1420-P: Trends in Cardiovascular and Economic Outcomes of Patients Hospitalized for Stroke and Diabetes in the U.S.: Data from the National Inpatient Sample (2005-2014)

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1420-P
Author(s):  
AYA TABBALAT ◽  
SOHA R. DARGHAM ◽  
MOHAMED B. ELSHAZLY ◽  
CHARBEL ABI KHALIL
Keyword(s):  
Economic Outcomes ◽  
National Inpatient Sample ◽  
The U.S

Diabetes-related hospital mortality in the U.S.: A pooled cross-sectional study of the National Inpatient Sample

2019 ◽  
Vol 33 (5) ◽  
pp. 350-355
Author(s):  
Alva O. Ferdinand ◽  
Marvellous A. Akinlotan ◽  
Timothy Callaghan ◽  
Samuel D. Towne Jr ◽  
Jane Bolin
Keyword(s):  
Hospital Mortality ◽  
Cross Sectional Study ◽  
National Inpatient Sample ◽  
Sectional Study ◽  
Cross Sectional ◽  
The U.S

The U.S. Twin Delivery Volume and Association with Cesarean Delivery Rates: A Hospital-Level Analysis

2017 ◽  
Vol 35 (04) ◽  
pp. 345-353 ◽  
Author(s):  
Julian Robinson ◽  
Daniela Carusi ◽  
Sarah Little ◽  
Sarah Easter
Keyword(s):  
Cesarean Delivery ◽  
Delivery Rate ◽  
National Inpatient Sample ◽  
Vaginal Birth After Cesarean ◽  
Hospital Level ◽  
Weighted Linear Regression ◽  
Twin Delivery ◽  
Cesarean Delivery Rate ◽  
Level Analysis ◽  
The U.S

Objective The objective of this study was to test whether hospitals experienced in twin delivery have lower rates of cesarean delivery for twins. Methods We divided obstetric hospitals in the 2011 National Inpatient Sample by quartile of annual twin deliveries and compared twin cesarean delivery rates between hospitals with weighted linear regression. We used Pearson's coefficients to correlate a hospital's twin cesarean delivery rate to its overall cesarean delivery and vaginal birth after cesarean (VBAC) rates. Results Annual twin delivery volume ranged from 1 to 506 across the 547 analyzed hospitals with a median of 10 and mode of 3. Adjusted rates of cesarean delivery were independent of delivery volume with a rate of 75.5 versus 74.8% in the lowest and highest volume hospitals (p = 0.09 across quartiles). A hospital's cesarean delivery rate for twins moderately correlated with the overall cesarean rate (r = 0.52, p < 0.01) and inversely correlated with VBAC rate (r =  − 0.42, p < 0.01). Conclusion Most U.S. obstetrical units perform a low volume of twin deliveries with no decrease in cesarean delivery rates at higher volume hospitals. Twin cesarean delivery rates correlate with other obstetric parameters such as singleton cesarean delivery and VBAC rates suggesting twin cesarean delivery rate is more closely related to a hospital's general obstetric practice than its twin delivery volume.

scholarly journals Mortality and socio-economic outcomes among patients hospitalized for stroke and diabetes in the US: a recent analysis from the National Inpatient Sample

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Aya Tabbalat ◽  
Soha Dargham ◽  
Jassim Al Suwaidi ◽  
Samar Aboulsoud ◽  
Salman Al Jerdi ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Diabetes Patient ◽  
Economic Outcomes ◽  
Hospital Charges ◽  
Recent Analysis ◽  
Diabetic Patients ◽  
National Inpatient Sample ◽  
The Us ◽  
Recent Trends ◽  
Incident Cases

AbstractThe prevalence and incidence of diabetes mellitus (DM) are increasing worldwide. We aim to assess mortality and socio-economic outcomes among patients hospitalized for stroke and diabetes in the US and evaluate their recent trends. We examined: in-hospital mortality, length of stay (LoS), and overall hospital charges in diabetic patients over 18 years old who were hospitalized with a stroke from 2005 to 2014, included in the National Inpatient Sample. In those patients, the mean (SD) age slightly decreased from 70 (13) years to 69 (13) years (p-trend < 0.001). Interestingly, although incident cases of stroke amongst DM patients increased from 17.4 to 20.0 /100,000 US adults (p-trend < 0.001), age-adjusted mortality for those with hemorrhagic strokes decreased from 24.3% to 19.6%, and also decreased from 3.23% to 2.48% for those with ischemic strokes (p-trend < 0.01 for both), but remained unchanged in TIAs patients. As expected, the average total charges per hospital stay almost doubled over the ten-year period, increasing from 15 970 to 31 018 USD/stay (adjusted for inflation). Nonetheless, median (IQR) LoS slightly decreased from 4 (2–6) to 3 (2–6) days (p-trend < 0.001). In total, our data show that, from 2005 to 2014, the incidence of stroke among the diabetes patient population are gradually increasing, in-hospital mortality is steadily decreasing, along with average LoS. Admission costs were up almost twofold during the same period.

Abstract 065: Hospital Teaching Status and TAVR Outcomes in the United States - Analysis of the National Inpatient Sample (NIS)

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Emmanuel Akintoye ◽  
Samson Alliu ◽  
Oluwole Adegbala ◽  
Haider Aldiwani ◽  
Mohamed Shokr ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Kidney Injury ◽  
The United States ◽  
Teaching Hospitals ◽  
National Inpatient Sample ◽  
Mixed Effect ◽  
Significant Difference ◽  
Teaching Status ◽  
Risk Of Hemorrhage ◽  
The U.S

Background: Evidence suggest that medical service offerings vary by hospital teaching status. However, little is known about how these translate to patient outcomes. We therefore sought to evaluate this gap in knowledge in patients undergoing TAVR Methods: This study was conducted using the National Inpatient Sample (NIS) in the U.S (2011-2013). Teaching status was classified as teaching vs non-teaching and endpoints were clinical outcomes, length of stay and cost. Procedure-related complications were identified via ICD-9 coding and analysis was performed via mixed effect model Results: An estimated 17,020 TAVR procedures were performed in the U.S between 2011 and 2013, out of which 87% were in teaching hospitals. Mean (SD) age was 80 (8) and 47% were females. There was no significant difference between hospital teaching status with regards to procedure-related in-patient mortality, myocardial infarction, or other cardiac, vascular, neurological, respiratory complications, post-op DVT/PE, or sepsis (Fig 1). However, compared to non-teaching hospitals, teaching hospitals tend to have higher risk of acute kidney injury (OR: 1.47 [95% CI, 1.08-1.99]) but lower risk of hemorrhage requiring transfusion (OR: 0.67 [95% CI, 0.50-0.91]). The mean length of stay was higher in teaching hospitals (8.3 days) compared to non-teaching hospitals (7.5 days) (fig 2A), but median cost of hospitalization was higher in non-teaching hospitals (USD 59702 vs 49708) (fig 2B) Conclusion: We found that the risks of most TAVR-related complications (except for AKI and hemorrhage) are about the same in teaching compared to non-teaching hospitals. However, length of stay was higher in teaching hospitals while cost was higher in non-teaching hospitals

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