TY - JOUR
T1 - 糖尿病相关急诊就诊后住院可能性的影响因素:区域和城乡分析
AU - Ferdinand, Alva O.
AU - Akinlotan, Marvellous A.
AU - Callaghan, Timothy
AU - Towne, Samuel D.
AU - Bolin, Jane N.
N1 - Funding Information:
This research was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), and the US Department of Health and Human Services (HHS) under cooperative agreement #U1CHR30040.004. The information, conclusions, and opinions expressed in this paper are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred. The sponsors did not contribute to the study design, collection, analysis, and interpretation of data, or the writing of the manuscript, nor did they contribute to the decision to submit the article for publication.
Funding Information:
This research was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), and the US Department of Health and Human Services (HHS) under cooperative agreement #U1CHR30040.004. The information, conclusions, and opinions expressed in this paper are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred. The sponsors did not contribute to the study design, collection, analysis, and interpretation of data, or the writing of the manuscript, nor did they contribute to the decision to submit the article for publication.
Publisher Copyright:
© 2020 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Background: The objective of this study is to examine place-based and individual-level predictors of diabetes-related hospitalizations that stem from emergency department (ED) visits. Methods: We conducted a pooled cross-sectional analysis of the National Inpatient Sample (NIS) for 2009 to 2014 to identify ED-initiated hospitalizations that were driven by the need for diabetes care. The odds of an ED-initiated diabetes-related hospitalization were assessed for the United States as a whole and separately for each census region. Results: Nationally, residents of noncore areas (odds ratio [OR] 1.10; CI 1.08, 1.12), the South (OR 8.03; CI 6.84, 9.42), Blacks (OR 2.49; CI 2.47, 2.52), Hispanics (OR 2.32; CI 2.29, 2.35), Asians or Pacific Islanders (OR 1.20; CI 1.16, 1.23), Native Americans (OR 2.18; CI 2.10, 2.27), and the uninsured (OR 2.14; CI 2.11, 2.27) were significantly more likely to experience an ED-initiated hospitalization for diabetes care. Census region-stratified models showed that noncore residents of the South (OR 1.17; CI 1.14, 1.20) and Midwest (OR 1.06; CI 1.02, 1.11) had higher odds of a diabetes-related ED-initiated hospitalization. Conclusions: As continued efforts are made to reduce place-based disparities in diabetes care and management, targeted focus should be placed on residents of noncore areas in the South and Midwest, racial and ethnic minorities, as well as the uninsured population.
AB - Background: The objective of this study is to examine place-based and individual-level predictors of diabetes-related hospitalizations that stem from emergency department (ED) visits. Methods: We conducted a pooled cross-sectional analysis of the National Inpatient Sample (NIS) for 2009 to 2014 to identify ED-initiated hospitalizations that were driven by the need for diabetes care. The odds of an ED-initiated diabetes-related hospitalization were assessed for the United States as a whole and separately for each census region. Results: Nationally, residents of noncore areas (odds ratio [OR] 1.10; CI 1.08, 1.12), the South (OR 8.03; CI 6.84, 9.42), Blacks (OR 2.49; CI 2.47, 2.52), Hispanics (OR 2.32; CI 2.29, 2.35), Asians or Pacific Islanders (OR 1.20; CI 1.16, 1.23), Native Americans (OR 2.18; CI 2.10, 2.27), and the uninsured (OR 2.14; CI 2.11, 2.27) were significantly more likely to experience an ED-initiated hospitalization for diabetes care. Census region-stratified models showed that noncore residents of the South (OR 1.17; CI 1.14, 1.20) and Midwest (OR 1.06; CI 1.02, 1.11) had higher odds of a diabetes-related ED-initiated hospitalization. Conclusions: As continued efforts are made to reduce place-based disparities in diabetes care and management, targeted focus should be placed on residents of noncore areas in the South and Midwest, racial and ethnic minorities, as well as the uninsured population.
KW - census regions
KW - diabetes
KW - health disparities
KW - hospitalization
KW - rurality
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U2 - 10.1111/1753-0407.13066
DO - 10.1111/1753-0407.13066
M3 - Article
C2 - 32436371
AN - SCOPUS:85087205198
SN - 1753-0393
VL - 12
SP - 686
EP - 696
JO - Journal of Diabetes
JF - Journal of Diabetes
IS - 9
ER -