The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy

Healthcare

Ferdinando Romano¹  Giuseppe Di Martino²  Tommaso Staniscia²  Pamela Di Giovanni³  Fabrizio Cedrone⁴  Michela D’Addezio⁴  Francesca Meo⁴  Piera Scampoli⁴ 

[1] Department of Infectious Diseases and Public Health, “La Sapienza” University of Rome, 00185 Roma, Italy;Department of Medicine and Ageing Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy;Department of Pharmacy, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy;School of Hygiene and Preventive Medicine, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy;

关键词: epidemiology;    diabetes;    hospitalization;    complications;    PQI;    prevention;   

DOI  :  10.3390/healthcare9080997

来源: DOAJ

【 摘 要 】

(1) Introduction: Diabetes care is complex and delivered by different care providers in different settings across the healthcare system. Better coordination through all levels of care can lead to better outcomes and fewer hospitalizations. Prevention quality indicators (PQIs) for diabetes allow us to monitor diabetes-related avoidable admissions. The aim of this research is to assess the trend of diabetes-related preventable hospitalizations and associated risk factors in a southern Italian region. (2) Methods: The study considered all hospital admissions performed from 2008 to 2018 in the Abruzzo region, Southern Italy. Data were collected from hospital discharge records. Four different indicators were evaluated as follows: short-term complications (PQI-01), long-term complications (PQI-03), uncontrolled diabetes (PQI-14) and lower-extremity amputations (PQI-16). Joinpoint models were used to evaluate the time trends of standardized rates and the average annual percent change (AAPC). (3) Results: During study period, 8660 DRPH were performed: 1298 among PQI-01, 3217 among PQI-03, 1975 among PQI-14 and 2170 among PQI-16. During the study period, PQI-01and PQI-04 showed decreasing trends. An increasing trend was showed by PQI-16. (4) Conclusions: During an 11-year period, admissions for short-term diabetes complications and for uncontrolled diabetes significantly decreased. The use of standardized tools as PQIs can help the evaluation of healthcare providers in developing preventive strategy.

【 授权许可】

Unknown