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首页> 外文期刊>Journal of diabetes. >Factors affecting the likelihood of a hospitalization following adiabetes-relatedemergency department visit: A regional andurban-ruralanalysis
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Factors affecting the likelihood of a hospitalization following adiabetes-relatedemergency department visit: A regional andurban-ruralanalysis

机译：影响因素的可能性住院后adiabetes-relatedemergency部门访问:A区域andurban-ruralanalysis

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Background The objective of this study is to examine place-based and individual-level predictors of diabetes-related hospitalizations that stem from emergency department (ED) visits. Methods We conducted a pooled cross-sectional analysis of the National Inpatient Sample (NIS) for 2009 to 2014 to identify ED-initiated hospitalizations that were driven by the need for diabetes care. The odds of an ED-initiated diabetes-related hospitalization were assessed for the United States as a whole and separately for each census region. Results Nationally, residents of noncore areas (odds ratio [OR] 1.10; CI 1.08, 1.12), the South (OR 8.03; CI 6.84, 9.42), Blacks (OR 2.49; CI 2.47, 2.52), Hispanics (OR 2.32; CI 2.29, 2.35), Asians or Pacific Islanders (OR 1.20; CI 1.16, 1.23), Native Americans (OR 2.18; CI 2.10, 2.27), and the uninsured (OR 2.14; CI 2.11, 2.27) were significantly more likely to experience an ED-initiated hospitalization for diabetes care. Census region-stratified models showed that noncore residents of the South (OR 1.17; CI 1.14, 1.20) and Midwest (OR 1.06; CI 1.02, 1.11) had higher odds of a diabetes-related ED-initiated hospitalization. Conclusions As continued efforts are made to reduce place-based disparities in diabetes care and management, targeted focus should be placed on residents of noncore areas in the South and Midwest, racial and ethnic minorities, as well as the uninsured population.
机译：本研究的目的是背景检查实体和个人层面与糖尿病有关的住院治疗的预测因素,急诊科(ED)访问。方法:我们进行了一次集中的横断面分析全国住院病人样本(NIS)2009年到2014年确定ED-initiated由于需要住院治疗糖尿病护理。糖尿病引起的住院治疗进行评估美国作为一个整体,分别对于每个地区人口普查。非核心业务地区的居民(比值比(或)1.10;可信区间1.08,1.12),韩国(或8.03;9.42),黑人(或2.49;(或2.32;岛民(或1.20;美国人(或2.18;保险(或2.14;明显更可能经历一个ED-initiated住院糖尿病护理。人口普查显示region-stratified模型非核心南部的居民(或1.17;1.20)和中西部(或1.06;糖尿病引起的ED-initiated几率更高住院治疗。是用来减少实体之间的差距糖尿病护理和管理,有针对性的重点应该放在非核心业务地区的居民南部和中西部,种族和民族少数民族,人口以及保险。

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