Published online ahead of print January 29, 2018]. Diabetes Care. doi:10.2337/dc17-1942.