Diabetes Research and Clinical Practice
Volume 77, Issue 1 , Pages 92-98 , July 2007

Total and excess bed occupancy by age, specialty and insulin use for nearly one million diabetes patients discharged from all English Acute Hospitals

  • Mike J. Sampson

      Affiliations

    • Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich NR4 7UY, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 1603 287094; fax: +44 1603 287320.
    • ,
  • Nicoletta Dozio

      Affiliations

    • Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich NR4 7UY, United Kingdom
    • ,
  • Brian Ferguson

      Affiliations

    • Yorkshire and Humber Public Health Observatory, University of York, York YO10 5DD, United Kingdom
    • ,
  • Ketan Dhatariya

      Affiliations

    • Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich NR4 7UY, United Kingdom

Received 17 August 2006 ,Accepted 2 October 2006.

References 

  1. Ray NF, Thamer M, Taylor T, Fehrenbach SN, Ratner R. Hospitalisation and expenditures for the treatment of general medical conditions among the US diabetic population in 1991. J Clin. Endocrin. Metab. 1997;81:3671–3679
  2. Ray NF, Tamer M, Gardner E, Chan JK. Economic consequences of diabetes mellitus in the US in 1997. Diab. Care. 1998;21:296–309
  3. Lien LF, Angelyn Bethel M, Feinglos MN. In hospital management of Type 2 diabetes mellitus. Med. Clin. N. Am. 2004;88:1085–1105
  4. Sampson MJ, Crowle T, Dhatariya K, Dozio N, Greenwood RH, Heyburn PJ, et al. Trends in bed occupancy for inpatients with diabetes before and after the introduction of a diabetes inpatient specialist nurse service. Diabet. Med. 2006;23:834–838
  5. Olveira-Fuster G, Olvera-Marquez P, Carral-Sanlaureano F, Gonzalez-Romero S, Aguilar-Diosdado M, Soriguer-Escofet F. Excess hospitalisations, hospital days and inpatient costs among people with diabetes in Andalusia. Spain Diab. Care. 2004;27:1904–1909
  6. Donnan P, Leese G, Morris A. Hospitalizations for people with Type 1 and Type 2 diabetes compared with the non-diabetic population Tayside, Scotland: a retrospective cohort study of resource use. Diab. Care. 2000;23:1774–1779
  7. Carral F, Olveira G, Salas J, Garcia L, Sillero A, Aguilar M. Care resource utilization and direct costs incurred by people with diabetes in a Spanish hospital. Diab. Res. Clin. Pract. 2002;56:27–34
  8. Carral F, Aguilar M, Olveira G, Mangas A, Domenech I, Torres I. Increased hospital expenditures in DM patients hospitalized for cardiovascular diseases. J. Diab. Complications. 2000;17:331–336
  9. Currie CJ, Kraus D, Morgan CL, Gill L, Stott NC, Peters JR. NHS acute sector expenditure for diabetes: the present, future, and excess in-patient cost of care. Diab. Med. 1987;14:686–692
  10. Cavan DA, Hamilton P, Everett J, Kerr D. Reducing hospital in-patient length of stay for patients with diabetes. Diab. Med. 2001;18:162–164
  11. Davies M, Dixon S, Currie CJ, Davis RE, Peters JR. Evaluation of a hospital diabetes specialist nursing service: a randomised controlled trial. Diab. Med. 2001;18:301–307
  12. Koproski J, Pretto Z, Poretsky L. Effects of an intervention by a diabetes team in hospitalised patients with diabetes. Diab. Care. 1997;20:1553–1555
  13. Feddersen E, Lockwood DH. An inpatient diabetes educator's impact on length of hospital stay. Diab. Educator. 1994;20:125–128
  14. UK Department of Health. National Service Framework for Diabetes: One year on, London, www.dh.gov.uk/PublicationsandStatistics/Publications, 2004.
  15. UK Department of Health. Supporting people with long term conditions, London. www.natpact.nhs.uk, 2005.
  16. www.dh.gov.uk/PublicationsAndStatistics/Statistics/HospitalEpisodeStatistics
  17. Forouhi NG, Merrick D, Goyder E, Ferguson BA, Abbas J, Lachowycz K, et al. Diabetes prevalence in England, 2001-estimates from an epidemiological model. Diab. Med. 2006;23:189–191
  18. Clement S, Braithwaite SS, Magee MF, Ahmann A, Smith EP, Schafer RG, et al. Management of diabetes and hyperglycemia in hospitals. Diab. Care. 2000;27:553–591
  19. Poretsky L, Koproski J, Pretto ZE. Hospital length of stay on a diabetes cluster unit. Endocr. Pract. 1999;5:66–68
  20. Levetan CS, Salas JR, Wilets IF, Zumoff B. Impact of endocrine and diabetes team consultation on hospital length of stay for patients with diabetes. Am. J. Med. 1995;99:22–28
  21. Spencer FA, Lessard D, Gore JM, Yarzebski J, Goldberg RJ. Declining length of hospital stay for acute myocardial infarction and postdischarge outcomes: a community-wide perspective. Arch. Intern. Med. 1995;164:733–740
  22. Ashby J, Guterman S, Greene T. An analysis of hospital productivity and product change. Health Aff. (Millwood). 2000;19:197–205
  23. Linden AL. What will it take for disease management to demonstrate a return on investment? new perspectives on an old theme. Am. J. Manag. Care. 2006;12:217–222
  24. McAlister FA, Majumdar SR, Blitz S, Rowe BH, Romney J, Marrie TJ. The relation between hyperglycemia and outcomes in 2, 471 patients admitted to the hospital with community-acquired pneumonia. Diab. Care. 2005;28:810–815
  25. Leslie PJ, Patrick AW, Hepburn DA, Scougal IJ, Frier BM. Hospital inpatient statistics underestimate the morbidity associated with diabetes mellitus. Diabet. Med. 1992;9:379–385
  26. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet. 2004;364:937–952
  27. Umpierrez GE, Kitabchi AE. Diabetic ketoacidosis: risk factors and management strategies. Treat Endocrinol. 2003;2:95–108
  28. Lavery LA, Wunderlich RP, Tredwell JL. Disease management for the diabetic foot; effectiveness of a diabetic foot prevention programme to reduce amputations and hospitalizations. Diab. Res. Clin. Pract. 2005;70:31–37
  29. Moghissi ES. Hospital management of diabetes. Endocrin. Metab. Clin. N. Am. 2005;34:99–116
  30. Abourizk NN, Vora CK, Verma PK. Inpatient diabetology. The new frontier. J. Gen. Intern. Med. 2004;19:466–471

PII: S0168-8227(06)00455-4

doi: 10.1016/j.diabres.2006.10.004

Diabetes Research and Clinical Practice
Volume 77, Issue 1 , Pages 92-98 , July 2007

Article Tools

* Image Usage & Resolution