Trends and Disparities in U.S. Emergency Department Visits for Hypoglycemia, 1993-2005
OBJECTIVE:--To characterize the epidemiology of hypoglycemia in U.S. emergency departments. RESEARCH DESIGN AND METHODS--We analyzed data from the 1993-2005 National Hospital Ambulatory Medical Care Survey and evaluated trends and disparities over time. RESULTS:--There were ~5 million emergency depa...
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| Veröffentlicht in: | Diabetes care 2008-03, Vol.31 (3), p.511-513 |
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| creator | Ginde, Adit A Espinola, Janice A Camargo, Carlos A. Jr |
| description | OBJECTIVE:--To characterize the epidemiology of hypoglycemia in U.S. emergency departments. RESEARCH DESIGN AND METHODS--We analyzed data from the 1993-2005 National Hospital Ambulatory Medical Care Survey and evaluated trends and disparities over time. RESULTS:--There were ~5 million emergency department visits for hypoglycemia from 1993-2005, and 25% resulted in hospital admission. The visit rate per 1,000 of the diabetic population was 34 (95% CI 30-37) and did not change significantly during the study period (P = 0.70 for trend). These visit rates were higher in patients aged =75 years (n = 54) versus those aged 45-74 years (n = 21), in female (n = 37) versus male (n = 30) patients, in black (n = 40) vs. white (n = 25) patients, and in Hispanic (n = 21) versus non-Hispanic (n = 12) patients (all P < 0.001). CONCLUSIONS:--Greater emphasis on intensive glycemic control has not resulted in increased emergency department visit rates for hypoglycemia. We identified demographic disparities, however, that merit further evaluation. The emergency department provides an important opportunity for epidemiologic study and intervention for severe hypoglycemia. |
| doi_str_mv | 10.2337/dc07-1790 |
| format | Article |
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Jr</creator><creatorcontrib>Ginde, Adit A ; Espinola, Janice A ; Camargo, Carlos A. Jr</creatorcontrib><description>OBJECTIVE:--To characterize the epidemiology of hypoglycemia in U.S. emergency departments. RESEARCH DESIGN AND METHODS--We analyzed data from the 1993-2005 National Hospital Ambulatory Medical Care Survey and evaluated trends and disparities over time. RESULTS:--There were ~5 million emergency department visits for hypoglycemia from 1993-2005, and 25% resulted in hospital admission. The visit rate per 1,000 of the diabetic population was 34 (95% CI 30-37) and did not change significantly during the study period (P = 0.70 for trend). These visit rates were higher in patients aged <45 years (n = 62) and >=75 years (n = 54) versus those aged 45-74 years (n = 21), in female (n = 37) versus male (n = 30) patients, in black (n = 40) vs. white (n = 25) patients, and in Hispanic (n = 21) versus non-Hispanic (n = 12) patients (all P < 0.001). CONCLUSIONS:--Greater emphasis on intensive glycemic control has not resulted in increased emergency department visit rates for hypoglycemia. We identified demographic disparities, however, that merit further evaluation. The emergency department provides an important opportunity for epidemiologic study and intervention for severe hypoglycemia.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc07-1790</identifier><identifier>PMID: 18025407</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Control ; Diabetes ; Diabetes. Impaired glucose tolerance ; Disease control ; Emergency medical care ; Emergency service ; Emergency Service, Hospital - statistics & numerical data ; Emergency Service, Hospital - trends ; Emergency services ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Female ; Hospitals ; Humans ; Hypoglycemia ; Hypoglycemia - epidemiology ; Hypoglycemia - pathology ; Hypoglycemia - therapy ; Infant ; Infant, Newborn ; Male ; Medical sciences ; Metabolic diseases ; Middle Aged ; Miscellaneous ; Patient Admission - statistics & numerical data ; Patient Admission - trends ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk factors ; Surveys ; Trends ; United States - epidemiology</subject><ispartof>Diabetes care, 2008-03, Vol.31 (3), p.511-513</ispartof><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 American Diabetes Association</rights><rights>Copyright American Diabetes Association Mar 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-4c4b07fdafb9cb8ab666de18b30019d0930e856eda4ace0b78ac4defd860d0cf3</citedby><cites>FETCH-LOGICAL-c576t-4c4b07fdafb9cb8ab666de18b30019d0930e856eda4ace0b78ac4defd860d0cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20162707$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18025407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ginde, Adit A</creatorcontrib><creatorcontrib>Espinola, Janice A</creatorcontrib><creatorcontrib>Camargo, Carlos A. Jr</creatorcontrib><title>Trends and Disparities in U.S. Emergency Department Visits for Hypoglycemia, 1993-2005</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>OBJECTIVE:--To characterize the epidemiology of hypoglycemia in U.S. emergency departments. RESEARCH DESIGN AND METHODS--We analyzed data from the 1993-2005 National Hospital Ambulatory Medical Care Survey and evaluated trends and disparities over time. RESULTS:--There were ~5 million emergency department visits for hypoglycemia from 1993-2005, and 25% resulted in hospital admission. The visit rate per 1,000 of the diabetic population was 34 (95% CI 30-37) and did not change significantly during the study period (P = 0.70 for trend). These visit rates were higher in patients aged <45 years (n = 62) and >=75 years (n = 54) versus those aged 45-74 years (n = 21), in female (n = 37) versus male (n = 30) patients, in black (n = 40) vs. white (n = 25) patients, and in Hispanic (n = 21) versus non-Hispanic (n = 12) patients (all P < 0.001). CONCLUSIONS:--Greater emphasis on intensive glycemic control has not resulted in increased emergency department visit rates for hypoglycemia. We identified demographic disparities, however, that merit further evaluation. The emergency department provides an important opportunity for epidemiologic study and intervention for severe hypoglycemia.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Control</subject><subject>Diabetes</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Disease control</subject><subject>Emergency medical care</subject><subject>Emergency service</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Emergency Service, Hospital - trends</subject><subject>Emergency services</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypoglycemia</subject><subject>Hypoglycemia - epidemiology</subject><subject>Hypoglycemia - pathology</subject><subject>Hypoglycemia - therapy</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Patient Admission - statistics & numerical data</subject><subject>Patient Admission - trends</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk factors</subject><subject>Surveys</subject><subject>Trends</subject><subject>United States - epidemiology</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkd9rFDEQxxdR7Fl98B_QRVAQ3HOy2WySx9JWKxR8aK-vYTaZXFP2xzXZQ-6_N-cdClLyMGHmM99M5lsUbxksa87lV2dBVkxqeFYsmOaiEqJRz4sFsEZXQuv6pHiV0gMANI1SL4sTpqAWDchFcXcbaXSpxNGVFyFtMIY5UCrDWK6WN8vycqC4ptHuygvKxXmgcS7vQgpzKv0Uy6vdZlr3O0tDwC8l05pXNYB4Xbzw2Cd6c4ynxerb5e35VXX98_uP87PrygrZzlVjmw6kd-g7bTuFXdu2jpjqOADTDjQHUqIlhw1agk4qtI0j71QLDqznp8Wng-4mTo9bSrMZQrLU9zjStE1GAm-04iKDH_4DH6ZtHPNspq45cBCaZag6QGvsyYTRT3NEm79PEftpJB9y-ozJVjHdAmR--QSfj8vrsE82fD402DilFMmbTQwDxp1hYPZWmr2VZm9lZt8dJ952A7l_5NG7DHw8Apgs9j7iaEP6y9XA2lr-4Y6P3of1_a8QybiAHc2U9heLOcGZ4Uaw_QbeH1iPk8F1zHqrm6yU_VCtkJzz38QxuqQ</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Ginde, Adit A</creator><creator>Espinola, Janice A</creator><creator>Camargo, Carlos A. 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Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypoglycemia</topic><topic>Hypoglycemia - epidemiology</topic><topic>Hypoglycemia - pathology</topic><topic>Hypoglycemia - therapy</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Patient Admission - statistics & numerical data</topic><topic>Patient Admission - trends</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk factors</topic><topic>Surveys</topic><topic>Trends</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ginde, Adit A</creatorcontrib><creatorcontrib>Espinola, Janice A</creatorcontrib><creatorcontrib>Camargo, Carlos A. 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Jr</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends and Disparities in U.S. Emergency Department Visits for Hypoglycemia, 1993-2005</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>31</volume><issue>3</issue><spage>511</spage><epage>513</epage><pages>511-513</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>OBJECTIVE:--To characterize the epidemiology of hypoglycemia in U.S. emergency departments. RESEARCH DESIGN AND METHODS--We analyzed data from the 1993-2005 National Hospital Ambulatory Medical Care Survey and evaluated trends and disparities over time. RESULTS:--There were ~5 million emergency department visits for hypoglycemia from 1993-2005, and 25% resulted in hospital admission. The visit rate per 1,000 of the diabetic population was 34 (95% CI 30-37) and did not change significantly during the study period (P = 0.70 for trend). These visit rates were higher in patients aged <45 years (n = 62) and >=75 years (n = 54) versus those aged 45-74 years (n = 21), in female (n = 37) versus male (n = 30) patients, in black (n = 40) vs. white (n = 25) patients, and in Hispanic (n = 21) versus non-Hispanic (n = 12) patients (all P < 0.001). CONCLUSIONS:--Greater emphasis on intensive glycemic control has not resulted in increased emergency department visit rates for hypoglycemia. We identified demographic disparities, however, that merit further evaluation. The emergency department provides an important opportunity for epidemiologic study and intervention for severe hypoglycemia.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>18025407</pmid><doi>10.2337/dc07-1790</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Biological and medical sciences Child Child, Preschool Control Diabetes Diabetes. Impaired glucose tolerance Disease control Emergency medical care Emergency service Emergency Service, Hospital - statistics & numerical data Emergency Service, Hospital - trends Emergency services Endocrine pancreas. Apud cells (diseases) Endocrinopathies Female Hospitals Humans Hypoglycemia Hypoglycemia - epidemiology Hypoglycemia - pathology Hypoglycemia - therapy Infant Infant, Newborn Male Medical sciences Metabolic diseases Middle Aged Miscellaneous Patient Admission - statistics & numerical data Patient Admission - trends Public health. Hygiene Public health. Hygiene-occupational medicine Risk factors Surveys Trends United States - epidemiology |
| title | Trends and Disparities in U.S. Emergency Department Visits for Hypoglycemia, 1993-2005 |
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