Patient Characteristics Associated with Differences in Admission Frequency for Diabetic Ketoacidosis in United States Children's Hospitals

The Journal of Pediatrics
Faisal MalikJoel S Tieder

Abstract

To determine across and within hospital differences in the predictors of 365-day admission frequency for diabetic ketoacidosis (DKA) in children at US children's hospitals. Multicenter retrospective cohort analysis of 12 449 children 2-18 years of age with a diagnosis of DKA in 42 US children's hospitals between 2004 and 2012. The main outcome of interest was the maximum number of DKA admissions experienced by each child within any 365-day interval during a 5-year follow-up period. The association between patient characteristics and the maximum number of DKA admissions within a 365-day interval was examined across and within hospitals. In the sample, 28.3% of patients admitted for DKA experienced at least 1 additional DKA admission within the following 365 days. Across hospitals, patient characteristics associated with increasing DKA admission frequency were public insurance (OR 1.97, 95% CI 1.71-2.26), non-Hispanic black race (OR 2.40, 95% CI 2.02-2.85), age ≥12 (OR 1.98, 95% CI 1.7-2.32), female sex (OR 1.41, 95% CI 1.29-1.55), and mental health comorbidity (OR 1.36, 95% CI 1.13-1.62). Within hospitals, non-Hispanic black race was associated with higher odds of 365-day admission in 59% of hospitals, and public insurance was a...Continue Reading

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Citations

Jan 30, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·S AgarwalD Dabelea
Aug 15, 2019·Journal of Intensive Care Medicine·Arpita K VyasLavi Oud
Dec 21, 2019·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Janaki D VakhariaLisa Swartz Topor
May 23, 2019·BMJ Open Diabetes Research & Care·Estelle Everett, Nestoras Nicolas Mathioudakis
Jun 21, 2019·The Journal of Clinical Endocrinology and Metabolism·Estelle Everett, Nestoras Mathioudakis
Jan 8, 2021·The Journal of Clinical Endocrinology and Metabolism·Osagie EbekozienIrl B Hirsch
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Jul 8, 2021·Pediatric Diabetes·Elise Schlissel TremblayKatharine Garvey
Jul 30, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Bethan AllcockMike Jackson
Oct 4, 2018·Pediatrics·Jessica L BettenhausenBonnie T Zima
Dec 7, 2021·Diabetes Spectrum : a Publication of the American Diabetes Association·Molly Finnan, Shivani Agarwal

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