ArticleJournal of clinical medicine research2017
Predictors of Recurrent Hospital Admission for Patients Presenting With Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State.
Article in Journal of clinical medicine research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Magnitude, risk factors and economic impacts of diabetic emergencies in developing countries: A systematic review.PloS one · 2025Pooled it
- Time to hyperglycemic emergency and its predictors among adult diabetic patients on follow-up in four public hospitals, in central Ethiopia.Scientific reports · 2025Article
- Social and Metabolic Characteristics Associated With Multiple DKA Admissions at a Large County Hospital.Journal of the Endocrine Society · 2024Article
- Incidence and predictors of hyperglycemic emergencies among adult diabetic patients at public hospitals of Sidama Region and Gedeo Zone, Southern Ethiopia: a survival analysis.Therapeutic advances in endocrinology and metabolism · 2024Article
- Development and Validation of a Risk Prediction Model for Ketosis-Prone Type 2 Diabetes Mellitus Among Patients Newly Diagnosed with Type 2 Diabetes Mellitus in China.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023Article
- Article
- Diabetes Complications in Racial and Ethnic Minority Populations in the USA.Current diabetes reports · 2021Review
- Multicentre analysis of hyperglycaemic hyperosmolar state and diabetic ketoacidosis in type 1 and type 2 diabetes.Acta diabetologica · 2020Article
- Trends in Emergency Department Visits and Inpatient Admissions for Hyperglycemic Crises in Adults With Diabetes in the U.S., 2006-2015.Diabetes care · 2020Article
- Postpartum Readmissions Among Women With Diabetes.Obstetrics and gynecology · 2020Article
- Hospital admissions for hyperglycemic emergencies in young adults at an inner-city hospital.Diabetes research and clinical practice · 2019Article
- Article
- Recurrent diabetic ketoacidosis.Archives of endocrinology and metabolism · 2019Review
- Recurrent hospitalizations for severe hypoglycemia and hyperglycemia among U.S. adults with diabetes.Journal of diabetes and its complications · 2018Article
- Clinical chameleons: an emergency medicine focused review of carbon monoxide poisoning.Internal and emergency medicine · 2018Review
- Inpatient care for stiff person syndrome in the United States: a nationwide readmission study.Journal of clinical movement disorders · 2018Article
- Diabetic ketoacidosis in Saudi Arabia: factors precipitating initial admission and readmission.Annals of Saudi medicineArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are two serious, preventable complications of diabetes mellitus. Analysis of variables associated with recurrent DKA and HHS admission has the potential to improve patient outcomes by identifying possible areas for intervention. The aim of this study was to evaluate potential predictors of recurrent DKA or HHS admission.
methodsThis was a retrospective case-control study of 367 patients presenting during a 5-year period with DKA or HHS at a US tertiary academic medical center. Six potential readmission risk factors identified via literature review were coded as "1" if present and "0" if absent. Readmission odds ratios (ORs) for each risk factor and for the combined score of significant risk factors were calculated by logistic regression.
resultsReadmission odds were significantly increased for patients with age < 35, history of depression or substance/alcohol abuse, and self-pay/publicly funded insurance. HbA1C > 10.6% on admission and ethnic minority status did not significantly increase readmission odds, with inadequate study power for these variables. A total "ABCD" score, based on Age (< 35 years), Behavioral health (depression), insurance Coverage (self-pay/publicly funded insurance), and Drug/alcohol abuse, also had a significant effect on readmission odds.
conclusionsConsideration of individual risk factors and the use of a scoring system based on objective predictors of recurrent DKA and HHS admission could be of value in helping identify patients with high readmission risk, allowing interventions to be targeted most effectively to reduce readmission rates, associated morbidity, and mortality.
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