Table 2.
Prevalence of acute diabetes complications, clinical presentation, and disposition of type 1 diabetes admissions
| All-cause type 1 diabetes | Pump nonuser | Pump user | P-valuea | Pump failure | |
|---|---|---|---|---|---|
| Total, n | 228 506 | 212 634 | 15 871 | 3179 | |
| Acute diabetes complications, % | |||||
| DKA | 48.14 | 46.50 | 39.29 | <0.001 | 60.33 |
| Soft tissue | 2.40 | 2.38 | 2.63 | 0.121 | 1.89 |
| Sepsis | 0.56 | 0.58 | 0.42 | 0.039 | 0.28 |
| Hyperglycemia | 0.37 | 0.38 | 0.16 | <0.001 | 0.22 |
| Severity of illness, n | <0.001 | ||||
| Minor | 45 999(20.1) | 44 272 (20.8) | 1726 (10.9) | 89.1 (2.8) | |
| Moderate | 154 207(67.5) | 142 276 (66.9) | 11 932 (75.2) | 2590 (81.5) | |
| Major | 24 723(10.8) | 22 710 (10.7) | 2014 (12.7) | 466 (14.7) | |
| Extreme | 3480 (1.5) | 3282 (1.5) | 199 (1.3) | 34 (1.1) | |
| No class | 65 (<0.1) | 64 (<0.1) | <10 (<0.1) | <10 (<0.1) | |
| Disposition, n | <0.001 | ||||
| Routine | 212 474 (93.0) | 197 284 (92.8) | 15 190 (95.7) | 3123 (98.3) | |
| Transfer to short-term hospital | 2551 (1.1) | 2426 (1.1) | 125 (0.8) | 10.9 (0.3) | |
| Transfer other: SNF, ICF, etc | 2952 (1.1) | 2795 (1.3) | 157 (1.0) | <10 (0.2) | |
| Home healthcare | 5274 (1.3) | 5088 (2.4) | 186 (1.2) | 13.8 (0.4) | |
| Against medical advice | 4875 (2.3) | 4675 (2.2) | 200 (1.3) | 23.6 (0.7) | |
| Died | 265 (2.1) | 254 (0.1) | 11.2 (0.1) | 1.61 (<0.1) | |
| Discharged alive, unknown destination | 30.5 (<0.1) | 30.5 (<0.1) | <10 (<0.1) | <10 (<0.1) | |
| Unknown | 53.1 (<0.1) | 51.7 (<0.1) | 1.44 (<0.1) | < 10(<0.1) |
This table demonstrates the prevalence of each acute complications between admission types.
Abbreviations: ICF, intermediate care facility; DKA, diabetic ketoacidosis group; SNF, skilled nursing facility.
a P-value is noted for difference between pump users and nonusers user groups.