Table 2.
Age-adjusted rates of diabetes-related hospitalizations per 10,000 people in the U.S. from 2008 to 2016
| Variable | 2008 | 2011 | 2014 | 2016 | Change over 2008–2016 | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate | 95% CI | Rate | 95% CI | Rate | 95% CI | Rate | 95% CI | Absolute Δ | Percent Δ | 95% CI | ||
| All-cause diabetes hospitalizationsa | ||||||||||||
| Age (years) | ||||||||||||
| 18–29 | 27.8 | 26.0, 29.5 | 29.0 | 27.3, 30.8 | 28.9 | 28.1, 29.6 | 30.5 | 29.7, 31.3 | 2.7 | 9.7 | 3.9, 15.5 | |
| 30–44 | 84.9 | 80.0, 89.7 | 90.1 | 85.0, 95.2 | 86.7 | 84.7, 88.7 | 87.8 | 85.8, 89.8 | 2.9 | 3.4 | −1.8, 8.6 | |
| 45–64 | 309.7 | 293.9, 325.5 | 327.8 | 311.6, 344 | 314.7 | 308.1, 321.2 | 323.9 | 317.2, 330.6 | 14.2 | 4.6 | −0.1, 9.3 | |
| 65–74 | 820.5 | 781.2, 859.8 | 817.1 | 778.4, 855.8 | 717.2 | 702.7, 731.6 | 711.6 | 697.4, 725.8 | −108.9 | −13.3 | −17.6, −9.0 | |
| ≥75 | 1,155.8 | 1,098.6, 1,213 | 1222.0 | 1,166.3, 1,277.7 | 1,094.5 | 1,072.1, 1,116.8 | 1,086.7 | 1,064.6, 1,108.7 | −69.1 | −6.0 | −10.5, −1.5 | |
| Sex | ||||||||||||
| Female | 292.3 | 284.7, 300.0 | 303.2 | 295.5, 310.9 | 274.8 | 271.8, 277.8 | 273.5 | 270.4, 276.5 | −18.8 | −6.4 | −8.8, −4.0 | |
| Male | 318.5 | 309.5, 327.5 | 333.1 | 324.2, 342.1 | 312.1 | 308.4, 315.7 | 319.2 | 315.5, 322.9 | 0.7 | 0.2 | −2.4, 2.8 | |
| Rural/urbanb | ||||||||||||
| Rural | 321.6 | 308.1, 335.1 | 322.6 | 307.3, 337.8 | 287.3 | 279.8, 294.9 | 290.7 | 283.7, 297.7 | −30.9 | −9.6 | −13.6, −5.6 | |
| Urban | 299.5 | 290.0, 309.0 | 315.2 | 306.0, 324.4 | 292.4 | 288.9, 296.0 | 295.1 | 291.4, 298.7 | −4.4 | −1.5 | −4.3, 1.3 | |
| Insurance | ||||||||||||
| Medicaid | 558.6 | 514.1, 603.1 | 515.5 | 476.1, 554.9 | 470.2 | 454.3, 486.1 | 423.4 | 409.6, 437.1 | −135.2 | −24.2 | −31.2, −17.2 | |
| Medicare | 963.5 | 916.5, 1,010.5 | 1,018.3 | 973.2, 1,063.4 | 905.0 | 886.6, 923.3 | 896.0 | 877.9, 914.1 | −67.5 | −7.0 | −11.4, −2.6 | |
| Private | 119.9 | 113.0, 126.9 | 118.1 | 110.3, 125.9 | 102.0 | 99.1, 104.8 | 100.8 | 98.0, 103.5 | −19.1 | −15.9 | −21.1, −10.7 | |
| Uninsured | 71.7 | 63.7, 79.7 | 76.2 | 68.5, 84.0 | 78.3 | 74.0, 82.5 | 97.2 | 91.7, 102.6 | 25.5 | 35.6 | 24.2, 47.0 | |
| Diabetes-specific hospitalizationsa | ||||||||||||
| Age (years) | ||||||||||||
| 18–29 | 10.8 | 10.0, 11.5 | 12.1 | 11.5, 12.8 | 12.8 | 12.5, 13.2 | 12.8 | 12.4, 13.2 | 2.0 | 18.5 | 11.7, 25.3 | |
| 30–44 | 16.1 | 15.1, 17.1 | 17.8 | 16.8, 18.8 | 17.8 | 17.3, 18.3 | 15.0 | 14.6, 15.4 | −1.1 | −6.8 | −12.3, −1.3 | |
| 45–64 | 31.2 | 29.6, 32.9 | 33.8 | 32.1, 35.5 | 33.7 | 33.0, 34.5 | 27.0 | 26.4, 27.6 | −4.2 | −13.5 | −18.0, −9.0 | |
| 65–74 | 51.4 | 48.9, 54.0 | 50.1 | 47.6, 52.6 | 43.8 | 42.7, 44.8 | 32.4 | 31.6, 33.2 | −19.0 | −37.0 | −41.4, −32.6 | |
| ≥75 | 63.3 | 59.9, 66.7 | 62.1 | 58.9, 65.2 | 51.5 | 50.2, 52.8 | 36.0 | 35.1, 37.0 | −27.3 | −43.1 | −47.7, −38.5 | |
| Sex | ||||||||||||
| Female | 24.2 | 23.5, 24.9 | 24.8 | 24.2, 25.5 | 23 | 22.7, 23.3 | 17.7 | 17.4, 17.9 | −6.5 | −26.9 | −29.1, −24.7 | |
| Male | 30.6 | 29.7, 31.5 | 32.8 | 31.9, 33.7 | 32.2 | 31.7, 32.6 | 26.7 | 26.3, 27.1 | −3.9 | −12.7 | −15.1, −10.3 | |
| Rural/urbanb | ||||||||||||
| Rural | 28.3 | 27.1, 29.4 | 28.9 | 27.5, 30.3 | 26.6 | 25.9, 27.3 | 22.0 | 21.4, 22.6 | −6.3 | −22.3 | −26.2, −18.4 | |
| Urban | 27.0 | 26.1, 27.9 | 28.6 | 27.8, 29.5 | 27.5 | 27.2, 27.9 | 22.0 | 21.7, 22.3 | −5.0 | −18.5 | −21.2, −15.8 | |
| Insurance | ||||||||||||
| Medicaid | 80.4 | 73.5, 87.3 | 74.1 | 68.7, 79.5 | 73.0 | 70.6, 75.5 | 54.9 | 53.1, 56.7 | −25.5 | −31.7 | −39.1, −24.3 | |
| Medicare | 67.4 | 64.2, 70.7 | 69.4 | 66.2, 72.5 | 61.7 | 60.4, 63.1 | 44.6 | 43.6, 45.6 | −22.8 | −33.8 | −38.1, −29.5 | |
| Private | 11.4 | 10.7, 12.1 | 11.6 | 10.9, 12.3 | 10.6 | 10.3, 10.9 | 8.6 | 8.3, 8.8 | −2.8 | −24.6 | −30.6, −18.6 | |
| Uninsured | 14.9 | 13.5, 16.4 | 16.4 | 14.8, 18.0 | 16.6 | 15.8, 17.5 | 18.3 | 17.4, 19.3 | 3.4 | 22.8 | 13.3, 32.3 | |
Rates show hospitalization rates by state calculated using numerator data from the HCUP Nationwide Inpatient Sample Databases and denominator data from the IPUMS USA ACS from 2008 to 2016.
a
Total number of all-cause diabetes hospitalizations, N = 29,823,101; total number of diabetes-specific hospitalizations, N = 2,543,882; and total adult population over period, N = 962,851,698.
b
Rural/urban-specific rates are age-standardized to the 2010 U.S. adult population using data from the Centers for Disease Control and Prevention Mortality Database.