The Impact of Repeat Hospitalizations on Hospitalization Rates for Selected Conditions Among Adults With and Without Diabetes, 12 US States, 2011

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Benjamin, Stephanie M. ; Wang, Jing ; Geiss, Linda S. ; Thompson, Theodore J. ; Gregg, Edward W.
• Description:
  Introduction
  
  Hospitalization data typically cannot be used to estimate the number of individuals hospitalized annually because individuals are not tracked over time and may be hospitalized multiple times annually. We examined the impact of repeat hospitalizations on hospitalization rates for various conditions and on comparison of rates by diabetes status.
  
  Methods
  
  We analyzed hospitalization data for which repeat hospitalizations could be distinguished among adults aged 18 or older from 12 states using the 2011 Agency for Healthcare Research and Quality’s State Inpatient Databases. The Behavioral Risk Factor Surveillance System was used to estimate the number of adults with and without diagnosed diabetes in each state (denominator). We calculated percentage increases due to repeat hospitalizations in rates and compared the ratio of diabetes with non-diabetes rates while excluding and including repeat hospitalizations.
  
  Results
  
  Regardless of diabetes status, hospitalization rates were considerably higher when repeat hospitalizations within a calendar year were included. The magnitude of the differences varied by condition. Among adults with diabetes, rates ranged from 13.0% higher for stroke to 41.6% higher for heart failure; for adults without diabetes, these rates ranged from 9.5% higher for stroke to 25.2% higher for heart failure. Ratios of diabetes versus non-diabetes rates were similar with and without repeat hospitalizations.
  
  Conclusion
  
  Hospitalization rates that include repeat hospitalizations overestimate rates in individuals, and this overestimation is especially pronounced for some causes. However, the inclusion of repeat hospitalizations for common diabetes-related causes had little impact on rates by diabetes status.
  
  
• Subjects:
  Adolescent Adult Aged Databases, Factual Diabetes Complications Diabetes Mellitus Female Heart Failure Hospitalization Humans Male Middle Aged Original Research Patient Readmission Stroke Young Adult

  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.150274
• ISSN:
  1545-1151
• Pubmed ID:
  26583572
• Pubmed Central ID:
  PMC4655479
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:d8e6df561e3c336aa0e7e507395d8f6a9df50a40553efc9f7eb20acc0fb4b078cf6080d18c44e92851ad5f927f9220e287f688c0c07546c90e2b4aab4fccc950
• Download URL:
  https://stacks.cdc.gov/view/cdc/36148/cdc_36148_DS1.pdf
• File Type:
  [PDF - 256.52 KB ]