Diabetes related hospital discharges in Colorado, 1993-1995

Cover of: Diabetes related hospital discharges in Colorado, 1993-1995 |

Published by Health Statistics Section, Chronic Disease Section, Colorado Dept. of Publice Health and Environment in [Denver, Colo.] .

Written in English

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Places:

  • Colorado.

Subjects:

  • Diabetes -- Colorado.,
  • Diabetes -- Complications -- Colorado.,
  • Hospitals -- Admission and discharge -- Colorado.

Edition Notes

Cover title.

Book details

StatementHealth Statistics Section, Chronic Disease Section, Colorado Department of Publice Health and Environment.
ContributionsColorado. Health Statistics Section., Colorado. Chronic Disease Section.
Classifications
LC ClassificationsRA645.D5 D547 1999
The Physical Object
Pagination147 p. :
Number of Pages147
ID Numbers
Open LibraryOL6821544M
LC Control Number00301886
OCLC/WorldCa42075939

Download Diabetes related hospital discharges in Colorado, 1993-1995

Get this from a library. Diabetes related hospital discharges in Colorado, [Colorado. Health Statistics Section.; Colorado. Chronic Disease Section.;]. Facts for Action: Chronic Diseases and Related Risk Factors in Colorado Diabetes’ Impact in Colorado 1.

Daibetes’ Impact. Colorado. November 1 in 3 6%. 1 in 4 people. with diabetes are undiagnosed. An estimated. 1 in. 3 U.S. adults. has prediabetes.

Only 6%. of adult Coloradans were aware of having prediabetes in. In Colorado, 15% of hospital discharges in were related to diabetes. The hospital discharge rate among people with diabetes was 22 per population of people with diabetes in Diabetes is the 8th leading cause of death in Colorado.

Every day in Colorado, 2 people die from diabetes. Diabetes is costly in terms of medicalFile Size: 1MB. OBJECTIVE Effective treatment algorithms are needed to guide diabetes care at hospital discharge in general medicine and surgery patients with type 2 diabetes.

RESEARCH DESIGN AND METHODS This was a prospective, multicenter open-label study aimed to determine the safety and efficacy of a hospital discharge algorithm based on admission HbA1c. Patients with HbA1c Cited by:   Patients with diagnosed diabetes account for > 8 million discharges/year in the United States, 25% of all discharges.

1 Intotal US hospital cost attributable to diabetes Author: Daniel J Rubin. Applying survey methods to adjust for sampling weights, there were an estimated 1, records with diabetes am, delivery discharges: an overall rate of discharges with diabetes per deliveries in the U.S.

from to Among those with a code for GDM, the rate over this time period was per deliveries. Hospital readmission is a high-priority health care quality measure and target for cost reduction, particularly within 30 days of discharge (day readmission, aka early readmission) [1,2,3].Despite the broad interest in readmission, relatively little research has focused specifically on readmission of patients with diabetes [4,5,6].The burden of diabetes among hospitalized patients.

This is the first randomized trial to study the impact of inpatient diabetes management, education, and discharge transition planning on glycemic control up to 1 year after hospital discharge.

While the intervention had little impact in patients treated with insulin prior to hospital admission, it was beneficial in insulin-naïve patients.

Hospitalizations with diabetes-associated conditions are from the State Inpatient Databases (SID) from the Healthcare Cost and Utilization Project sponsored by the Agency for Healthcare Research and Quality.

The included conditions are congestive heart failure, stroke, myocardial infarction, lower extremity amputations, hyperosmolar. Starting Januarythe role of the CDE was expanded from providing diabetes self-management education to now include case management services (DCM) ().Both CDEs and DCMs were consulted on individuals deemed to be “high risk patients”, but DCMs also focused on daily interactions and collaborations with medical and nursing team to improve glycemic management in the whole hospital.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. related to hospital discharge. Diabetes focused discharge planning should begin upon admission and continue throughout hospitalization to prepare for a smooth transition from hospital to outpatient care.

14, 21 Diabetes case management adherence guidelines are available online from the Case Management Society of America. Twelve-month study- focus on secondary diagnosis of DM.

In our larger data set there w adult inpatient discharges between October 1, and Septem and 21% () of patients had known DM (Table 5).Readmission rates for all encounters (inpatient, ED and Observation care) were % in patients with DM and % in those without DM (p.

American Association of Diabetes Educators, Chicago, IL 1 Role of the Diabetes Educator in Inpatient Diabetes Management August Diabetes educators are a valuable asset to the interdisciplinary team and are uniquely prepared to facilitate change and implement processes and programs to improve glycemic control.

More Recent Practice. Since the initiation of diagnosis-related group billing codes, case management, 16 and other cost-containment strategies, newly diagnosed patients with diabetes, when hospitalized, have shorter lengths of stay with limited time for instruction.

Referral to home health agencies for continued instruction has become more common. 17,18 Patient learning centers have also. Diabetes is a complex disease that requires daily self-management - making healthy food choices, staying physically active, monitoring your blood sugar and taking medications as prescribed.

It is also important to talk regularly with your diabetes care team to problem solve, reduce risks for complications and cope with lifestyle changes. s Year of Diagnosis The Annual Data Book 33 Number of Hospital Discharges Due to Diabetes Related Diagnoses by Age and Race/Ethnicity, Westchester County Residents, iv.

Diabetes is a huge economic and clinical burden to the health care system in the U.S. However, the incremental effect of diabetes complications has not been well documented in the literature.

In addition, diabetes-related hospitalization discharge status has not been thoroughly examined. Diabetes-related amputations of lower extremities in the Medicare population–Minnesota, – MMWR Morb Mortal Wkly Rep –, OpenUrl PubMed.

Diabetes is a common condition, afflicting > 20% of the American population over the age of 60 years. 1 Patients with diabetes, particularly those with lower socioeconomic status or limited access to primary care, frequently seek care in hospital emergency departments.

2–6 This article will review the most common and immediately life-threatening diabetes-related complications seen in. Figure 1. Percentage of diabetes-related a emergency department (ED) visits for patients aged 18 years and older by expected primary payer, a Diabetes mellitus appears as a diagnosis on the discharge record.

b p. Table 1. Hospitals stays of patients with diabetes compared to those without diabetes, Hospital stays for patients with diabetes* Hospital stays for patients without diabetes* Hospital stays for patients with diabetes as principal diagnosis** Total number of discharges: 7, 32,Percentage of total discharges: %.

Test your blood sugar as directed, write the results in your log book, and bring the log book with you to all your medical appointments. Make an appointment with your primary care doctor after you get home. Tell your primary care doctor about your hospital stay.

Make an appointment for outpatient diabetes. Variation in Prevalence of Gestational Diabetes Mellitus Among Hospital Discharges for Obstetric Delivery Across 23 States in the United States Barbara H. Bardenheier, PHD, MPH, MA, 1 Anne Elixhauser, PHD, 2 Giuseppina Imperatore, MD, PHD, 1 Heather M.

Devlin, MA, 1 Elena V. Kuklina, MD, PHD, 4 Linda S. Geiss, MA, 1 and Adolfo Correa, MD. In in the United States,hospital discharges listed diabetes as a principal diagnosis, and more than 4 million discharges listed diabetes in any diagnostic field Nearly one third of diabetes patients may require 2 or more hospitalizations a year,5 and inpatient stays are the largest expense incurred by persons with this disease.

In the first study, the readmission rate was 26% in patients with diabetes vs 22% in patients without diabetes. The most common cause for readmission was diabetes-related in patients with a principal diagnosis of diabetes on index admission, whereas the most common cause for readmission in patients with a secondary diagnosis of diabetes was infection-related.

11/19/ - The Maternal and Child Health Status Indicators Report is now available. 10/22/ - The County Health Profiles have been updated. 10/22/ - The Hospital Report is now available. 10/22/ - The Ambulatory Surgery Center Report is now available. 10/21/ - The Hospital Discharge dataset in EDDIE was updated with data.

Hospital Discharge Rates for Nontraumatic Lower Extremity Amputation by Diabetes Status United States, Lower extremity amputation (LEA) is a costly and disabling procedure that disproportionately affects persons with diabetes (1,2).One of the national health objectives for was to reduce the LEA rate from a baseline of approximately eight per 1, persons with diabetes.

Anne Elixhauser, Ph.D. is senior research scientist with the Agency for Healthcare Research and Quality. She works on the development of hospital administrative databases and tools for use with. diabetes prevalence, hospitalizations and mortality, and track closely with patterns of overweight and obesity, and with the related behaviors of physical inactivity and Diabetes prevalence (%), ages 18+ Figure 1 0 2 4 6 8 10 ES-1 Diabetes in New York City:Public Health Burden and Disparities.

Article Citation: Kathleen Dungan, Sharon Lyons, Kavya Manu, Manjusha Kulkarni, Khalid Ebrahim, Cara Grantier, Cara Harris, Dawn Black, and Dara Schuster () An Individualized Inpatient Diabetes Education and Hospital Transition Program for Poorly Controlled Hospitalized Patients with Diabetes.

Endocrine Practice: DecemberVol. 20, No. 12, pp. One third of the costs of medical care for people with diabetes are related to hospitalization." Difficult" diabetic patient, i.e.

those with very high HbA1c, patients > 75y, those with diabetic foot ulcers, or those with a recent cardiovascular event have a high rate of readmission when discharged at home after an initial hospitalization related to diabetes or its complications.

dence supports the notion that inpatient education is related to earlier dis-charge and improved outcomes following discharge. From the s (and even earlier) to the s, patients with newly diag-nosed type 2 diabetes and certainly those with type 1 diabetes were admitted to the hospital for initiation of medication and nutrition therapy.

$58 billion to treat the portion of diabetes-related chronic complications that are attributed to diabetes $31 billion in excess general medical costs By the total cost of diabetes had increased to $ billion,meaning that the disease’s toll on the economy has increased by more than 40 percent sinceaccording to a recent report.

Current information on diabetes and prediabetes at the national and state levels. Diabetes and Obesity Maps Download maps of diabetes and obesity, by county, in, and Health Care Statistics.

Hospital discharge data for short-stay hospitals is collected by the Michigan Health and Hospital Division for Vital Records & Health Statistics tabulates this data to provide statistical information on hospitalizations of Michigan’s residents.

Inpatient diabetes education is associated with less frequent hospital readmission among patients with poor glycemic control. Diabetes Care. Oct; 36(10) CDC/NCHS National Hospital Discharge Survey, Average length of stay and days of care; number and rate of discharges by first listed diagnostic categories.

The purpose of this study is to identify and explore the existing components of discharge planning provided to patients with insulin treated diabetes in the inpatient setting and to examine the contribution of glycemic excursions as well as comprehension of discharge instructions among patients with diabetes, in predicting hospital readmissions.

Care guide for Type 1 Diabetes in Children (Discharge Care). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support. For example, the tool shows that in Colorado, a Medicaid expansion state, there was a 50 percent increase in Medicaid-covered hospital stays during.

However, discharge order sets have largely been limited to the inpatient setting and have not been utilized to guide insulin use at hospital discharge.

This study will assess whether a nurse supported diabetes focused inpatient discharge order set (DOS) can improve post-discharge outcomes among hospitalized patients with poorly controlled. provides accurate and independent information on more t prescription drugs, over-the-counter medicines and natural products.

This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 2 Nov ), Cerner Multum™ (updated 2 Nov ). The diabetes-related laboratory data were also recorded: fasting blood glucose and 2-h postprandial glucose (both at admission and at discharge), and hemoglobin A1c (HbA1c) level.

Subjects were eligible if they met the World Health Organization diagnostic criteria for diabetes mellitus [ 13 ] and were 60 years old or older.

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