Health care utilization of homeless minors with diabetes in New York state from 2009 to 2014
Diabetes Care, ISSN: 1935-5548, Vol: 43, Issue: 9, Page: 2082-2089
2020
- 7Citations
- 52Captures
- 1Mentions
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations7
- Citation Indexes7
- CrossRef3
- Captures52
- Readers52
- 52
- Mentions1
- News Mentions1
- 1
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Health Care Utilization of Homeless Minors With Diabetes in New York State From 2009 to 2014
Rie Sakai-Bizmark , Laurie A. Mena , Dennys Estevez , Eliza J. Webber , Emily H. Marr , Lauren E.M. Bedel , Jennifer K. Yee
Article Description
This study aims to describe differences in health care utilization between homeless and nonhomeless minors with diabetes. RESEARCH DESIGN AND METHODS Data from the Healthcare Cost and Utilization Project’s Statewide Inpatient Da-tabase from New York for years 2009–2014 were examined to identify pediatric patients <18 years old with diabetes. Outcomes of interest included hospitalization rate, in-hospital mortality, admission through the emergency department (ED), diabetic ketoacidosis (DKA), hospitalization cost, and length of stay (LOS). Other variables of interest included age-group, race/ethnicity, insurance type, and year. Multivariate logistic regression models were used for in-hospital mortality, admission through ED, and DKA. Log-transformed linear regression models were used for hospitalization cost, and negative binomial regression models were used for LOS. RESULTS A total of 643 homeless and 10,559 nonhomeless patients were identified. The hospitalization rate was higher among homeless minors, with 3.64 per 1,000 homeless population compared with 0.38 per 1,000 in the nonhomeless population. A statistically significant higher readmission rate was detected among homeless minors (20.4% among homeless and 14.1% among nonhomeless, P < 0.01). Lower rates of DKA (odds ratio 0.75, P = 0.02), lower hospitalization costs (point estimate 0.88, P < 0.01), and longer LOS (incidence rate ratio 1.20, P < 0.01) were detected among homeless minors compared with nonhomeless minors. CONCLUSIONS This study found that among minors with diabetes, those who are homeless experience a higher hospitalization rate than the nonhomeless. Housing instability, among other environmental factors, may be targeted for intervention to improve health outcomes.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85090535088&origin=inward; http://dx.doi.org/10.2337/dc19-2219; http://www.ncbi.nlm.nih.gov/pubmed/32616618; https://diabetesjournals.org/care/article/43/9/2082/35770/Health-Care-Utilization-of-Homeless-Minors-With; https://dx.doi.org/10.2337/dc19-2219
American Diabetes Association
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