Table 1.

Demographic and healthcare characteristics of high-risk diabetes patients: EHR data.^a

High-risk diabetes patients (Risk score within the top 10%)	Overall (n = 263)
Mean	Mean	95%CI
Age on 01/01/2012	54.6	53.2–56.1
Number of encounters during the study periodb	101.3	92.1–110.5
Proportion	%	95%CI
Age group on 01/01/2012
18–49	33.5	28.0–39.4
50–64	49.0	43.0–55.1
≥65	17.5	13.3–22.6
Sex
Male	46.0	40.0–52.1
Female	54.0	47.9–60.0
Race/Ethnicity
Non-Hispanic African American	76.0	70.5–80.8
Other/unknown	24.0	19.2–29.5
Employment
Disabled	41.8	36.0–47.9
Retired	23.6	18.8–29.1
Other/unknownc	34.6	29.1–40.6
Marital status
Never Married	38.8	33.0–44.8
Married/cohabited	24.0	19.2–29.5
Divorced/widowed/separated	36.9	31.2–42.9
Unknown	0.4	0.1–2.7
Healthcare admission, yes
ED admission, any	93.5	89.8–96.0
Inpatient hospitalization, any	83.7	78.6–87.7
Medical diagnosis, yes
Diabetic retinopathy	35.7	30.1–41.8
Non-traumatic lower extremity amputation	17.5	13.3–22.6
Chronic obstructive pulmonary disease	27.8	22.6–33.5
Hypertensive diseased	97.0	94.0–98.5
Ischemic heart disease	49.0	43.0–55.1
Renal diseasee	74.1	68.5–79.1

^aBased on electronic health record (EHR) data collected between 01/01/2012 and 06/30/2016.

^bThe number of encounters was the average number of all encounters per patient in each group, and encounter included ambulatory visits (outpatient visits, telemedicine, etc.), emergency department (ED), inpatient hospitalization, and other visits (e.g., procedure visit) between 01/01/2012 and 06/30/2016.

^cIncludes those with full- or part-time jobs, the self-employed, the unemployed and those with an unknown employment status.

^dHypertensive disease: essential and secondary hypertension, hypertensive heart disease, hypertensive chronic kidney disease, hypertensive heart and chronic kidney disease.

^eRenal disease: nephritis, nephrotic syndrome, or nephrosis.

CI: Confidence interval.