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Avoidable hospitalizations for diabetes: comorbidity risks.

Melissa M Ahern1, Michael Hendryx

  • 1Department of Health Policy and Administration, Washington State University, WA 99210, USA. ahernm@wsu.edu

Disease Management : DM
|January 1, 2008
PubMed
Summary
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Comorbid conditions significantly increase the risk for avoidable diabetes hospitalizations, costing over $1.3 billion in 2004. Managing these comorbidities is crucial for reducing hospitalizations and healthcare costs.

Area of Science:

  • Public Health
  • Health Services Research
  • Endocrinology

Background:

  • Diabetes hospitalizations are a significant healthcare burden.
  • Ambulatory care sensitive conditions (ACSCs) contribute to preventable hospital admissions.
  • Comorbidities are frequently associated with diabetes management challenges.

Purpose of the Study:

  • To examine the risk factors for avoidable diabetes hospitalizations.
  • To identify the impact of comorbid conditions on these hospitalizations.
  • To estimate the economic burden of avoidable diabetes hospitalizations.

Main Methods:

  • Retrospective analysis of 2004 US hospitalizations with a primary diabetes diagnosis (N=97,526).
  • Utilized the Health Care Utilization Project National Inpatient Sample.

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  • Defined avoidable hospitalizations as ACSCs (short-term complications, uncontrolled diabetes) using logistic regression analysis, controlling for patient and hospital variables.

    • Main Results:

    • ACSCs accounted for 36% (35,312) of all diabetes hospitalizations.
    • Multiple comorbidities were significantly associated with increased risk for avoidable hospitalizations.
    • Total estimated nationwide costs for these avoidable hospitalizations exceeded $1.3 billion in 2004.

    Conclusions:

    • Comorbid conditions are key drivers of avoidable diabetes hospitalizations.
    • Integrating comorbid condition management into diabetes disease management programs can reduce hospitalization risk.
    • Targeting ACSCs offers a strategy to decrease healthcare expenditures associated with diabetes.