Volume 12, Issue 9 pp. 686-696

ORIGINAL ARTICLE

Factors affecting the likelihood of a hospitalization following a diabetes-related emergency department visit: A regional and urban-rural analysis

糖尿病相关急诊就诊后住院可能性的影响因素:区域和城乡分析

Alva O. Ferdinand,

Corresponding Author

Alva O. Ferdinand

[email protected]

orcid.org/0000-0002-5941-8335

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

Correspondence

Alva O. Ferdinand, Department of Health Policy & Management, 101 Administration Building, College Station, TX 77843-1266.

Email: [email protected]

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Marvellous A. Akinlotan,

Marvellous A. Akinlotan

orcid.org/0000-0002-3919-889X

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

College of Nursing, Texas A&M University, Bryan, Texas, USA

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Timothy Callaghan,

Timothy Callaghan

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

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Samuel D. Towne Jr,

Samuel D. Towne Jr

orcid.org/0000-0002-7310-5837

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

Department of Health Management & Informatics, University of Central Florida, Orlando, Florida, USA

Disability, Aging, & Technology Faculty Cluster Initiative, University of Central Florida, Orlando, Florida, USA

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Jane N. Bolin,

Jane N. Bolin

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

College of Nursing, Texas A&M University, Bryan, Texas, USA

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Alva O. Ferdinand,

Corresponding Author

Alva O. Ferdinand

[email protected]

orcid.org/0000-0002-5941-8335

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

Correspondence

Alva O. Ferdinand, Department of Health Policy & Management, 101 Administration Building, College Station, TX 77843-1266.

Email: [email protected]

Search for more papers by this author

Marvellous A. Akinlotan,

Marvellous A. Akinlotan

orcid.org/0000-0002-3919-889X

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

College of Nursing, Texas A&M University, Bryan, Texas, USA

Search for more papers by this author

Timothy Callaghan,

Timothy Callaghan

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

Search for more papers by this author

Samuel D. Towne Jr,

Samuel D. Towne Jr

orcid.org/0000-0002-7310-5837

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

Department of Health Management & Informatics, University of Central Florida, Orlando, Florida, USA

Disability, Aging, & Technology Faculty Cluster Initiative, University of Central Florida, Orlando, Florida, USA

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Jane N. Bolin,

Jane N. Bolin

Department of Health Policy & Management, Texas A&M University, School of Public Health, College Station, Texas, USA

Southwest Rural Health Research Center, Texas A&M University, School of Public Health, College Station, Texas, USA

College of Nursing, Texas A&M University, Bryan, Texas, USA

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First published: 20 May 2020

https://doi.org/10.1111/1753-0407.13066

Citations: 4

Funding information: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services, Grant/Award Number: U1CHR30040.004

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Abstract

Background

The objective of this study is to examine place-based and individual-level predictors of diabetes-related hospitalizations that stem from emergency department (ED) visits.

Methods

We conducted a pooled cross-sectional analysis of the National Inpatient Sample (NIS) for 2009 to 2014 to identify ED-initiated hospitalizations that were driven by the need for diabetes care. The odds of an ED-initiated diabetes-related hospitalization were assessed for the United States as a whole and separately for each census region.

Results

Nationally, residents of noncore areas (odds ratio [OR] 1.10; CI 1.08, 1.12), the South (OR 8.03; CI 6.84, 9.42), Blacks (OR 2.49; CI 2.47, 2.52), Hispanics (OR 2.32; CI 2.29, 2.35), Asians or Pacific Islanders (OR 1.20; CI 1.16, 1.23), Native Americans (OR 2.18; CI 2.10, 2.27), and the uninsured (OR 2.14; CI 2.11, 2.27) were significantly more likely to experience an ED-initiated hospitalization for diabetes care. Census region-stratified models showed that noncore residents of the South (OR 1.17; CI 1.14, 1.20) and Midwest (OR 1.06; CI 1.02, 1.11) had higher odds of a diabetes-related ED-initiated hospitalization.

Conclusions

As continued efforts are made to reduce place-based disparities in diabetes care and management, targeted focus should be placed on residents of noncore areas in the South and Midwest, racial and ethnic minorities, as well as the uninsured population.

摘要

背景

本研究的目的是检验基于地点和个体水平的预测因素在急诊科就诊而导致的糖尿病相关住院。

方法

我们对2009年至2014年的全国住院患者样本(NIS)的横断面研究进行了合并分析, 以确定需进行糖尿病治疗的急诊住院。对整个美国和每个人口普查地区分别评估了急诊糖尿病相关住院的几率。

结果

在全国范围内, 非核心区居民(OR 1.10；CI 1.08, 1.12), 南方(OR 8.03；CI 6.84, 9.42), 黑种人(OR 2.49；CI 2.47, 2.52), 西班牙裔(OR 2.32；CI 2.29, 2.35), 亚洲人或太平洋岛民(OR 1.20；CI 1.16, 1.23), 美洲原住民(OR 2.18；CI 2.10, 2.27), 以及未参保者(OR 2.14；CI2.11, 2.27)更有可能经历急诊糖尿病住院治疗。人口普查区域分层模型显示, 南部(OR 1.17；CI 1.14, 1.20)和中西部(OR 1.06；CI 1.02, 1.11)的非核心居民与糖尿病相关的急诊住院几率更高。

结论

除了继续努力减少糖尿病护理和管理中基于地区差异, 应该有针对性地将重点放在南部和中西部非核心地区的居民, 种族和少数民族以及未参保的人群上。

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Citing Literature

Volume12, Issue9

September 2020

Pages 686-696

This article also appears in:

Clinical Science

Factors affecting the likelihood of a hospitalization following a diabetes-related emergency department visit: A regional and urban-rural analysis

糖尿病相关急诊就诊后住院可能性的影响因素:区域和城乡分析

Abstract

Background

Methods

Results

Conclusions

摘要

背景

方法

结果

结论

REFERENCES

Citing Literature

References

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Factors affecting the likelihood of a hospitalization following a diabetes-related emergency department visit: A regional and urban-rural analysis

糖尿病相关急诊就诊后住院可能性的影响因素:区域和城乡分析

Abstract

Background

Methods

Results

Conclusions

摘要

背景

方法

结果

结论

REFERENCES

Citing Literature

References

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