Match!

Incidence, recurrence and cost of hyperglycaemic crises requiring emergency treatment in Andalusia, Spain

Published on Jul 1, 2017in Diabetic Medicine3.11
· DOI :10.1111/dme.13355
Rafael J. Barranco2
Estimated H-index: 2
(University of Jaén),
Fernando Gomez-Peralta8
Estimated H-index: 8
+ 7 AuthorsGuillermo E. Umpierrez61
Estimated H-index: 61
(Emory University)
Abstract
Aims Hyperglycaemic crises (diabetic ketoacidosis and hyperosmolar hyperglycaemic state) are medical emergencies in people with diabetes. We aimed to determine their incidence, recurrence and economic impact. Methods An observational study of hyperglycaemic crises cases using the database maintained by the out-of-hospital emergency service, the Healthcare Emergency Public Service (EPES) during 2012. The EPES provides emergency medical services to the total population of Andalusia, Spain (8.5 million inhabitants) and records data on the incidence, resource utilization and cost of out-of-hospital medical care. Direct costs were estimated using public prices for health services updated to 2012. Results Among 1 137 738 emergency calls requesting medical assistance, 3157 were diagnosed with hyperglycaemic crises by an emergency coordinator, representing 2.9 cases per 1000 persons with diabetes [95% confidence intervals (CI) 2.8 to 3.0]. The incidence of diabetic ketoacidosis was 2.5 cases per 1000 persons with diabetes (95% CI 2.4 to 2.6) and the incidence of hyperosmolar hyperglycaemic state was 0.4 cases per 1000 persons with diabetes (95% CI 0.4 to 0.5). In total, 17.7% (n = 440) of people had one or more hyperglycaemic crisis. The estimated total direct cost was €4 662 151, with a mean direct cost per episode of €1476.8 ± 217.8. Conclusions Hyperglycaemic crises require high resource utilization of emergency medical services and have a significant economic impact on the health system. This article is protected by copyright. All rights reserved.
  • References (21)
  • Citations (1)
References21
Newest
#1Ketan Dhatariya (Norfolk and Norwich University Hospitals NHS Foundation Trust)H-Index: 20
#2Ian Nunney (UEA: University of East Anglia)H-Index: 9
Last.G. Iceton (Norfolk and Norwich University Hospitals NHS Foundation Trust)H-Index: 2
view all 5 authors...
#1Jing Wang (CDC: Centers for Disease Control and Prevention)H-Index: 10
#2Linda S. Geiss (CDC: Centers for Disease Control and Prevention)H-Index: 48
Last.Edward W. Gregg (CDC: Centers for Disease Control and Prevention)H-Index: 81
view all 4 authors...
View next paperFactors influencing the cost of hospital care for people with diabetes in Australia