Effect of Hospital Admission on Glycemic Control One Year after Discharge

Journal Name: 
Endocr.Pract
Authors: 
Wei,N.J.
Grant,R.W.
Nathan,D.M.
Wexler,D.J.
Abstract: 
Objective: We assessed the effect of hospital admission on glycemic control in patients with diabetes up to 1 year after discharge.Methods: We retrospectively studied 826 adults with diabetes admitted to a tertiary care medical center and with available hemoglobin A1c (A1C) values prior to admission and 1 year after discharge. We compared them to 826 age-, sex-, race-, co-morbidity- and baseline A1C-matched non-hospitalized adults with diabetes. We determined change in A1C relative to hospitalization and baseline A1C using multivariate random effects models for repeated measures. Logistic regression was used to determine predictors of achieving recommended A1C levels at 1 year. Results: Patients with baseline A1C >/=9% (adjusted mean A1C 9.90% [95% CI 9.25, 10.55]) had an adjusted change in A1C of -0.10% per month ([95% CI -0.18, -0.022], p
1
9
2012
Pages: 
1-22
Keywords: 
admission, Adult, Boston, Comorbidity, Diabetes, differences, effects, electronic, hospital, Hospitalization, Massachusetts, medical, patient, Patients, race, regression, Time