Hospital Readmission of Patients with Diabetes

Rubin, Daniel J.

doi:10.1007/s11892-015-0584-7

Cited by 131 publications

(125 citation statements)

References 58 publications

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“…In patients with diabetes, the readmission rate is between 14 and 20% (76). Risk factors for readmission include lower socioeconomic status, certain racial/ethnic minority groups, comorbidities, urgent admission, and recent prior hospitalization (76).…”

Section: Preventing Readmissionsmentioning

confidence: 99%

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14. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2018

2017

Diabetes Care

157

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The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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Section: Preventing Readmissionsmentioning

confidence: 99%

“…Risk factors for readmission include lower socioeconomic status, certain racial/ethnic minority groups, comorbidities, urgent admission, and recent prior hospitalization (76). Of interest, 30% of patients with two or more hospital stays account for over 50% of hospitalizations and their accompanying hospital costs (77).…”

Section: Preventing Readmissionsmentioning

confidence: 99%

14. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2018

2017

Diabetes Care

157

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“…Readmissions were a significant contribution to these expenditures. Compared to patients without DM, patients with DM were more likely to be readmitted with other comorbid conditions such as heart failure, myocardial infarction, and cardiac surgery [13]. In recent studies, the 30-day readmission rate for hospitalized patients with DM is estimated to be 14.4–22.7% [14–18], much higher than the rate for all hospitalized patients (8.5–13.5%) [19, 20].…”

Section: Introductionmentioning

confidence: 99%

The relationship between diabetes mellitus and 30-day readmission rates

Ostling

Wyckoff

Ciarkowski

et al. 2017

Clin Diabetes Endocrinol

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BackgroundIt is estimated that 9.3% of the population in the United States have diabetes mellitus (DM), 28% of which are undiagnosed. The high prevalence of DM makes it a common comorbid condition in hospitalized patients. In recent years, government agencies and healthcare systems have increasingly focused on 30-day readmission rates to determine the complexity of their patient populations and to improve quality. Thirty-day readmission rates for hospitalized patients with DM are reported to be between 14.4 and 22.7%, much higher than the rate for all hospitalized patients (8.5–13.5%). The objectives of this study were to (1) determine the incidence and causes of 30-day readmission rates for patients with diabetes listed as either the primary reason for the index admission or with diabetes listed as a secondary diagnosis compared to those without DM and (2) evaluate the impact on readmission of two specialized inpatient DM services: the Hyperglycemic Intensive Insulin Program (HIIP) and Endocrine Consults (ENDO).MethodsFor this study, DM was defined as any ICD-9 discharge diagnosis (principal or secondary) of 250.xx. Readmissions were defined as any unscheduled inpatient admission, emergency department (ED) visit, or observation unit stay. We analyzed two separate sets of patient data. The first pilot study was a retrospective chart review of all patients with a principle or secondary admission diagnosis of diabetes admitted to any adult service within the University of Michigan Health System (UMHS) between October 1, 2013 and December 31, 2013. We then did further uncontrolled analysis of the patients with a principal admitting diagnosis of diabetes. The second larger retrospective study included all adults discharged from UMHS between October 1, 2013 and September 30, 2014 with principal or secondary discharge diagnosis of DM (ICD-9-CM: 250.xx).ResultsIn the pilot study of 7763 admissions, the readmission rate was 26% for patients with DM and 22% for patients without DM. In patients with a primary diagnosis of DM on index admission, the most common cause for readmission was DM-related. In the larger study were 37,702 adult inpatient discharges between October 1, 2013 and September 30, 2014. Of these, 20.9% had DM listed as an encounter diagnosis. Rates for all encounters (inpatient, ED and Observation care) were 24.3% in patients with DM compared to 17.7% in those without DM (p < 0.001). The most common cause for readmission in patients with DM as a secondary diagnosis to the index admission was infection-related.During the index hospital stay, only a small proportion of patients with DM (approximately 12%) received any DM service consult. Those who received a DM consult had a higher case mix index compared to those who did not. Despite the higher acuity, there was a lower rate of ED /observation readmission in patients followed by the DM services (6.6% HIIP or ENDO vs. 9.6% no HIIP or ENDO, p = 0.0012), though no difference in the inpatient readmission rates (17.6% HIIP or ENDO vs. 17.4% no HIIP or ENDO, p = 0...

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“…Proses readmisi dikaitkan dengan perhitungan kualitas penanganan pasien di rumah sakit (Rubin, 2015;Dungan, 2012). Penyakit diabetes merupakan penyakit metabolisme tubuh yang saat ini belum ada obat yang dapat menyembuhkannya dan dapat menimbulkan penyakit komplikasi-komplikasi lainnya.…”

Section: Pendahuluanunclassified

Analisis Komparatif Evaluasi Performa Algoritma Klasifikasi pada Readmisi Pasien Diabetes

Yusa¹,

Utami²,

Luthfi³

2016

JBI

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Abstract. Readmission is associated with quality measures on patients in PendahuluanReadmisi Rumah Sakit (Hospital Readmission) adalah suatu tindakan atau kejadian seorang pasien dirawat kembali yang sebelumnya telah mendapatkan layanan rawat inap dirumah sakit (Iskandar, 2014). Proses readmisi dikaitkan dengan perhitungan kualitas penanganan pasien di rumah sakit (Rubin, 2015;Dungan, 2012). Penyakit diabetes merupakan penyakit metabolisme tubuh yang saat ini belum ada obat yang dapat menyembuhkannya dan dapat menimbulkan penyakit komplikasi-komplikasi lainnya. Pasien penderita diabetes dituntut untuk menjaga tingkat glukosa dalam tubuh agar tetap berada di level yang sehat. Karena tingkat perawatan inap pasien diabetes berada di angka yang tinggi (Ramirez, dkk., 2012), sehingga biaya perawatan yang dibayarkan cenderung mahal (American Diabetes Association, 2013).Perhitungan kualitas terhadap pelayanan penyakit diabetes dapat dilihat dari proses medikasi, etnis, ras, gaya hidup, umur, dll. Di dalam penyakit diabetes, perbedaan atribut terkait pasiennya sangat berpengaruh terhadap kualitas pengobatan yang merujuk pada ketahanan

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Hospital Readmission of Patients with Diabetes

Cited by 131 publications

References 58 publications

14. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2018

14. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2018

The relationship between diabetes mellitus and 30-day readmission rates

Analisis Komparatif Evaluasi Performa Algoritma Klasifikasi pada Readmisi Pasien Diabetes

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