TITLE

Impact of Diabetes on Prolonged Hospital Stay among Native Hawaiians and other Pacific Islanders with Ischemic Stroke

AUTHOR(S)
Kazuma Nakagawa; Vento, Megan A.; Ing, Marissa M.; Asai, Susan M.
PUB. DATE
December 2014
SOURCE
Hawaii Journal of Medicine & Public Health;2014 Supplement, Vol. 73, p4
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Recent evidence suggests that minority groups have prolonged hospital stays after ischemic stroke. However, disparities in the hospital stay after ischemic stroke among Native Hawaiians and other Pacific Islanders (NHPI) have not been studied. A retrospective study on consecutive patients hospitalized for ischemic stroke at a single tertiary center in Honolulu between 2008 and 2010 was performed. Logistic regression analyses were performed to assess the independent predictors of prolonged hospital stay (hospitalization > 12 days after admission) after ischemic stroke. A total of 740 patients (whites 22%, Asians 53%, NHPI 21%, others 4%) hospitalized for ischemic stroke were studied. NHPI were significantly younger (59±14 years vs72±13 years) and had significantly higher prevalence of female sex(51%vs38%), no insurance (10%vs4%), diabetes (53%vs18%), hypertension (82%vs62%), obesity (55%vs 20%) and prolonged hospital stay (20%vs 11%), and lower prevalence of residence outside of O'ahu (12%vs23%) compared to whites. Univariate analyses showed that NHPI were more likely to have prolonged hospital stay (OR 1.87, 95% CI: 1.01, 3.49) compared to whites. After adjusting for age, sex, race, risk factors, health insurance status, and geographical factor, diabetes (OR 1.76,95% CI: 1.07,2.89) was the only independent predictor of prolonged hospital stay. NHPI are associated with prolonged hospitalization after ischemic stroke. However, this effect was attenuated by the impact of diabetes. Further prospective studies are needed to understand the relationship between diabetes and prolonged hospital stay after ischemic stroke.
ACCESSION #
99862918

 

Related Articles

  • Rede Nacional de Cuidados Continuados e Tempo de Internamento dos Doentes com Acidente Vascular Cerebral 2010-2011. CANHA, Catarina; MASSANO, Ana; ESPERTO, Hélder; RATO, Joana; FERREIRA, Teresa; GERALDO, Argemiro // Acta Medica Portuguesa;nov/dez2013, Vol. 26 Issue 3, p683 

    Introduction: The National Post Hospital Care Project was created to provide a continuity of care after hospitalization or to functionally dependent people. Currently there is a great difficulty in the integration of patients. The objective of this paper is to compare the impact of the referral...

  • User charges in health care: evidence of effect on service utilization & equity from north India. Prinja, Shankar; Aggarwal, Arun Kumar; Kumar, Rajesh; Kanavos, Panos // Indian Journal of Medical Research;Nov2012, Vol. 136 Issue 5, p868 

    Background & objectives: User charges have been advocated on efficiency grounds despite the widespread criticism about their adverse effect on equity. We assessed the effect of user charges on inpatient hospitalizations rate and equity in Haryana State. Methods: The inpatient department (IPD)...

  • Site of hospital readmission and mortality: a population-based retrospective cohort study. Staples, John A.; Thiruchelvam, Deva; Redelmeier, Donald A. // CMAJ Open;2014, Vol. 2 Issue 2, pE77 

    Background: Unplanned hospital readmission is a complex process, particularly if the patient is readmitted to an acute care institution other than the original hospital. This study tested the hypothesis that readmission to an alternative hospital is associated with increased mortality compared...

  • Transfer status is a risk factor for increased in-hospital mortality in patients with diverticular hemorrhage. Dao, Haisar; Miller, Peter; Lee, Justin; Kermani, Reza; Hackford, Alan // International Journal of Colorectal Disease;Feb2013, Vol. 28 Issue 2, p273 

    Purpose: Gastrointestinal tract hemorrhage is a common problem accounting for approximately 1 % of hospital admissions. It is estimated that one third of the episodes of lower gastrointestinal hemorrhage are secondary to diverticular disease. Inter-institutional transfer has been associated with...

  • Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. Veysi, Veysi; Nikolaou, Vassilios; Paliobeis, Christos; Efstathopoulos, Nicolas; Giannoudis, Peter // International Orthopaedics;Oct2009, Vol. 33 Issue 5, p1425 

    A review of prospectively collected data in our trauma unit for the years 1998-2003 was undertaken. Adult patients who suffered multiple trauma with an Injury Severity Score (ISS) of ≥16, admitted to hospital for more than 72 hours and with sustained blunt chest injuries were included in...

  • Disparities in Diabetes-Related Preventable Hospitalizations among Working-Age Native Hawaiians and Asians in Hawai'i. Sentell, Tetine L.; Juarez, Deborah T.; Hyeong Jun Ahn; Chien-Wen Tseng; Chen, John J.; Salvail, Florentina R.; Miyamura, Jill; Mau, Marjorie K. // Hawaii Journal of Medicine & Public Health;2014 Supplement, Vol. 73, p8 

    Elderly (65+) Native Hawaiian, Filipino, and Japanese men and Filipino women have a higher risk of diabetes-related potentially preventable hospitalizations thanWhitesevenwhendemographicfactorsandthehigherdiabetesprevalence in these populations is considered. The study objective was to determine...

  • Functional capacity and severity of trauma in the elderly. Maeshiro, Flávia Lie; Barbosa Teixeira Lopes, Maria Carolina; Pinto Okuno, Meiry Fernanda; Vancini Camapanharo, Cássia Regina; Assayag Batista, Ruth Ester // Journal of Korean Biological Nursing Science;Jan2014, Vol. 4 Issue 1, p389 

    Objective: Correlate functional capacity in elderly people with the severity of the trauma and compare it before and after the trauma. Methods: Prospective observational study conducted in an emergency department, comprised of 55 elderly people, age 60 and over, of both sexes, who suffered...

  • Care trajectories and survival after discharge from specialized inpatient palliative care-results from an observational follow-up study. Kötzsch, Franziska; Stiel, Stephanie; Heckel, Maria; Ostgathe, Christoph; Klein, Carsten // Supportive Care in Cancer;Mar2015, Vol. 23 Issue 3, p627 

    Background: Little is known about the patients' individual care trajectories after discharge or transfer from inpatient palliative care units (PCU) to other care settings. This study aims to survey the further care trajectory and overall survival from the time of discharge of patients in a...

  • Assessing the need for low secure care in Northern Ireland. Campbell, Philip; Bell, Paul // Ulster Medical Journal;Sep2015, Vol. 84 Issue 3, p164 

    Aims and method To assess the need for the provision of low secure care in Northern Ireland. A survey of the providers of healthcare in Northern Ireland was conducted using a study tool based on Royal College of Psychiatrists Low Secure Network Standards admission criteria. Results A total of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics