Hospital Readmission Risk and Risk Factors of People with a Primary or Secondary Discharge Diagnosis of Diabetes.
Hospital Readmission Risk and Risk Factors of People with a Primary or Secondary Discharge Diagnosis of Diabetes.
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DOI：
10.3390/jcm12041274
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发表时间：
2023-02-06
影响因子：
3.9
通讯作者：
Miller EE
中科院分区：
文献类型：
--
作者：
Rubin DJ;Maliakkal N;Zhao H;Miller EE
糖尿病患者再次入院很常见，而且费用昂贵。更好地了解主要因糖尿病（初次出院诊断，1°DCDx）或其他疾病（二次出院诊断，2°DCDx）而需要住院的患者之间的差异可能会转化为更有效的方法来防止再入院。这项回顾性队列研究比较了 8054 名患有 1°DCDx 或 2°DCDx 的住院成人的再入院风险和危险因素。主要结局是出院后 30 天内因各种原因再次入院。 1°DCDx 患者的再入院率高于 2°DCDx 患者的再入院率（22.2% vs. 16.2%，p < 0.01）。再入院的几个独立风险因素对两组来说都是常见的，包括门诊随访、住院时间、就业状况、贫血和缺乏保险。再入院多变量模型的 C 统计量没有显着差异（0.837 与 0.822，p = 0.15）。患有 1°DCDx 的糖尿病患者的再入院风险高于患有 2°DCDx 糖尿病的患者。一些危险因素在两组之间是共有的，而另一些则是独特的。对于降低 1°DCDx 患者的再入院风险，住院糖尿病咨询可能更有效。这些模型可以很好地预测再入院风险。
Hospital readmission among people with diabetes is common and costly. A better understanding of the differences between people requiring hospitalization primarily for diabetes (primary discharge diagnosis, 1°DCDx) or another condition (secondary discharge diagnosis, 2°DCDx) may translate into more effective ways to prevent readmissions. This retrospective cohort study compared readmission risk and risk factors between 8054 hospitalized adults with a 1°DCDx or 2°DCDx. The primary outcome was all-cause hospital readmission within 30 days of discharge. The readmission rate was higher in patients with a 1°DCDx than in patients with a 2°DCDx (22.2% vs. 16.2%, p < 0.01). Several independent risk factors for readmission were common to both groups including outpatient follow up, length of stay, employment status, anemia, and lack of insurance. C-statistics for the multivariable models of readmission were not significantly different (0.837 vs. 0.822, p = 0.15). Readmission risk of people with a 1°DCDx was higher than that of people with a 2°DCDx of diabetes. Some risk factors were shared between the two groups, while others were unique. Inpatient diabetes consultation may be more effective at lowering readmission risk among people with a 1°DCDx. These models may perform well to predict readmission risk.
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影响因子：
5.8
作者：
Shaka, Hafeez;Aguilera, Maria;Kichloo, Asim
通讯作者：
Kichloo, Asim
DOI：
10.1080/20009666.2019.1593782
发表时间：
2019-03-04
影响因子：
1
作者：
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通讯作者：
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3
作者：
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通讯作者：
Poretsky, Leonid
影响因子：
4.2
作者：
Bhalodkar, Arpita;Sonmez, Halis;Poretsky, Leonid
通讯作者：
Poretsky, Leonid
影响因子：
4.2
作者：
Rubin, Daniel J.
通讯作者：
Rubin, Daniel J.