Journal article
Hospital Readmission and Emergency Department Use Based on Prescribing Patterns in Patients with Severely Uncontrolled Type 2 Diabetes Mellitus
Diabetes technology & therapeutics, Vol.16(3), pp.15-155
03/01/2014
DOI: 10.1089/dia.2013.0168
PMID: 24224752
Abstract
Background:
Patients with uncontrolled diabetes are more likely to be readmitted to the hospital. The study objective was to determine the risk of hospital admission or emergency department (ED) use in patients with severely uncontrolled type 2 diabetes mellitus based on whether their diabetes medication regimen was intensified at discharge.
Subjects and Methods:
A retrospective cohort study of patients admitted to the medicine services at an academic medical center was conducted during a 9-month period. Medical records were reviewed to identify patients with type 2 diabetes mellitus and hemoglobin A1c >10% who were admitted for more than 24 h. Primary exclusion criteria included pregnancy, age >65 or <18 years, life expectancy of <12 months, hypoglycemia at admission, and new diagnosis of type 2 diabetes. Admission medication lists for patients were compared with discharge medications to determine whether the diabetes regimen was intensified. Patients whose regimen was intensified were then compared with patients whose regimen was not intensified for admissions and ED visits within 3 months after discharge. The primary end point was 90-day all-cause hospital and ED visits.
Results:
Patients who had their regimens intensified had significantly fewer average all-cause hospital and ED visits at 90 days (0.41 vs. 0.85;
P
=0.044). Statistical differences were also found in 30-day all-cause visits, readmissions within 90 days, and hospital-free time.
Conclusions:
Patients whose home diabetes regimen was intensified at discharge were less likely to return to the hospital within 90 days compared with patients whose regimen was not intensified.
Details
- Title: Subtitle
- Hospital Readmission and Emergency Department Use Based on Prescribing Patterns in Patients with Severely Uncontrolled Type 2 Diabetes Mellitus
- Creators
- Phillip H Lee - 1Harrison School of Pharmacy, Auburn University, Auburn, AlabamaAndrea S Franks - 3University of Tennessee Graduate School of Medicine, Knoxville, TennesseePatrick B Barlow - 3University of Tennessee Graduate School of Medicine, Knoxville, TennesseeMichelle Z Farland - 2University of Tennessee Health Science Center College of Pharmacy, Knoxville, Tennessee
- Resource Type
- Journal article
- Publication Details
- Diabetes technology & therapeutics, Vol.16(3), pp.15-155
- Publisher
- Mary Ann Liebert, Inc
- DOI
- 10.1089/dia.2013.0168
- PMID
- 24224752
- ISSN
- 1520-9156
- eISSN
- 1557-8593
- Language
- English
- Date published
- 03/01/2014
- Academic Unit
- ICTS; Center for Social Science Innovation; Office of Consultation and Research in Medical Education; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094210202771
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