Introduction: Patients with uncontrolled DM can present to the hospital with life threatening complications: DKA, hyperosmolar syndrome and coma. There is a paucity of data on the contemporary trends and outcomes of uncontrolled diabetes related hospitalizations (UDH).
Methods: We analyzed the 2003 to 2011 Nationwide Inpatient Sample database (https://www.hcup-us.ahrq.gov) to examine the trends and in-hospital outcomes in patients with UDH aged ≥18 years in the U.S. All patients with primary diagnosis of uncontrolled DM were identified using ICD-9 CM codes- 250.02-250.03, 250.10 -250.13, 250.20 -250.23 and 250.3.
Results: From 2003 to 2011; 1,690,457 patients had UDH. The yearly hospitalization increased from 171,408 (2003) to 216,965 (2011)(ptrend <0.001). Breakdown by sex, race, income and insurance status are in Table 1. The in-hospital mortality decreased from 0.8% to 0.4% (adjusted odds ratio [per year] 0.90; 95% confidence interval 0.89 to 0.91; ptrend <0.001). The average hospital charges increased from $14,370 to $22,897 (ptrend <0.001), whereas the average length of stay decreased from 3.9 to 3.4 days (ptrend <0.001).
Conclusion: Hospitalizations with UDH increased by ∼25% in all U.S demographic groups between 2003 and 2011. However, outcomes improved during the same period, with decreases in length of stay and risk-adjusted in-hospital mortality.
N. Jain: None. M. Agarwal: None. D. Kadaria: None. H.O. Steinberg: None. S. Dagogo-Jack: None.
