Common reasons for hospitalization among adult patients with diabetes

Curtiss B. Cook, Circe Tsui, David C. Ziemer, Dorothy B. Naylor, William J. Miller

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: To determine reasons for hospitalization among adult patients with diabetes. Methods: A cross-sectional analysis was conducted of hospital discharges in the state of Georgia for the years 1998 through 2001 that contained either a primary or a coexisting diagnosis of diabetes. With use of the Clinical Classification Software of the Agency for Healthcare Research and Quality, the principal diagnoses among diabetes-related hospital discharges were organized into diagnostic categories. Results: Diabetes was listed as a diagnosis in 14% of all Georgia hospital discharges of adult patients during our study period (57% women; 62% non-Hispanic white; mean age, 64 years; mean length of stay, 5.7 days; and mean hospital charge, $13,540). Among patients with a diagnosis of diabetes, the 3 most common categories of discharges were "diseases of the circulatory system" (33%), "endocrine, nutritional, and metabolic; immunity disorders" (13 %), and "diseases of the respiratory system" (11%). When infections were identified and aggregated, however, these conditions became the second most frequent discharge category (14% of all hospital discharges among patients with diabetes). "Congestive heart failure," "coronary atherosclerosis," and "acute myocardial infarction" were the first, second, and fifth most frequently found unique diagnoses, respectively, among patients with diabetes. Conclusion: In this study, diseases of the circulatory system were the most common diagnoses in hospital discharge data for adult patients with diabetes in Georgia. Hospitals should be cognizant of the increased burden placed on them by diabetes, and outpatient treatment of diabetes should focus on prevention of cardiovascular diseases to avoid hospitalizations.

Original languageEnglish (US)
Pages (from-to)363-370
Number of pages8
JournalEndocrine Practice
Volume12
Issue number4
StatePublished - Jul 2006

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Hospitalization
Patient Discharge
Cardiovascular System
Hospital Charges
Health Services Research
Respiratory System
Coronary Artery Disease
Immunity
Length of Stay
Outpatients
Cardiovascular Diseases
Software
Heart Failure
Cross-Sectional Studies
Myocardial Infarction
Infection
Therapeutics

ASJC Scopus subject areas

  • Endocrinology

Cite this

Cook, C. B., Tsui, C., Ziemer, D. C., Naylor, D. B., & Miller, W. J. (2006). Common reasons for hospitalization among adult patients with diabetes. Endocrine Practice, 12(4), 363-370.

Common reasons for hospitalization among adult patients with diabetes. / Cook, Curtiss B.; Tsui, Circe; Ziemer, David C.; Naylor, Dorothy B.; Miller, William J.

In: Endocrine Practice, Vol. 12, No. 4, 07.2006, p. 363-370.

Research output: Contribution to journalArticle

Cook, CB, Tsui, C, Ziemer, DC, Naylor, DB & Miller, WJ 2006, 'Common reasons for hospitalization among adult patients with diabetes', Endocrine Practice, vol. 12, no. 4, pp. 363-370.
Cook CB, Tsui C, Ziemer DC, Naylor DB, Miller WJ. Common reasons for hospitalization among adult patients with diabetes. Endocrine Practice. 2006 Jul;12(4):363-370.
Cook, Curtiss B. ; Tsui, Circe ; Ziemer, David C. ; Naylor, Dorothy B. ; Miller, William J. / Common reasons for hospitalization among adult patients with diabetes. In: Endocrine Practice. 2006 ; Vol. 12, No. 4. pp. 363-370.
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