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Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes
OBJECTIVE: Repeated hospitalisation for patients is common and costly, yet partly preventable. However, we know little about readmissions for patients with diabetes in China. The current study aims to assess the frequency and temporal pattern of and risk factors for all-cause readmission among hospi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636613/ https://www.ncbi.nlm.nih.gov/pubmed/26525716 http://dx.doi.org/10.1136/bmjopen-2014-007362 |
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author | Liu, Xiaoqian Liu, Yuanyuan Lv, Yuanjun Li, Changping Cui, Zhuang Ma, Jun |
author_facet | Liu, Xiaoqian Liu, Yuanyuan Lv, Yuanjun Li, Changping Cui, Zhuang Ma, Jun |
author_sort | Liu, Xiaoqian |
collection | PubMed |
description | OBJECTIVE: Repeated hospitalisation for patients is common and costly, yet partly preventable. However, we know little about readmissions for patients with diabetes in China. The current study aims to assess the frequency and temporal pattern of and risk factors for all-cause readmission among hospitalised patients with diabetes in Tianjin, China. METHOD: This retrospective, cohort analysis used the Tianjin Basic Medical Insurance Register System data of 2011. The patterns of and the reasons for all-cause readmissions for patients with diabetes were described. The differences of readmission-free survival (RFS) between newly and previously diagnosed patients were compared. Time-dependent Cox models were established to identify the risk factors for readmission at different time intervals after discharge. RESULTS: Readmission rates were approximately 30%, with the most common diagnoses of cerebral infarction (for type I) or diabetes (for type II) for patients with diabetes. The majority of patients were readmitted to the hospital after more than 90 days, followed by 8–30 days (all p=0.002). Approximately 37.2% and 42.8% of readmitted patients with type I and type II diabetes were diagnosed previously, and the RFS rates for previously diagnosed patients were significantly lower than for newly diagnosed patients at any time interval after discharge. Prior history of diabetes (all p<0.05), length of stay (all p<0.01) and reimbursement ratio (90% vs >92%, all p<0.0002) were consistently associated with the RFS for patients readmitted to the hospital at <7, 8–30, 31–60 and 61–90 days. CONCLUSIONS: Hospital readmissions among patients with diabetes were affected by the diagnosis status. Patient characteristics and the quality of healthcare might regulate short-interval and long-interval hospital readmission, respectively, after discharge. |
format | Online Article Text |
id | pubmed-4636613 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-46366132015-11-13 Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes Liu, Xiaoqian Liu, Yuanyuan Lv, Yuanjun Li, Changping Cui, Zhuang Ma, Jun BMJ Open Diabetes and Endocrinology OBJECTIVE: Repeated hospitalisation for patients is common and costly, yet partly preventable. However, we know little about readmissions for patients with diabetes in China. The current study aims to assess the frequency and temporal pattern of and risk factors for all-cause readmission among hospitalised patients with diabetes in Tianjin, China. METHOD: This retrospective, cohort analysis used the Tianjin Basic Medical Insurance Register System data of 2011. The patterns of and the reasons for all-cause readmissions for patients with diabetes were described. The differences of readmission-free survival (RFS) between newly and previously diagnosed patients were compared. Time-dependent Cox models were established to identify the risk factors for readmission at different time intervals after discharge. RESULTS: Readmission rates were approximately 30%, with the most common diagnoses of cerebral infarction (for type I) or diabetes (for type II) for patients with diabetes. The majority of patients were readmitted to the hospital after more than 90 days, followed by 8–30 days (all p=0.002). Approximately 37.2% and 42.8% of readmitted patients with type I and type II diabetes were diagnosed previously, and the RFS rates for previously diagnosed patients were significantly lower than for newly diagnosed patients at any time interval after discharge. Prior history of diabetes (all p<0.05), length of stay (all p<0.01) and reimbursement ratio (90% vs >92%, all p<0.0002) were consistently associated with the RFS for patients readmitted to the hospital at <7, 8–30, 31–60 and 61–90 days. CONCLUSIONS: Hospital readmissions among patients with diabetes were affected by the diagnosis status. Patient characteristics and the quality of healthcare might regulate short-interval and long-interval hospital readmission, respectively, after discharge. BMJ Publishing Group 2015-11-02 /pmc/articles/PMC4636613/ /pubmed/26525716 http://dx.doi.org/10.1136/bmjopen-2014-007362 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Diabetes and Endocrinology Liu, Xiaoqian Liu, Yuanyuan Lv, Yuanjun Li, Changping Cui, Zhuang Ma, Jun Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes |
title | Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes |
title_full | Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes |
title_fullStr | Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes |
title_full_unstemmed | Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes |
title_short | Prevalence and temporal pattern of hospital readmissions for patients with type I and type II diabetes |
title_sort | prevalence and temporal pattern of hospital readmissions for patients with type i and type ii diabetes |
topic | Diabetes and Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636613/ https://www.ncbi.nlm.nih.gov/pubmed/26525716 http://dx.doi.org/10.1136/bmjopen-2014-007362 |
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