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

Translated title of the contribution: Factors affecting the likelihood of a hospitalization following a diabetes-related emergency department visit: A regional and urban-rural analysis

Alva O. Ferdinand, Marvellous A. Akinlotan, Timothy Callaghan, Samuel D. Towne, Jane N. Bolin

Research output: Contribution to journalArticle

Abstract

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.

Translated title of the contributionFactors affecting the likelihood of a hospitalization following a diabetes-related emergency department visit: A regional and urban-rural analysis
Original languageChinese
Pages (from-to)686-696
Number of pages11
JournalJournal of Diabetes
Volume12
Issue number9
DOIs
StatePublished - Sep 1 2020

Keywords

  • census regions
  • diabetes
  • health disparities
  • hospitalization
  • rurality

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

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