Open AccessHospitalization costs and complications in hospitalized patients with type 2 diabetes mellitus in Beijing, China
Author(s) -
Bao Xiaoyuan,
Yang Chao,
Fang Kai,
Shi Moye,
Yu Guopei,
Hu Yonghua
Publication year - 2017
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12428
Subject(s) - medicine , diabetes mellitus , beijing , emergency medicine , demographics , medical costs , type 2 diabetes mellitus , medical record , china , health care , demography , sociology , economic growth , political science , law , economics , endocrinology
Background The aim of the present study was to investigate hospitalization costs, diabetes complications, and their relationships using a large dataset in Beijing, China. Methods Data for 2006–10 from the 38 top‐ranked (Grade 3 A) hospitals in Beijing, obtained from electronic Hospitalization Summary Reports (HSRs), were analyzed for hospitalization costs and diabetic complications. Patient demographics, types of costs, and length of hospital stay (LOS) were also evaluated. Results During the period evaluated, 62 523 patients with diabetes were hospitalized, of which 41 875 (67.0 %) had diabetes‐associated complications. The median cost of hospitalization for diabetic patients was 7996.11 RMB. Prescribed drugs and laboratory tests were two major contributors to hospitalization costs, accounting for 36.2 % and 22.4 %, respectively. Hospitalization costs were significantly associated with LOS, number of complications, age, year of admission, admission status, sex, and medical insurance ( P < 0.001). Both hospitalization costs and LOS increased substantially with an increase in the number of complications ( P < 0.001). The highest hospitalization costs were seen in those diabetic patients with foot complications. Conclusion Diabetic complications have a significant effect on increases in hospitalization costs and LOS in patients with type 2 diabetes mellitus.