Association of socioeconomic status and hospital efficiency in Type-1 diabetic patients with ketoacidosis or diabetic coma: a secondary data analysis comparing nation-wide paediatric and adult admissions in France
Authors' conclusion
Current payment methods using diagnosis-related groups may not adequately reflect the burden of Type 1 diabetes mellitus patients admitted for ketoacidosis or diabetic coma on hospitals.
Study context
- Population
- Admissions of patients with T1D for ketoacidosis or diabetic coma, mainland France, discharged 2013–2019
- Participants
- 67,100 admissions
- Exposure
- Socioeconomic status (SES) quintiles; adults vs children
- Outcome
- Hospital efficiency: variation in LOS vs mean national LOS and production costs vs revenues
Methodological detailssecondary data analysis, nationwide, multilevel multivariable analyses
- Secondary data analysis
- Nationwide
- Multilevel multivariable analyses
Main finding
As reported in the abstract
Hospital efficiency (LOS, costs vs revenues)
- Significant association between efficiency outcomes, SES and age
- Children under 5 had higher length of stay (LOS) than national mean and costs higher than hospital payment, regardless of SES
- In adults, significant SES × age group interaction: increased LOS and costs in adults from intermediate and/or lower SES groups
Observational data: associations, not effects.
Original publication
Association of socioeconomic status and hospital efficiency in Type-1 diabetic patients with ketoacidosis or diabetic coma: a secondary data analysis comparing nation-wide paediatric and adult admissions in France. Diabetes Res Clin Pract. Published 4 September 2025. doi:10.
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