Family Nursing

Biography

Biography: Priscilla O Okunji

Abstract

Patients with type-2 diabetes reportedly have different outcomes on discharge, according to hospital characteristics. In the present study, we evaluated the differences in the outcomes of diabetic patients admitted to a Minority Large Urban Teaching (MLUT) Hospital in 2012. Sample of 2,311 subjects diagnosed of type-2 diabetes (2,185) with comorbidities of myocardial infarction (77) and diabetic myocardial infarction (49) were extracted from the emergency room dataset of a Minority Large Urban Teaching, private and non-profit Hospital using the International Classification Data, ICD 9 codes 25000. The result of the study showed that more females (15%) were admitted than their male counterparts with 42.2% males and 57.8% females, 2.2% white and 97.8% black. For age distribution, the MLUT Hospital had more age groups (40-59 years) and (60-79 years) admitted than those with age less than 40 years and 80 years or older group. A significant difference (~32%) of patients admitted with income ($1.00-$38,999.00) and ($39,000.00-47,999.00$) was observed while patients with income ($48,000.00-$62,000.00) range were admitted more (~49%) in the MLUT than any other age group. For the outcomes, patient mortality rate was significant when compared to those that did not die in the hospital. However, a difference (~5%) was noted for hospital stay of 3 days when compared to other hospital stay categories. A significance difference (36.9%) was noted for patients with hospital charges of less than $20,000.00 and $80,000.00 or more. The overall outcomes showed that the mortality rates for patients who died in the hospital were not significant and most patients stayed more than 3 days on admission. However, majority of the patients were either charged less or more. This study is to be replicated with a higher level of analytics to ascertain the impact of the variables on the outcomes for a more validated result.