Excess burden of hospitalizations in adults with diabetes – a national US cross-sectional study
Authors' conclusion
The causes of excess hospitalizations associated with diabetes extend well beyond traditional complications with implications for population-level planning, resource allocation, and individual diabetes management.
Study context
- Population
- US adults; denominator from 2019 Behavioral Risk Factor Surveillance System Survey; hospitalizations from 2019 National Inpatient Sample and National emergency department (ED) Sample
- Exposure
- Adults with vs without diabetes
- Outcome
- Age-standardized risks of ICD-10-CM-defined cause-specific inpatient hospitalizations and ED visits, classified as traditional, emerging or other
Methodological detailsnational, weighted to be representative of the US
- National
- Weighted to be representative of the US
Main finding
As reported in the abstract
Inpatient hospitalizations: highest absolute risk difference per classification
Sepsis (traditional), hospitalizations per 100,000
1,680
95% CI 1,649–1,712
Pneumonia (emerging), hospitalizations per 100,000
225
218–232
Respiratory failure (other), hospitalizations per 100,000
280
272–289
Observational data: associations, not effects.
Further findings
ED visits: highest absolute risk difference per classification
- Abscess, furuncle and carbuncle (traditional), visits per 100,000
- 388 (352-423)
- Complications of cardiac devices (emerging), visits per 100,000
- 111 (104-118)
- Disorders of the urinary system (other), visits per 100,000
- 299 (252-346)
- Age-standardized
Original publication
Excess burden of hospitalizations in adults with diabetes – a national US cross-sectional study. Diabetes Metab. Published 12 January 2026. doi:10. 1016/ j. diabet. 2026. 101726
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