Patients with type 2 diabetes had higher rates of hospitalization than the general population

Bo, Simona; Ciccone, Giovannino; Grassi, Giorgio; Gancia, R.; Rosato, Rosalba; Merletti, Franco; Pagano, G

doi:10.1016/j.jclinepi.2004.02.015

Cited by 64 publications

(75 citation statements)

References 19 publications

(42 reference statements)

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“…Females predominated over males when using this indicator per 10.000 inhabitants. The findings are compatible with other studies, such as in Italy, in which women presented higher rates of hospitalization for type DM than men 37 or in the Unified Health System in Brazil. 20 In relation to the sensitivity analysis performed with risk variations, this affects only the groups with chronic complications attributable to DM and general medical conditions, given that the data for hospitalizations for DM itself do not depend on the attributable risk method to be calculated.…”

Section: Resultssupporting

confidence: 92%

Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

Rosa

Nita²,

Rached³

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: to estimate the number of hospitalizations attributable to diabetes mellitus (DM) and its complications within the public healthcare system in Brazil (SUS) and the mean cost paid per hospitalization. Methods: the official database from the Hospital Information System of the Unified Health System (SIH/SUS) was consulted from 2008 to 2010. The proportion of hospitalizations attributable to DM was estimated using attributable risk methodology. The mean cost per hospitalization corresponds to direct medical costs in nursing and intensive care, from the perspective of the SUS. Results: the proportion of hospitalizations attributable to DM accounted for 8.1% to 12.2% of total admissions in the period, varying according to use of maximum (self-reported with correction factor) or minimal (self-reported) DM prevalence. The hospitalization rate was 47 to 70.8 per 10.000 inhabitants per year. The mean cost per hospitalization varied from 1.302 Brazilian Reais (BRL) to 1,315 BRL. Assuming the maximum prevalence, hospitalizations were distributed as 10.3% as DM itself, 36.6% as chronic DM-associated complications and 53.1% as general medical conditions. Advancing age was accompanied by an increase in hospitalization rates and corresponding costs, and more pronounced in male patients. Conclusion: the results express the importance of DM in terms of the use of health care resources and demonstrate that studies of hospitalizations with DM as a primary diagnosis are not sufficient to assess the magnitude of the impact of this disease.

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Section: Resultssupporting

confidence: 92%

Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

Rosa

Nita²,

Rached³

et al. 2014

Rev. Assoc. Med. Bras.

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“…Treatment indicators included home oxygen therapy, 31 steroid treatment, 33 and insulin treatments. 34 Participants who were receiving these services were less likely to be admitted to hospital unnecessarily. Related to, but distinct from self-management support, the coordination of primary care services emerged as a consistent predictor of preventable hospitalization.…”

Section: Programme Prioritiesmentioning

confidence: 99%

Predictors of preventable hospitalization in chronic disease: Priorities for change

Muenchberger

Kendall

2010

J Public Health Pol

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Research in the area of preventable hospitalization, hospital admissions that could otherwise be avoided, provides little guidance in terms of priority areas for change. This synthesis of multiple electronic databases searched systematically for studies related to preventable hospitalization identifies six priority areas for future action in three broad conceptual areas: person priorities (symptom management and supportive relationships), programme priorities (self-management supports and service delivery), and place priorities (local infrastructure and socio-economic opportunities). Attention to these priorities could help reduce preventable hospitalization while simultaneously improving health access and quality of care.

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“…19 the present analysis. The costs (in euros) for daily and ordinary hospitalisations were calculated using the Italian DRGs (Diagnosis Related Groups) system.…”

Section: Cost Of Diabetes Carementioning

confidence: 63%

Some notes on parametric link functions in clinical research

Baldi

Maule

Bigi

et al. 2008

Stat Methods Med Res

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Patients with type 2 diabetes had higher rates of hospitalization than the general population

Cited by 64 publications

References 19 publications

Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

Predictors of preventable hospitalization in chronic disease: Priorities for change

Some notes on parametric link functions in clinical research

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