Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy
Purpose. To identify the causes and risk factors of repeated hospitalization among patients with diabetic retinopathy (DR). Methods. Our study retrospectively examined the data of DR patients who were readmitted for treatments to the Department of Ophthalmology, Guangdong Provincial People’s Hospita...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2022/4663221 |
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| author | Yu Xiao Yingying Liang Zhanjie Lin Huiqian Kong Zijing Du Yunyan Hu Shuyi Ouyang |
| author_facet | Yu Xiao Yingying Liang Zhanjie Lin Huiqian Kong Zijing Du Yunyan Hu Shuyi Ouyang |
| author_sort | Yu Xiao |
| collection | DOAJ |
| description | Purpose. To identify the causes and risk factors of repeated hospitalization among patients with diabetic retinopathy (DR). Methods. Our study retrospectively examined the data of DR patients who were readmitted for treatments to the Department of Ophthalmology, Guangdong Provincial People’s Hospital between January 2012 and July 2021. We first analyzed the main causes of repeated admissions and then divided the patients into three groups according to the times of readmissions. Ordinal logistic regression was performed to determine the impact of patients’ demographic and clinical characteristics. Moreover, comparisons of the length of stay and the hospitalization cost of DR patients with repeated admission causes were conducted. Results. Among 2592 hospital discharges of 827 patients who experienced at least two hospitalizations, the major causes of repeated hospitalization were macular edema (30.83%), vitreous hemorrhage (29.09%), cataract (22.76%), proliferative membrane formation (6.91%), silicone oil removal (4.71%), retinal detachment (4.44%), and glaucoma (4.17%). The results of ordinal logistic regression showed that younger patients with medical insurance and local residence have a higher risk of repeated hospitalization (p<0.05). Furthermore, patients readmitted for vitreous hemorrhage, proliferative membrane formation, and retinal detachment experienced longer length of hospital stay and higher hospitalization cost (p<0.001). Conclusions. Multiple causes and risk factors contribute to repeated hospitalization, imposing a substantial physical and economic burden on DR patients. A better understanding of these causes and risk factors of readmission may lead to lowering such risks and alleviating patients’ burden. |
| format | Article |
| id | doaj-art-97c2ed3ac8fa46fc98ab8e79c90a2d78 |
| institution | Kabale University |
| issn | 2314-6753 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-97c2ed3ac8fa46fc98ab8e79c90a2d782025-02-03T05:53:38ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/4663221Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic RetinopathyYu Xiao0Yingying Liang1Zhanjie Lin2Huiqian Kong3Zijing Du4Yunyan Hu5Shuyi Ouyang6Guangdong Eye InstituteGuangdong Eye InstituteGuangdong Eye InstituteGuangdong Eye InstituteGuangdong Eye InstituteGuangdong Eye InstituteGuangdong Eye InstitutePurpose. To identify the causes and risk factors of repeated hospitalization among patients with diabetic retinopathy (DR). Methods. Our study retrospectively examined the data of DR patients who were readmitted for treatments to the Department of Ophthalmology, Guangdong Provincial People’s Hospital between January 2012 and July 2021. We first analyzed the main causes of repeated admissions and then divided the patients into three groups according to the times of readmissions. Ordinal logistic regression was performed to determine the impact of patients’ demographic and clinical characteristics. Moreover, comparisons of the length of stay and the hospitalization cost of DR patients with repeated admission causes were conducted. Results. Among 2592 hospital discharges of 827 patients who experienced at least two hospitalizations, the major causes of repeated hospitalization were macular edema (30.83%), vitreous hemorrhage (29.09%), cataract (22.76%), proliferative membrane formation (6.91%), silicone oil removal (4.71%), retinal detachment (4.44%), and glaucoma (4.17%). The results of ordinal logistic regression showed that younger patients with medical insurance and local residence have a higher risk of repeated hospitalization (p<0.05). Furthermore, patients readmitted for vitreous hemorrhage, proliferative membrane formation, and retinal detachment experienced longer length of hospital stay and higher hospitalization cost (p<0.001). Conclusions. Multiple causes and risk factors contribute to repeated hospitalization, imposing a substantial physical and economic burden on DR patients. A better understanding of these causes and risk factors of readmission may lead to lowering such risks and alleviating patients’ burden.http://dx.doi.org/10.1155/2022/4663221 |
| spellingShingle | Yu Xiao Yingying Liang Zhanjie Lin Huiqian Kong Zijing Du Yunyan Hu Shuyi Ouyang Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy Journal of Diabetes Research |
| title | Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy |
| title_full | Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy |
| title_fullStr | Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy |
| title_full_unstemmed | Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy |
| title_short | Causes and Risk Factors of Repeated Hospitalization among Patients with Diabetic Retinopathy |
| title_sort | causes and risk factors of repeated hospitalization among patients with diabetic retinopathy |
| url | http://dx.doi.org/10.1155/2022/4663221 |
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