Impact of diabetes on hospital admission and length of stay among a general population aged 45 year or more: a record linkage study

• DOI: 10.1186/s12913-014-0666-2
• Publication Date: 2015-01-21T10:49:15Z
• Authors: Elizabeth Jean Co...; Mark Fort Harris; MD Fakhrul Islam; Duong Thuy Tran; Bin Jalaludin; Louisa Jorm; Jeff Flack; Marion Haas
• Keywords: Record Linkage; Health administration

The increased prevalence of diabetes and its significant impact on use health care services, particularly hospitals, is a concern for planners. This paper explores the risk factors all-cause hospitalisation excess due to in large sample older Australians. study population was 263,482 participants 45 Up Study. data assessed were linked records hospital admissions 12 months following completion baseline questionnaire. All cause ambulatory sensitive admission rates length stay examined. associations between demographic characteristics, socioeconomic status, lifestyle factors, wellbeing explored using zero inflated Poisson (ZIP) regression models adjusting age gender. ratios adjusted relative 95% confidence intervals calculated determine diabetes. Prevalence 9.0% (n = 23,779). Age 631.3 454.8 per 1,000 participant years mean 8.2 7.1 days respectively with without In people diabetes, associated age, gender, household income, smoking, BMI, physical activity, wellbeing. However, attenuated who older, obese, or had hypertension hyperlipidaemia enhanced those male, low current smokers anxiety depression. one few studies published explore non-clinical population, attenuation some likely be correlation such as obesity. association other gender income their synergistic influence status way services are accessed.