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BACKGROUND: Acute inpatient hospital admissions account for more than half of all health care costs related to diabetes. We sought to identify the most common and costly conditions leading to hospital admission among patients with diabetes compared with patients without diabetes. METHODS: test for frequency and distribution-free confidence intervals (CIs) for median cost. RESULTS: Among the 150 499 hospital admissions in our study, 41 934 (27. 8%) involved patients with diabetes. Compared with patients without diabetes, hospital admissions because of soft tissue and bone infections were most frequent (2. 5% v. 1. 9%; prevalence ratio PR 1. 28, 95% CI 1. 19-1. 37) and costly (Can8794 v. Can5845; cost ratio CR 1. 50, 95% CI 1. 37-1. 65) among patients with diabetes. This was followed by urinary tract infections (PR 1. 16, 95% CI 1. 11-1. 22; CR 1. 23, 95% CI 1. 17-1. 29), stroke (PR 1. 13, 95% CI 1. 07-1. 19; CR 1. 19, 95% CI 1. 14-1. 25) and electrolyte disorders (PR 1. 11, 95% CI 1. 03-1. 20; CR 1. 20, 95% CI 1. 08-1. 34). INTERPRETATION: Soft tissue and bone infections, urinary tract infections, stroke and electrolyte disorders are associated with a greater frequency and cost of hospital admissions in patients with diabetes than in those without diabetes. Preventive strategies focused on reducing hospital admissions secondary to these disorders may be beneficial in patients with diabetes.
Choi et al. (Thu,) studied this question.
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