Social factors associated with prolonged hospitalization among diabetic children.

Abstract:

OBJECTIVE:To determine social factors associated with increased risk of hospital admission from diabetic ketoacidosis (DKA) or diabetic coma as well as risk of prolonged hospital stay. METHODS:A cohort of all children (/=7 days. RESULTS:A total of 8443 children with a primary hospital diagnosis of DKA and 123 children with type 1 DM and coma were identified; 55% of the children were girls, 32% were nonwhite, 29% received Medicaid insurance, and 33% resided in areas of poverty. Children with prolonged hospital stay were significantly more likely to be of nonwhite race (odds ratio [OR]: 2.0; 95% confidence interval [CI]: 1.6-2.5), to receive Medicaid insurance (OR: 1.4; 95% CI: 1.1-1.7), to live in areas of poverty (OR: 1.3; 95% CI: 1.1-1.7), and to be of younger age. CONCLUSIONS:When compared with state census data, nonwhite and poor children were more likely to be admitted with complications of DM and to have significantly prolonged and expensive hospital stays. These children should be targeted for intensive diabetes education and outpatient medical support both to improve their health and potentially to decrease total health care costs.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Keenan HT,Foster CM,Bratton SL

doi

10.1542/peds.109.1.40

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

40-4

issue

1

eissn

0031-4005

issn

1098-4275

journal_volume

109

pub_type

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