Molina-Corona A, Zonana-Nacach A

Language: Spanish
References: 16
Page: 469-474
PDF size: 42.54 Kb.

ABSTRACT

Objective: to determine the risk factors associated with hospital readmissions in diabetes mellitus (DM).
Methods: adult patients with DM hospitalized were evaluated with a follow up during one year. Odd ratios (OR) and 95 % confidence intervals (95 % CI) were calculated to identify predictors of hospital readmissions.
Results: There were 153 patients, with a mean age 58 ± 13) years, 97% had type 2 DM with a mean disease evolution of 166 ± 132) months; 131 patients were evaluated every 4 months with followup of 11 ± 1.2) months and 35% had hospital readmission. The causes were: infections (36 %), chronic renal failure (27 %), acute complications of DM (8 %) and cardiovascular disease (11 %). They were associated with ≤ 6 years of education (RR 2.9, 1.22-7.03 CI 95 %), duration of DM › 132 months (RR 1.2, 1.00-1.6 CI 95), nephropathy (RR 2.3, 1.5-7.0 CI 95 %), and abnormal glycemia upon being discharged from initial hospitalization (RR 2.5, 1.13-5.6 CI 95 %). Two or more readmissions where associated significantly with nephropathy (p = 0.05) and the use of alternative treatment (p = 0.01).
Conclusions: multiple hospitalizations could be preventable with the identification of risk factors.

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