| What can be learned about the impact of Diabetes on Hospital Admissions from routinely recorded data? | |
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MedLine Citation:
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PMID: 22150293 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: To determine whether inpatients with diabetes have different lengths of stay, daycase listing rates or emergency re-admission rates compared to those without diabetes receiving similar treatment. Method: English Hospital Episode Statistics (HES) for 2007-8 have been analysed alone and after linkage to the list of 1.6 million people known to have diabetes from inclusion in the 2007-8 English National Diabetes Audit (NDA). The linked data was used to investigate the extent of diabetes under-coding. Length of stay (LOS), daycase listing rates and emergency re-admission rates were compared between those with and without diabetes by Health Resource Group (HRG) chapter. Using univariate and multivariate statistics the potential influences on any differences of age, sex, social deprivation, type and complexity of admission were considered. Results: 6.2% of all inpatient spells have diabetes coded in HES at discharge. By linking HES with the NDA a substantial under-recording of diabetes has been identified. It is estimated that a further 3% of inpatient spells involve people with diabetes making more than 9% in total. Inpatients with recorded diabetes stay in hospital for 100% longer on average are 50% less likely to be treated as daycases and are almost 100% more likely to be readmitted as an emergency. The adverse impact of diabetes on Length of Stay was similar to that for COPD. Most of this adverse effect could be deduced from those patients coded with diabetes in HES. Multivariate statistical analysis showed that diabetes is independently associated with increased LOS. Although the association of diabetes with increased LOS, reduced daycases and higher readmission rates was pervasive the effect differed up to threefold between hospitals. Conclusions: Diabetes has an independent adverse effect on key aspects of hospital inpatient stays. Most of this effect occurs in those patients identified as having diabetes in discharge coding. If more hospitals could achieve the lowest levels of adverse impact on inpatients with diabetes substantial cost savings and improved experience of care would be realised. © 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK. |
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Authors:
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Matt Whitston; Simone Chung; Julie Henderson; Bob Young |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-12 |
Journal Detail:
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Title: Diabetic medicine : a journal of the British Diabetic Association Volume: - ISSN: 1464-5491 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500858 Medline TA: Diabet Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK. |
Affiliation:
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NHS Information Centre, 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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