Cook Curtiss B, Naylor Dorothy B, Hentz Joseph G, Miller William J, Tsui Circe, Ziemer David C, Waller Lance A
Division of Endocrinology, Mayo Clinic, Scottsdale, Arizona 85259, USA.
Ethn Dis. 2006 Winter;16(1):126-31.
To identify any differences in hospitalization rates of diabetes patients by age, sex, or race/ethnicity.
A cross-sectional study of Georgia hospital discharge data between 1998 and 2001.
PATIENTS/PARTICIPANTS: Patients with a principal discharge diagnosis of diabetes.
Adjusted hospitalization data (discharge rates, length of stay, direct charges) reported as standardized rates per 10,000 person-years, standardized rate differences, and standardized rate ratios, compared by age, sex, and race/ethnicity.
Diabetes was the principal diagnosis in 50,301 discharges (average age, 51 years; length of stay, 5.1 days; median total charge, $5893). Persons > or = 60 years old had higher discharge rates, longer stays, and higher charges than persons 18-29 years old. Women had fewer hospitalizations, shorter stays, and lower charges than men. Non-Hispanic Blacks had more than three times as many hospitalizations, markedly longer stays, and higher charges than non-Hispanic Whites. Hispanics with diabetes had lower hospitalization rates, shorter stays, and lower charges than Whites.
Differences by age, sex, and race/ethnicity in hospital discharge rates, lengths of stay, and charges exist for diabetes inpatients. Further study should examine potential causes (severity of disease, comorbidity, and differential access to preventive care) of these disparities.
确定糖尿病患者在年龄、性别或种族/民族方面的住院率差异。
对1998年至2001年佐治亚州医院出院数据进行的横断面研究。
患者/参与者：主要出院诊断为糖尿病的患者。
调整后的住院数据（出院率、住院时间、直接费用），以每10,000人年的标准化率、标准化率差异和标准化率比值表示，按年龄、性别和种族/民族进行比较。
50,301例出院患者的主要诊断为糖尿病（平均年龄51岁；住院时间5.1天；总费用中位数为5893美元）。60岁及以上的患者比18 - 29岁的患者出院率更高、住院时间更长、费用更高。女性的住院次数少于男性，住院时间更短，费用更低。非西班牙裔黑人的住院次数是非西班牙裔白人的三倍多，住院时间明显更长，费用更高。患有糖尿病的西班牙裔患者的住院率低于白人，住院时间更短，费用更低。
糖尿病住院患者在出院率、住院时间和费用方面存在年龄、性别和种族/民族差异。进一步的研究应探讨这些差异的潜在原因（疾病严重程度、合并症以及获得预防性护理的差异）。
