HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) All Versions of this Article: dc06-2070v1 30/5/1281    most recent Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kim, S. Search for Related Content PubMed PubMed Citation Articles by Kim, S. Social Bookmarking                What's this?

Burden of Hospitalizations Primarily Due to Uncontrolled Diabetes

Implications of inadequate primary health care in the United States

Department of Epidemiology and Biostatistics, Stempel School of Public Health, Florida International University, Miami, Florida

Address correspondence and reprint requests to Sunny Kim, School of Public Health, HLS 575, Florida International University, 11200 SW 8th St., Miami, FL 33199. E-mail: skim@fiu.edu

Abbreviations: AHRQ, Agency for Healthcare Research and Quality • HCUP, Healthcare Cost and Utilization Project • NIS, National Inpatient Survey • PQI, prevention quality indicator

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

	INTRODUCTION

 
This study describes the burden of potentially preventable hospitalizations primarily due to uncontrolled diabetes. Uncontrolled diabetes, if not managed properly, often leads to biochemical imbalances that can cause acute life-threatening events and hospitalizations. Since diabetes management relies heavily on ambulatory care, hospitalizations with uncontrolled diabetes largely reflect the quality of the primary health care provided outside the hospital setting. Therefore, the Agency for Healthcare Research and Quality (AHRQ) selected uncontrolled diabetes as a prevention quality indicator (PQI) where timely and appropriate ambulatory care would have prevented a hospitalization (1). To improve primary health care, it is essential to track an outcome of current status of prevention quality indicators. However, the extent of potentially preventable hospitalizations associated with uncontrolled diabetes and its economic burden in the U.S. remains under-investigated.

	RESEARCH DESIGN AND METHODS—

 
A primary diagnosis indicative of uncontrolled diabetes was analyzed using two nationally representative samples of inpatients records. First, to estimate the number of potentially preventable hospitalizations, the National Hospital Discharge Survey (NHDS) was analyzed. The NHDS-2004, the latest annual survey available (2), acquired a probabilistic sample of 370,785 inpatient records from a national sample of 500 hospitals. Overall, the hospital response rate was 92% in 2004 (3). Details concerning sampling procedures are published elsewhere (4). Briefly, the NHDS, conducted . . . [Full Text of this Article]

	RESULTS—

 

	CONCLUSIONS—

 

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?