Evidence map›Paper›PMID 38635005›Full record

ArticleCJEM2024

Predictors of 30-day recurrent emergency department visits for hyperglycemia in patients with types 1 and 2 diabetes: a population-based cohort study.

Justin W Yan, Branka Vujcic, Britney N Le, Kristine Van Aarsen, Tom Chen, Fardowsa Halane, Kristin K Clemens

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in CJEM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06899191 (Diabetes Electronic Prompt for Improved Care Coordination and Treatment), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06899191 nacompletednot on this mapstarted 2025, after this paper: background citation

Diabetes Electronic Prompt for Improved Care Coordination and Treatment (DEPICCT) in the ED

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2025 to 2026Enrolled300ConditionsType 2 Diabetes, Type 2 Diabetes Mellitus (T2DM), Hyperglycemia, Insulin Dependent DiabetesArmsHemoglobin A1c, Observation Unit
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Predictors of 30-Day Recurrent Emergency Department Visits for Hyperglycemia in Patients With Diabetes: A Multicentre Prospective Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Justin W YanDivision of Emergency Medicine, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. Justin.Yan@lhsc.on.ca.ORCID 0000-0003-4668-5124
Branka VujcicLawson Health Research Institute, London Health Sciences Centre Victoria Hospital, London, ON, Canada.
Britney N LeICES Western, London Health Sciences Research Institute, London, ON, Canada.
Kristine Van AarsenLawson Health Research Institute, London Health Sciences Centre Victoria Hospital, London, ON, Canada.
Tom ChenLawson Health Research Institute, London Health Sciences Centre Victoria Hospital, London, ON, Canada.
Fardowsa HalaneLawson Health Research Institute, London Health Sciences Centre Victoria Hospital, London, ON, Canada.
Kristin K ClemensICES Western, London Health Sciences Research Institute, London, ON, Canada.

Funding

Academic Medical Organization of Southwestern Ontario INN21-004
6 · The paper itself

Abstract

objectivesThis study's aims were to describe the outcomes of patients with diabetes presenting with their first ED visit for hyperglycemia, and to identify predictors of recurrent ED visits for hyperglycemia.

methodsUsing linked databases, we conducted a population-based cohort study of adult and pediatric patients with types 1 and 2 diabetes presenting with a first ED visit for hyperglycemia from April 2010 to March 2020 in Ontario, Canada. We determined the proportion of patients with a recurrent ED visit for hyperglycemia within 30 days of the index visit. Using multivariable regression analysis, we examined clinical and socioeconomic predictors for recurrent visits.

resultsThere were 779,632 patients with a first ED visit for hyperglycemia. Mean (SD) age was 64.3 (15.2) years; 47.7% were female. 11.0% had a recurrent visit for hyperglycemia within 30 days. Statistically significant predictors of a recurrent visit included: male sex, type 1 diabetes, regions with fewer visible minority groups and with less education or employment, higher hemoglobin A1C, more family physician or internist visits within the past year, being rostered to a family physician, previous ED visits in the past year, ED or hospitalization within the previous 14 days, access to homecare services, and previous hyperglycemia encounters in the past 5 years. Alcoholism and depression or anxiety were positive predictors for the 18-65 age group.

conclusionsThis population-level study identifies predictors of recurrent ED visits for hyperglycemia, including male sex, type 1 diabetes, regions with fewer visible minority groups and with less education or employment, higher hemoglobin A1C, higher previous healthcare system utilization (ED visits and hospitalization) for hyperglycemia, being rostered to a family physician, and access to homecare services. Knowledge of these predictors may be used to develop targeted interventions to improve patient outcomes and reduce healthcare system costs.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Emergency Service, HospitalHyperglycemiaAdolescentAdultAgedCohort StudiesEmergency Room VisitsFemaleHumansMaleMiddle AgedOntarioRecurrenceRetrospective StudiesDiabetesEmergency departmentHyperglycemiaPopulation cohort studyPredictorsRecurrent visits

Identifiers

PMID38635005

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.