The readmission rates in patients with versus those without diabetes mellitus at an urban teaching hospital

The readmission rates in patients with versus those without diabetes mellitus at an urban teaching hospital
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DOI:
10.1016/j.jdiacomp.2017.07.006
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发表时间:
2017-12-01
影响因子:
3
通讯作者:
Poretsky, Leonid
Poretsky, Leonid
中科院分区:
医学3区
文献类型:
--
作者:
Sonmez, Halis;Kambo, Varinder;Poretsky, Leonid

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目的:我们在一所城市教学医院中,研究了糖尿病患者与非糖尿病患者30天再入院率及其与入院诊断和住院时间(LOS)的关联。 方法:在这项回顾性研究中,我们比较了2013年1月1日至2015年9月30日期间,一所城市教学医院中糖尿病患者(n = 16266)与非糖尿病患者(n = 86428)的30天再入院率。对于糖尿病为次要诊断的个体,我们分析了再入院率与十种最常见的医疗保险严重程度诊断相关分组(MS - DRGs)之间的关系。此外,我们还研究了糖尿病患者和非糖尿病患者住院时间与再入院率之间的关系。 结果:校正年龄和性别后,糖尿病患者的30天再入院率高于非糖尿病患者(分别为15.3%对8.4%)
Objective: We examined the 30-day hospital readmission rates and their association with the admission diagnosis and the length of stay (LOS) in patients with diabetes versus those without diabetes mellitus (DM) in an urban teaching hospital.Methods: In this retrospective study, we compared the 30-day readmission rates in patients with DM (n = 16,266) versus those without DM (n = 86,428) at an urban teaching hospital between January 1, 2013, and September 30, 2015. In individuals with a secondary diagnosis of DM, we analyzed the relationship between readmission rates and the ten most common Medicare Severity Diagnosis Related Groups (MS-DRGs). Additionally, we examined the relationship between the LOS and readmission rates in patients with diabetes and those without DM.Results: The 30-day readmission rates adjusted for age and gender were higher in patients with DM compared to those without DM (15.3% vs. 8.4%, respectively,