| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website http://www.jocmr.org |
Original Article
Volume 9, Number 1, January 2017, pages 35-39
Predictors of Recurrent Hospital Admission for Patients Presenting With Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State
Tables
| Characteristic | |
|---|---|
| Age in years, mean (range) | 39.3 (5 - 88) |
| Diabetic complication | |
| DKA, N (%) | 355 (96.7) |
| HHS, N (%) | 12 (3.3) |
| Sex | |
| Male, N (%) | 180 (49.0) |
| Female, N (%) | 187 (51.0) |
| HbA1C on admission, mean (range) | 10.86 (5.1 - 19.1) |
| Controls, N (%) | Cases, N (%) | Pooled, N (%) | Odds of readmission (OR; 95% CI; P) | |
|---|---|---|---|---|
| Age (A) | 3.021; 1.878 - 4.866; P < 0.0001 | |||
| < 35 years | 93 (34.7) | 61 (61.6) | 154 (42.0) | |
| ≥ 35 years | 175 (65.3) | 38 (38.4) | 213 (58.0) | |
| Behavioral health history (B) | 3.465; 2.085 - 5.758; P < 0.0001 | |||
| History of depression | 47 (17.5) | 42 (42.4) | 89 (24.3) | |
| No history of depression | 221 (82.5) | 57 (57.6) | 278 (75.7) | |
| Insurance Coverage (C) | 1.773; 1.051 - 2.99; P = 0.032 | |||
| Self-pay/publicly funded | 171 (63.8) | 75 (75.8) | 246 (67.0) | |
| Private insurance | 97 (36.2) | 24 (24.2) | 121 (33.0) | |
| Addiction history (D) | 2.828; 1.736 - 4.606; P < 0.0001 | |||
| Alcohol/substance abuse | 61 (22.8) | 45 (45.5) | 106 (28.9) | |
| No alcohol/substance abuse | 207 (77.2) | 54 (54.5) | 261 (71.1) | |
| Race/ethnicity | 0.742; 0.396 - 1.389; P = 0.3508 | |||
| Non-white or Hispanic | 52 (19.4) | 15 (15.2) | 67 (18.3) | |
| White, non-Hispanic | 216 (80.6) | 84 (84.8) | 300 (81.7) | |
| HbA1C level | 1.458; 0.914 - 2.323; P = 0.1123 | |||
| HbA1C > 10.6 | 132 (49.3) | 58 (58.6) | 190 (51.8) | |
| HbA1C ≤ 10.6 | 136 (50.7) | 41 (41.4) | 177 (48.2) | |
| Combined ABCD score | 2.508; 1.918 - 3.280; P < 0.0001 |
| ABCD score | Controls, N | Cases, N | Pooled, N | Readmission risk, % |
|---|---|---|---|---|
| 0 | 40 | 5 | 45 | 11.1 |
| 1 | 114 | 20 | 134 | 14.9 |
| 2 | 86 | 32 | 118 | 27.1 |
| 3 | 26 | 29 | 55 | 52.7 |
| 4 | 2 | 13 | 15 | 86.7 |
| Any ABCD score (0 - 4) | 268 | 99 | 367 | 27.0 |