Diabetes trends among delivery hospitalizations in the U.S., 1994-2004

Sandra S Albrecht; Elena V Kuklina; Pooja Bansil; Denise J Jamieson; Maura K Whiteman; Athena P Kourtis; Samuel F Posner; William M Callaghan

doi:10.2337/dc09-1801

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Diabetes trends among delivery hospitalizations in the U.S., 1994-2004

Journal article

Open access

Peer reviewed

Diabetes trends among delivery hospitalizations in the U.S., 1994-2004

Sandra S Albrecht, Elena V Kuklina, Pooja Bansil, Denise J Jamieson, Maura K Whiteman, Athena P Kourtis, Samuel F Posner and William M Callaghan

Diabetes care, Vol.33(4), pp.768-773

04/01/2010

DOI: 10.2337/dc09-1801

PMCID: PMC2845025

PMID: 20067968

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Abstract

To examine trends in the prevalence of diabetes among delivery hospitalizations in the U.S. and to describe the characteristics of these hospitalizations. Hospital discharge data from 1994 through 2004 were obtained from the Nationwide Inpatient Sample. Diagnosis codes were selected for gestational diabetes mellitus (GDM), type 1 diabetes, type 2 diabetes, and unspecified diabetes. Rates of delivery hospitalization with diabetes were calculated per 100 deliveries. Overall, an estimated 1,863,746 hospital delivery discharges contained a diabetes diagnosis, corresponding to a rate of 4.3 per 100 deliveries over the 11-year period. GDM accounted for the largest proportion of delivery hospitalizations with diabetes (84.7%), followed by type 1 (7%), type 2 (4.7%), and unspecified diabetes (3.6%). From 1994 to 2004, the rates for all diabetes, GDM, type 1 diabetes, and type 2 diabetes significantly increased overall and within each age-group (15-24, 25-34, and > or =35 years) (P < 0.05). The largest percent increase for all ages was among type 2 diabetes (367%). By age-group, the greatest percent increases for each diabetes type were among the two younger groups. Significant predictors of diabetes at delivery included age > or =35 years vs. 15-24 years (odds ratio 4.80 [95% CI 4.72-4.89]), urban versus rural location (1.14 [1.11-1.17]), and Medicaid/Medicare versus other payment sources (1.29 [1.26-1.32]). Given the increasing prevalence of diabetes among delivery hospitalizations, particularly among younger women, it will be important to monitor trends in the pregnant population and target strategies to minimize risk for maternal/fetal complications.

Delivery, Obstetric - statistics & numerical data

Diabetes Mellitus - epidemiology

Female

Hospitalization - statistics & numerical data

Humans

Pregnancy

United States - epidemiology

Details

Title: Subtitle: Diabetes trends among delivery hospitalizations in the U.S., 1994-2004
Creators: Sandra S Albrecht - Oak Ridge Associated Universities
Elena V Kuklina
Pooja Bansil - Contraception Research and Development
Denise J Jamieson - National Center for Chronic Disease Prevention and Health Promotion
Maura K Whiteman - National Center for Chronic Disease Prevention and Health Promotion
Athena P Kourtis - Centers for Disease Control and Prevention
Samuel F Posner - National Center for Chronic Disease Prevention and Health Promotion
William M Callaghan - Centers for Disease Control and Prevention
Resource Type: Journal article
Publication Details: Diabetes care, Vol.33(4), pp.768-773
DOI: 10.2337/dc09-1801
PMID: 20067968
PMCID: PMC2845025
NLM abbreviation: Diabetes Care
ISSN: 0149-5992
eISSN: 1935-5548
Language: English
Date published: 04/01/2010
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446275302771

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