Health Indicator Report of Diabetes as Primary Diagnosis for Hospitalization
Diabetes is a enormous burden on the health care system. The direct medical costs of diabetes nationally are estimated to be at least $174 billion per year, $58 billion of which are estimated to be for diabetes-related complications. (American Diabetes Association, Economic Costs of Diabetes in the U.S. 2007 Diabetes Care 31: 596-615).
Diabetes Hospital Discharges (Age-adjusted Rates) by Local Health District, Utah, 2010
NotesICD-9 codes 250.0-250.9. Age-adjusted to the U.S. 2000 standard population. [[br]] [[br]] *Use caution in interpreting the rate for Wasatch County. The estimate has a relative standard error greater than 30 percent and does not meet UDOH standards for reliability.
Data SourceUtah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health
Data Interpretation IssuesHospital records may contain up to 10 diagnosis codes. The first listed diagnosis is generally considered the primary reason for the hospitalization.
DefinitionInpatient hospital discharges with an ICD-9 code as the primary diagnosis that ranges between 250.0-250.9.
NumeratorNumber of hospital discharges listing diabetes as primary diagnosis.
DenominatorAll Utah residents.
How Are We Doing?The crude rate of hospital discharges listing diabetes as the primary diagnosis per 10,000 Utah population has been fairly consistent during the past decade, between 8 and 9 discharges per 10,000 population. In 2010 the crude rate was 8.2 (7.8-8.5) diabetes discharges per 10,000 population, or 2,324 discharges.
How Do We Compare With the U.S.?Rates of hospitalization for discharges listing diabetes as primary diagnosis for the U.S. are substantially higher than those for Utah. The overall rate of hospital discharges with diabetes as the primary diagnosis was 20.8 per 10,000 population for the U.S. Source: U.S. data from 2007 National Hospital Discharge Survey (http://www.cdc.gov/nchs/data/nhsr/nhsr029.pdf).
What Is Being Done?The Diabetes Prevention and Control Program (DPCP) airs numerous television and radio public service announcements stressing the importance of diabetes management, e.g., "Control your diabetes--For life." In addition, the DPCP sponsors telehealth sessions for health care professionals aimed at improving quality of care for their patients with diabetes. Most notably, the DPCP has produced the Utah Diabetes Practice Recommendations (UDPRs), a manual with a series of algorithms for a number of diabetes conditions. The UDPRs provide guidelines for diabetes care using flowchart formats that identify decision points that impact diabetes management. The algorithms assist providers in treating their patients to their target A1c, blood pressure, and cholesterol levels. The recommendations are supported by clinical evidence and cite the findings of important diabetes studies. Recommendations for inpatient care are included. The UDPRs may be downloaded from the DPCP web site at http://health.utah.gov/diabetes.
Available ServicesUtah Diabetes Prevention and Control Program Utah Department of Health PO Box 142107 Salt Lake City, UT 84114-2107 (801)538- 6593 http://health.utah.gov/diabetes
Page Content Updated On 12/08/2011, Published on 07/20/2012