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Risk factors for readmission of inpatients with Diabetes : a systematic review
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Robbins, Tim, Lim Choi Keung, Sarah Niukyun, Sankaranarayanan, Sailesh, Randeva, Harpal S. and Arvanitis, Theodoros N. (2019) Risk factors for readmission of inpatients with Diabetes : a systematic review. Journal of Diabetes and its Complications, 33 (5). pp. 398-405. doi:10.1016/j.jdiacomp.2019.01.004
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Official URL: https://doi.org/10.1016/j.jdiacomp.2019.01.004
Abstract
Aim
We have limited understanding of which risk factors contribute to increased readmission rates amongst people discharged from hospital with diabetes. We aim to complete the first review of its kind, to identify, in a systematic way, known risk factors for hospital readmission amongst people with diabetes, in order to better understand this costly complication.
Method
The review was prospectively registered in the PROSPERO database. Risk factors were identified through systematic review of literature in PubMed, EMBASE & SCOPUS databases, performed independently by two authors prior to data extraction, with quality assessment and semi-quantitative synthesis according to PRISMA guidelines.
Results
Eighty-three studies were selected for inclusion, predominantly from the United States, and utilising retrospective analysis of local or regional data sets. 76 distinct statistically significant risk factors were identified across 48 studies. The most commonly identified risk factors were; co-morbidity burden, age, race and insurance type. Few studies conducted power calculations; unstandardized effect sizes were calculated for the majority of statistically significant risk factors.
Conclusion
This review is important in assessing the current state of the literature and in supporting development of interventions to reduce readmission risk. Furthermore, it provides an important foundation for development of rigorous, pre-specified risk prediction models.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science > WMG (Formerly the Warwick Manufacturing Group) | ||||||||
| Library of Congress Subject Headings (LCSH): | Diabetics -- Risk factors, Hospitals -- Admission and discharge | ||||||||
| Journal or Publication Title: | Journal of Diabetes and its Complications | ||||||||
| Publisher: | Elsevier Inc. | ||||||||
| ISSN: | 1056-8727 | ||||||||
| Official Date: | May 2019 | ||||||||
| Dates: |
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| Volume: | 33 | ||||||||
| Number: | 5 | ||||||||
| Page Range: | pp. 398-405 | ||||||||
| DOI: | 10.1016/j.jdiacomp.2019.01.004 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| RIOXX Funder/Project Grant: |
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