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Health Indicator Report of Diabetes Hospitalizations

Hospitalization is costly for individuals, families and society. Based on 2012 American Diabetes Association estimates, direct medical as well as nonmedical costs for diagnosed diabetes and undiagnosed diabetes were about $1.8 billion in New Mexico alone. This 2012 estimate includes the costs of hospitalization, office visits, prescription medications, inability to work due to disability, reduced productivity at work, and lost productivity capacity due to early mortality. This does not include costs due to prediabetes, over the counter medications, prevention programs, research programs, and productivity loss for informal caregivers. Diabetes hospitalizations are considered potentially preventable hospitalizations, that is, some proportion of these inpatient stays are preventable. According to the Agency for Healthcare Research and Quality (AHRQ), "with high-quality, community-based primary care, hospitalization for these illnesses often can be avoided". AHRQ includes diabetes as one such illness. Key prevention strategies include regular physical activity and healthy nutrition; effective self-management; regular and effective management support; and, access to specialty or ambulatory care as appropriate. Environmental prevention strategies include accessible and affordable vegetables and fruits; readily accessible safe places for physical activity; and school, work and community cultures visibly supporting physical activity for all ages and abilities. To accomplish this there is a role for all sectors, from families to businesses to health systems to government. One public health role is to build supports, structures and conditions that make it easy for as many people as possible to be active, to eat a healthy diet daily, and to access primary care when needed. A vital part of this role is linking clinical systems with community supports, such as the National Diabetes Prevention Program, diabetes self-management education, and other community-based prevention programs.
The New Mexico Diabetes Hospitalization rate for Diabetes as the primary diagnosis has been relatively stable for years. However, the rate for the most recent year available, 2017, was statistically significantly higher than the preceding three years. As any diagnosis, the diabetes hospitalization rate from 2010 through 2015 had been statistically significantly higher than rates of previous years. However, rates for the two most recent years, 2016 and 2017, were statistically significantly lower than preceding years, approaching the rates seen prior to 2010.

Notes

Diseases listed on hospital discharge records are assigned specific ICD codes. Under the ICD, the primary condition/ disease leading to the hospitalization is listed first. There may also be up to eight additional conditions which contributed to the hospitalization, for a total of nine possible conditions. These data are based on the ICD codes listed on the hospital discharge records, and thus are about the number of discharges, not the number of persons hospitalized, over the course of the year. This means a person admitted to a hospital multiple times over the year will be counted each time as a separate discharge from the hospital. Except for age-specific rates, rates are age-adjusted to the 2000 US Standard Populations.   US rates for 2010 and later are currently not available, due to a redesign of the national hospital discharge sample.

Data Sources

  • Hospital Inpatient Discharge Data, New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Health and Human Services, Agency for Healthcare Research and Quality (ARHQ), Cost and Utilization Project (HCUP), National Inpatient Sample

Data Interpretation Issues

The International Classification of Diseases (ICD) is a coding system that provides the rules for coding and classifying diseases and conditions. The ICD is developed collaboratively between the World Health Organization (WHO) and 10 international centers, such as the U.S. National Center for Health Statistics. These data are about discharges of New Mexico residents from non-federal NM hospitals only. A discharge occurs when a patient is admitted to a hospital and stays overnight or when a hospital patient dies on the day of admission to the hospital. NM non-federal hospitals submit these data to the New Mexico Department of Health, which maintains these data in the Hospital Inpatient Discharge Database (HIDD). Data have been directly age-adjusted to the U.S. 2000 standard population. These data do not include hospital discharges from federal hospitals, that is, Department of Veterans Affairs and Indian Health Service hospitals. Thus, the data presented in this report under-estimate hospitalization rates, especially for the New Mexico American Indian population and military veterans. Until federal hospitals can be included in the data, these results should not be used to make population inferences for New Mexico's American Indian populations. These data also do not include information about New Mexico residents who were hospitalized outside New Mexico or about out-of-state residents who were hospitalized in New Mexico. The accuracy of the original data is the responsibility of the submitting hospital, and the New Mexico Department of Health assumes no responsibility for any use made of or conclusions drawn from these data.

Definition

The number of hospital inpatient discharges for diabetes per 10,000 population, ICD9-CM code 250 and, after October 1, 2015, ICD10-CM codes E10-E14.

Numerator

Number of diabetes-related hospital discharges within a given year. Discharges are grouped as Primary and Any diagnosis. Primary discharges include only the discharges in which diabetes was the first diagnosis listed (coded) for the hospitalizations. "Any" discharges are all discharges in which diabetes was one of the nine possible diagnoses listed for the hospitalizations. Numerator data are from the NM Hospital Inpatient Discharge Database of the NM Department of Health.

Denominator

Number of NM residents in a given year who belong within the specified geographic or age group.
Page Content Updated On 12/19/2018, Published on 12/19/2018
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 05 August 2021 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Wed, 19 Dec 2018 15:10:12 MST