Complications of Inpatient Hospital Stays With Diabetes
Prevalence of Complications Among Inpatient Hospital Stays for Diabetes
| Type of Complication | Ratio of Percentage of Stays With Complication | |||
|---|---|---|---|---|
| Hispanics vs. Non-Hispanics | Border vs. Non-Border Counties | |||
| Border Counties | Non-Border | Hispanics | Non-Hispanics | |
| Severity index based on comorbidities | 1.02 | 0.89(b) | 1.06 | 0.93 |
| Amputations | 1.57(a) | 1.52(a) | 0.95 | 0.92 |
| Renal failure | 1.12(a) | 1.01 | 1.02 | 0.92 |
| Peripheral vascular disease | 1.13(a) | 0.90 | 1.13(a) | 0.90 |
| Adult obesity | 1.02 | 0.92 | 1.06 | 0.96 |
| Hypothyroidism | 0.89(b) | 0.79(b) | 1.14(a) | 1.02 |
| Paralysis | 1.11(a) | 0.94 | 1.06 | 0.90(b) |
| Other neurologic disorders | 0.90(b) | 0.75(b) | 1.16(a) | 0.97 |
| Fluid and electrolyte disorders | 1.01 | 0.97 | 1.06 | 1.01 |
| Deficiency anemia | 1.34(a) | 1.11(a) | 1.05 | 0.87(b) |
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases for four States: Arizona, California, New Mexico, and Texas; 2013.
Note: Shaded cells (a = pink, b = green) represent statistically significant differences (p<.05) of 10% or greater. All ratios are of the percentage of diabetes stays with complications, except for the severity index, which is based on a ratio of means. Severity index is based on a weighted sum of the 29 individual comorbidity indicators with more severe comorbidities having a higher weight. For example, the weight for metastatic cancer is 13 and the weight for chronic pulmonary disease is 3.
- Compared with non-Hispanics, Hispanics generally had higher rates of complications associated with diabetes, especially in border counties.
- Among Hispanics, those in border counties had higher rates of complications associated with diabetes compared with non-border counties.
Amputations
Amputations Among Inpatient Stays With Diabetes
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases for four States: Arizona, California, New Mexico, and Texas; 2013.
Note: Hispanic, Border vs. Non-Border, RR=0.95; Non-Hispanic, Border vs. Non-Border, RR=0.92; Border, Hispanic vs. Non-Hispanic, RR=1.57 (p<0.05 and 10% difference); Non-Border, Hispanic vs. Non-Hispanic, RR=1.52 (p<0.05 and 10% difference).
- Hispanics with diabetes were more likely to have an amputation compared with non-Hispanics with diabetes, both in border and non-border counties.
Renal Failure
Renal Failure Among Inpatient Stays With Diabetes
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases for four States: Arizona, California, New Mexico, and Texas; 2013.
Note: Hispanic, Border vs. Non-Border, RR=1.02; Non-Hispanic, Border vs. Non-Border, RR=0.92; Border, Hispanic vs. Non-Hispanic, RR=1.12 (p<0.05 and 10% difference); Non-Border, Hispanic vs. Non-Hispanic, RR=1.01.
- A higher percentage of Hispanics in border counties with an inpatient stay for diabetes had renal failure (listed as any diagnosis), compared with non-Hispanics in border counties.
Peripheral Vascular Disease
Peripheral Vascular Disease Among Inpatient Stays With Diabetes
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases for four States: Arizona, California, New Mexico, and Texas; 2013.
Note: Hispanic, Border vs. Non-Border, RR=1.13 (p<0.05 and 10% difference); Non-Hispanic, Border vs. Non-Border, RR=0.90; Border, Hispanic vs. Non-Hispanic, RR=1.13 (p<0.05 and 10% difference); Non-Border, Hispanic vs. Non-Hispanic, RR=0.90.
- A higher percentage of Hispanics in border counties with an inpatient stay for diabetes had peripheral vascular disease, compared with:
- Non-Hispanics in border counties.
- Hispanics in non-border counties.
Paralysis
Paralysis Among Inpatient Stays With Diabetes
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases for four States: Arizona, California, New Mexico, and Texas; 2013.
Note: Hispanic, Border vs. Non-Border, RR=1.06; Non-Hispanic, Border vs. Non-Border, RR=0.90 (p<0.05 and 10% difference); Border, Hispanic vs. Non-Hispanic, RR=1.11 (p<0.05 and 10% difference); Non-Border, Hispanic vs. Non-Hispanic, RR=0.94.
- Among non-Hispanics with diabetes, those in border counties had a lower prevalence of paralysis than those in non-border counties.
- In border counties, Hispanics with diabetes had a higher prevalence of paralysis than non-Hispanics with diabetes.
Neurologic Disorders
Neurologic Disorders Among Inpatient Stays With Diabetes
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases for four States: Arizona, California, New Mexico, and Texas; 2013.
Note: Hispanic, Border vs. Non-Border, RR=1.16 (p<0.05 and 10% difference); Non-Hispanic, Border vs. Non-Border, RR=0.97; Border, Hispanic vs. Non-Hispanic, RR=0.90 (p<0.05 and 10% difference); Non-Border, Hispanic vs. Non-Hispanic, RR=0.75 (p<0.05 and 10% difference).
- A higher percentage of Hispanics in border counties with an inpatient stay for diabetes had neurologic disorders, compared with Hispanics in non-border counties.
- Hispanics with diabetes had lower rates of neurologic disorders than non-Hispanics with diabetes, both in border and non-border counties.
