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Diabetes Care 28:2082-2084, 2005
© 2005 by the American Diabetes Association, Inc.

Letters: Observations

Characteristics of California Children With Single Versus Multiple Diabetic Ketoacidosis Hospitalizations (1998–2000)

Arlene Smaldone, DNSC, CPNP, CDE1,2, Judy Honig, EDD, CPNP3, Patricia W. Stone, PHD, RN3, Raymond Arons, DRPH4 and Katie Weinger, EDD, RN1,2

1 Behavioral and Mental Health Research, Joslin Diabetes Center, Boston, Massachusetts
2 Departments of Medicine and Psychiatry, Harvard Medical School, Harvard University, Boston, Massachusetts
3 Columbia University School of Nursing, New York, New York
4 Mailman School of Public Health, Columbia University, New York, New York

Address correspondence to Arlene Smaldone, DNSc, CPNP, CDE, Department of Behavior and Mental Health Research, Joslin Diabetes Center, One Joslin Place, Boston, MA 02215. E-mail: arlene.smaldone@joslin.harvard.edu

The first 20% of the full text of this article appears below.

Diabetic ketoacidosis (DKA) is a frequent reason for hospital admission of children with newly diagnosed diabetes (1,2) and the most frequent cause for rehospitalization of children with poorly controlled diabetes (3). DKA is an ambulatory care-sensitive condition for which timely and appropriate outpatient intervention may reduce the need for hospitalization (4,5). We examined DKA hospitalizations for children 0–18 years using 1998–2000 California Office of Statewide Health Planning and Development (COSHPD) hospital discharge data to determine resource use and prevalence of DKA hospitalization for hospitalized pediatric patients. Using ICD-9 codes, we identified 4,957 DKA hospitalizations.

Pediatric DKA accounted for 14,279 hospital days (median length of stay 2 days; mean 2.9 ± 2.3 days). Hospital charges were reported for 83.6% of hospitalizations. Median . . . [Full Text of this Article]


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Copyright © 2005 by the American Diabetes Association.