Recent Trends in Diabetes-Associated Hospitalizations in the United States

Abstract

The purpose of this study was to examine trends in diabetes-related hospitalizations over the period 2010 to 2019 using Nationwide Inpatient Sample (NIS) to facilitate informed policies regarding diabetes-related prevention and management. Between 2010 and 2019, there were 304 million hospitalizations above 18 years of age, of which 78 million were diabetes-associated hospitalizations. The overall population-adjusted diabetes hospitalizations significantly increased from 3079.0 to 3280.8 per 100,000 US population (relative increase, 6.6%, Ptrend < 0.028). Age-stratified analysis showed that hospitalizations significantly increased for 18–29 years (relative increase, 7.8%, Ptrend < 0.001) while age- and gender-stratified analysis showed that diabetes hospitalization significantly increased for 18–29-year males (relative increase, 18.1%, Ptrend < 0.001). Total hospitalization charge increased from 97.5 billion USD in 2010 to 132.0 billion USD in 2019 (relative increase, 35.4%, Ptrend < 0.001). Our study’s findings suggest that diabetes-associated hospitalizations will continue to increase in the future because recent evidence indicates a reappearance of diabetes complications. It is important to screen, prevent, and control diabetes at a younger age based on the trends observed in our study.

TCM as adjunctive therapy improves risks of respiratory hospitalizations in persons with type 2 diabetes: A retrospective cohort study

“…[39] The treatment effects of CYSKT and LWDHW supported our study findings that TCM use in patients with type 2 diabetes reduces hospital admissions for COPD and asthma. Although we found several prior studies exploring hospitalizations in persons with diabetes focused on predictors of hospitalization due to cardio-kidney complications and treatment failure in persons with chronic kidney disease and type 2 diabetes treated with SGLT2 inhibitors, [40] secular trends in diabetes-related preventable hospitalizations in USA, 1998 to 2006, [41] association of a healthy lifestyle with cause-specific mortality identified from hospitalization, [42] multiple hospitalizations, [43] assessment for hospitalization rates of acute diabetes complications before and after flash glucose monitoring, [44] stress hyperglycemic and the risk of hospitalization for chest pain in patients with ischemia and nonobstructive coronary arteries, [45] trends in diabetes-related potentially preventable hospitalizations in adults in Spain, 1997 to 2015 [46] and trends in diabetes-associated hospitalizations in USA, [47] no study assessed the association between TCM use with COPD-and asthma-related hospitalizations in persons with type 2 diabetes. This study may provide new insights to TCM research.…”

Determinants of disparities of diabetes-related hospitalization rates in Florida: a retrospective ecological study using a multiscale geographically weighted regression approach

“…Despite prior improvements in achieving these goals, the percentage of adults with diabetes meeting glycemic and blood pressure targets have declined since the early 2010s, while the percentage with lipid control has plateaued [ 7 – 9 ]. In addition, rates of lower extremity amputations due to diabetes and diabetes-associated hospitalizations in the US have increased over the course of the past decade [ 10 , 11 ]. In 2017, $69.7 billion in healthcare expenditures in the US were attributed to hospital inpatient stays by patients with diabetes [ 12 ].…”

Glucose Targets Using Continuous Glucose Monitoring Metrics in Older Adults With Diabetes: Are We There Yet?

“…Older adults have a greater risk of impaired awareness of hypoglycemia (IAH) 3 and report hypoglycemic symptoms less frequently. 4 Episodes of hypoglycemia are associated with high burden of diabetes distress both for those living with diabetes and their caregivers, 5 a high risk of emergency room visits and hospitalization, 6,7 and high healthcare costs. 8 Older adults with diabetes represent a heteroge neous population with a wide range in their chronologic, biological, functional, and psychosocial statuses, all of which may impact diabetes self-care and hypoglycemia risk.…”

“…Older adults have a greater risk of impaired awareness of hypoglycemia (IAH) 3 and report hypoglycemic symptoms less frequently. 4 Episodes of hypoglycemia are associated with high burden of diabetes distress both for those living with diabetes and their caregivers, 5 a high risk of emergency room visits and hospitalization, 6,7 and high healthcare costs. 8…”