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Impact of diabetes on hospital admission and length of stay among a general population aged 45 year or more: a record linkage study.
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- Author(s): Comino EJ;Comino EJ; Harris MF; Harris MF; Islam MD; Islam MD; Tran DT; Tran DT; Jalaludin B; Jalaludin B; Jalaludin B; Jorm L; Jorm L; Jorm L; Flack J; Flack J; Haas M; Haas M
- Source:
BMC health services research [BMC Health Serv Res] 2015 Jan 22; Vol. 15, pp. 12. Date of Electronic Publication: 2015 Jan 22.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2001-
- Subject Terms: Diabetes Mellitus, Type 1/*complications ; Diabetes Mellitus, Type 2/*complications ; Hospitalization/*statistics & numerical data; Aged ; Depression/epidemiology ; Diabetes Mellitus, Type 1/epidemiology ; Diabetes Mellitus, Type 2/epidemiology ; Epidemiologic Methods ; Female ; Health Status ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; New South Wales/epidemiology ; Obesity/epidemiology ; Poverty/statistics & numerical data ; Smoking/epidemiology ; Socioeconomic Factors
- Abstract: Background: The increased prevalence of diabetes and its significant impact on use of health care services, particularly hospitals, is a concern for health planners. This paper explores the risk factors for all-cause hospitalisation and the excess risk due to diabetes in a large sample of older Australians.
Methods: The study population was 263,482 participants in the 45 and Up Study. The data assessed were linked records of hospital admissions in the 12 months following completion of a baseline questionnaire. All cause and ambulatory care sensitive admission rates and length of stay were examined. The associations between demographic characteristics, socioeconomic status, lifestyle factors, and health and wellbeing and risk of hospitalisation were explored using zero inflated Poisson (ZIP) regression models adjusting for age and gender. The ratios of adjusted relative rates and 95% confidence intervals were calculated to determine the excess risk due to diabetes.
Results: Prevalence of diabetes was 9.0% (nā=ā23,779). Age adjusted admission rates for all-cause hospitalisation were 631.3 and 454.8 per 1,000 participant years and the mean length of stay was 8.2 and 7.1 days respectively for participants with and without diabetes. In people with and without diabetes, the risk of hospitalisation was associated with age, gender, household income, smoking, BMI, physical activity, and health and wellbeing. However, the increased risk of hospitalisation was attenuated for participants with diabetes who were older, obese, or had hypertension or hyperlipidaemia and enhanced for those participants with diabetes who were male, on low income, current smokers or who had anxiety or depression.
Conclusions: This study is one of the few studies published to explore the impact of diabetes on hospitalisation in a large non-clinical population, the 45 and Up Study. The attenuation of risk associated with some factors is likely to be due to correlation between diabetes and factors such as age and obesity. The increased risk in association with other factors such as gender and low income in participants with diabetes is likely to be due to their synergistic influence on health status and the way services are accessed. - References: Diabetes Care. 2000 Dec;23(12):1774-9. (PMID: 11128351)
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Diabetes Care. 2001 Oct;24(10):1821-33. (PMID: 11574449) - Publication Date: Date Created: 20150123 Date Completed: 20161114 Latest Revision: 20220321
- Publication Date: 20221213
- Accession Number: PMC4310177
- Accession Number: 10.1186/s12913-014-0666-2
- Accession Number: 25609196
- Source:
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