Risk factors for 30-day readmission following hypoglycemia-related emergency room and inpatient admissions

ObjectiveHypoglycemia is a serious complication of diabetes treatment. This retrospective observational study characterized hypoglycemia-related hospital emergency room (ER) and inpatient (in-pt) admissions and identified risk factors for 30-day all-cause and hypoglycemia-related readmission.Researc...

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Bibliographic Details
Published in:BMJ open diabetes research & care 2016, Vol.4 (1), p.e000160-e000160
Main Authors: Emons, M F, Bae, J P, Hoogwerf, B J, Kindermann, S L, Taylor, R J, Nathanson, B H
Format: Article
Language:English
Subjects:
African Americans
Age
Bias
Coma
Data bases
Dementia
Diabetes
Emergency medical care
Emotional disorders
Epidemiology/Health Services Research
Health care access
Health care policy
Health Insurance Portability & Accountability Act 1996-US
Hospitals
Hypoglycemia
Laboratories
Mortality
Race
Socioeconomic factors
Studies
Variables
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Summary:ObjectiveHypoglycemia is a serious complication of diabetes treatment. This retrospective observational study characterized hypoglycemia-related hospital emergency room (ER) and inpatient (in-pt) admissions and identified risk factors for 30-day all-cause and hypoglycemia-related readmission.Research design and methods4476 hypoglycemia-related ER and in-pt encounters with discharge dates from 1/1/2009 to 3/31/2014 were identified in a large, multicenter electronic health record database. Outcomes were 30-day all-cause ER/hospital readmission and hypoglycemia-related readmission. Multivariable logistic regression methods identified risk factors for both outcomes.Results1095 (24.5%) encounters had ER/hospital all-cause readmission within 30 days and 158 (14.4%) of these were hypoglycemia-related. Predictors of all-cause 30-day readmission included recent exposure to a hospital/nursing home (NH)/skilled nursing facility (SNF; OR 1.985, p
ISSN:2052-4897
2052-4897
DOI:10.1136/bmjdrc-2015-000160