Racial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults With Diabetes
Racial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults With Diabetes
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DOI：
10.1001/jamanetworkopen.2019.13249
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发表时间：
2019-10-01
影响因子：
13.8
通讯作者：
McCoy, Rozalina G.
中科院分区：
文献类型：
--
作者：
Rodriguez-Gutierrez, Rene;Herrin, Jeph;McCoy, Rozalina G.
IMPORTANCE Differences in readmission rates among racial and ethnic minorities have been reported, but data among people with diabetes are lacking despite the high burden of diabetes and its complications in these populations.OBJECTIVES To examine racial/ethnic differences in all-cause readmission among US adults with diabetes and categorize patient- and system-level factors associated with these differences.DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study includes 272 758 adult patients with diabetes, discharged alive from the hospital between January 1, 2009, and December 31, 2014, and stratified by race/ethnicity. An administrative claims data set of commercially insured and Medicare Advantage beneficiaries across the United States was used. Data analysis took place between October 2016 and February 2019.MAIN OUTCOMES AND MEASURES Unplanned all-cause readmission within 30 days of discharge and individual-, clinical-, economic-, index hospitalization-, and hospital-level risk factors for readmission.RESULTS A total of 467 324 index hospitalizations among 272 758 adults with diabetes (mean [SD] age, 67.7 [12.7]; 143 498 [52.6%] women) were examined. The rates of 30-day all-cause readmission were 10.2%(33 683 of 329 264) among white individuals, 12.2%(11 014 of 89 989) among black individuals, 10.9%(4151 of 38 137) among Hispanic individuals, and 9.9%(980 of 9934) among Asian individuals (P
