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Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study.

Publication ,  Journal Article
Fismen, A-S; Igland, J; Teigland, T; Tell, GS; Ostbye, T; Haltbakk, J; Graue, M; Birkeland, KI; Peyrot, M; Iversen, MM
Published in: BMJ Open Diabetes Res Care
March 2021

INTRODUCTION: The aim was to assess whether annual hospitalization (admissions, length of stay and total days hospitalized) among persons >65 years receiving home care services in Norway were higher for persons with diabetes than those without diabetes. Given the growing prevalence of diabetes, this issue has great importance for policy makers who must plan for meeting these needs. RESEARCH DESIGN AND METHODS: Data were obtained from national Norwegian registries, and the study population varied from 112 487 to 125 593 per calendar year during 2009-2014. Diabetes was defined as having been registered with at least one prescription for blood glucose lowering medication. Overall and cause-specific hospitalization were compared, as well as temporal trends in hospitalization. Hospitalization outcomes for persons with and without diabetes were compared using log-binomial regression or quantile regression, adjusting for age and gender. Results are reported as incidence rate ratios (IRRs). RESULTS: Higher total hospitalization rates (IRR 1.17; 95% CI 1.12 to 1.22) were found among persons with, versus without, diabetes, and this difference remained stable throughout the study period. Similar reductions over time in hospital length of stay were observed among persons with and without diabetes, but total annual days hospitalized decreased significantly (p=0.001) more among those with diabetes than among those without diabetes. CONCLUSIONS: Among older recipients of home care services in Norway, diabetes was associated with a higher overall risk of hospitalization and increased days in the hospital. Given the growing prevalence of diabetes, it is important for policy makers to plan for meeting these needs.

Duke Scholars

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Published In

BMJ Open Diabetes Res Care

DOI

EISSN

2052-4897

Publication Date

March 2021

Volume

9

Issue

1

Location

England

Related Subject Headings

  • Registries
  • Norway
  • Humans
  • Hospitalization
  • Home Care Services
  • Diabetes Mellitus
  • 4206 Public health
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Chicago
ICMJE
MLA
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Fismen, A.-S., Igland, J., Teigland, T., Tell, G. S., Ostbye, T., Haltbakk, J., … Iversen, M. M. (2021). Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study. BMJ Open Diabetes Res Care, 9(1). https://doi.org/10.1136/bmjdrc-2020-002000
Fismen, Anne-Siri, Jannicke Igland, Tonje Teigland, Grethe Seppola Tell, Truls Ostbye, Johannes Haltbakk, Marit Graue, Kare I. Birkeland, Mark Peyrot, and Marjolein Memelink Iversen. “Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study.BMJ Open Diabetes Res Care 9, no. 1 (March 2021). https://doi.org/10.1136/bmjdrc-2020-002000.
Fismen A-S, Igland J, Teigland T, Tell GS, Ostbye T, Haltbakk J, et al. Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study. BMJ Open Diabetes Res Care. 2021 Mar;9(1).
Fismen, Anne-Siri, et al. “Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study.BMJ Open Diabetes Res Care, vol. 9, no. 1, Mar. 2021. Pubmed, doi:10.1136/bmjdrc-2020-002000.
Fismen A-S, Igland J, Teigland T, Tell GS, Ostbye T, Haltbakk J, Graue M, Birkeland KI, Peyrot M, Iversen MM. Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study. BMJ Open Diabetes Res Care. 2021 Mar;9(1).

Published In

BMJ Open Diabetes Res Care

DOI

EISSN

2052-4897

Publication Date

March 2021

Volume

9

Issue

1

Location

England

Related Subject Headings

  • Registries
  • Norway
  • Humans
  • Hospitalization
  • Home Care Services
  • Diabetes Mellitus
  • 4206 Public health
  • 3202 Clinical sciences
  • 1103 Clinical Sciences