Hospital Inpatient Cost And Discharge Status Of Diabetes And Its Complications In The U.S.
type: CreativeWork
description: 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. This study was carried out with two objectives: the primary objective of this study was to examine the association between the presence and severity of diabetes-related complications and diabetes-related hospitalization costs and discharge status. The secondary objective of this study was to explore how the presence and type of diabetes influenced complications-related hospitalization costs and discharge status. This study was a cross-sectional study with secondary data analysis of the 2010 to 2012 National Inpatient Sample (NIS). The study sample consisted of four disease cohorts: diabetes-related hospitalization cohort, peripheral lower-extremity (PLE) diseases-related hospitalization cohort, kidney diseases-related hospitalization cohort, and coronary atherosclerosis-related hospitalization cohort. In each cohort, hospitalization cost was calculated by multiplication of the total hospitalization charge by the cost-to-charge ratio. Hospitalization discharge status was dichotomized as routine discharge and non-routine discharge. Two statistical models were fit: a generalized linear model with gamma distribution and log link was used for modeling hospital inpatient cost; multivariate logistic regression was adopted for modeling hospitalization discharge status. The covariates in the regression model included complications and other variables identified by the Andersen’s behavioral model of health service utilization. The diabetes-related hospitalization contained 804,192 discharge records. The incremental cost of severe PLE was approximately $6,849. Severe PLE and less severe PLE increased diabetes-related hospitalization cost by 66.6% and 1.35% respectively. Comorbid kidney disease…
abstract: 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. This study was carried out with two objectives: the primary objective of this study was to examine the association between the presence and severity of diabetes-related complications and diabetes-related hospitalization costs and discharge status. The secondary objective of this study was to explore how the presence and type of diabetes influenced complications-related hospitalization costs and discharge status. This study was a cross-sectional study with secondary data analysis of the 2010 to 2012 National Inpatient Sample (NIS). The study sample consisted of four disease cohorts: diabetes-related hospitalization cohort, peripheral lower-extremity (PLE) diseases-related hospitalization cohort, kidney diseases-related hospitalization cohort, and coronary atherosclerosis-related hospitalization cohort. In each cohort, hospitalization cost was calculated by multiplication of the total hospitalization charge by the cost-to-charge ratio. Hospitalization discharge status was dichotomized as routine discharge and non-routine discharge. Two statistical models were fit: a generalized linear model with gamma distribution and log link was used for modeling hospital inpatient cost; multivariate logistic regression was adopted for modeling hospitalization discharge status. The covariates in the regression model included complications and other variables identified by the Andersen’s behavioral model of health service utilization. The diabetes-related hospitalization contained 804,192 discharge records. The incremental cost of severe PLE was approximately $6,849. Severe PLE and less severe PLE increased diabetes-related hospitalization cost by 66.6% and 1.35% respectively. Comorbid kidney disease…
author: Zhao, Ruizhi
language: en
keywords: Coronary atherosclerosis, cost, Diabetes, Kidney diseases, Neuropathy, Peripheral artery diseases
date published: 2016-09
date modified: 2026-07-24T05:19:52Z
provider: University of Minnesota
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Minnesota

PropertyValue
property ID: Handle
value: http://hdl.handle.net/11299/183328