Associations Between Postdischarge Care and Cognitive Impairment–Related Hospital Readmissions for Ketoacidosis and Severe Hypoglycemia in Adults With Diabetes
Authors' conclusion
Our results suggest that PDC can potentially mitigate the excessive readmission risk associated with CI, emphasizing the importance of postdischarge continuity of care for medically complex patients with comorbid diabetes and CI.
Study context
- Population
- U.S. adults with diabetes hospitalized for diabetic ketoacidosis (DKA) or severe hypoglycemia (SH); SH: 53.3% women, mean age 65.9 ± 15.3 years; DKA: 45.8% women, mean age 40.3 ± 15.4 years23,775 SH
- Exposure
- CI vs no CI, by postdischarge care
- Outcome
- All-cause readmission
- Follow-up
- 30 days
Methodological detailsNationwide Readmissions Database (2016-2018), multivariate Cox regression
- Nationwide Readmissions Database (2016-2018)
- Multivariate Cox regression
Main finding
As reported in the abstract
All-cause 30-day readmission, CI vs no CI, discharged without PDC
CI vs No CIAdjusted hazard ratio (95% CI)
SH, without PDC
1.23(1.08–1.40)
DKA, without PDC
1.35(1.08–1.70)
- Postdischarge care (PDC) was an effect modifier mitigating CI-associated readmission risk for both SH and DKA
- P < 0.05 for all
Observational data: associations, not effects.
Further findings
CI diagnosis during index hospitalization
- SH
- 2,675 (11.2%)
- DKA
- 1,261 (0.9%)
Original publication
Associations Between Postdischarge Care and Cognitive Impairment–Related Hospital Readmissions for Ketoacidosis and Severe Hypoglycemia in Adults With Diabetes. Diabetes Care. Published 4 December 2023. doi:10.
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