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Understanding 30-day re-admission after hospitalisation of older patients for diabetes: identifying those at greatest risk

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The known Re-admissions are a significant contributor to the burden and medical costs associated with hospitalisation of people with diabetes. 

The new Almost one-quarter of older patients hospitalised for diabetes were re-hospitalised within 30 days, most of whom were re-admitted within 14 days of discharge. The patients at greatest risk of re-admission were those with comorbid heart failure, multiple recent hospitalisations, and multiple prescribers involved in their care. 

The implications Identification in hospital of at-risk patients with diabetes, together with targeted follow-up during the first 14 days after discharge, may facilitate appropriate interventions that avert their re-admission. 

People with diabetes are often admitted to hospital several times; it was reported in the United States that 30% of patients hospitalised for diabetes had been admitted at least twice during the previous year.1 These findings have important consequences for health care costs; hospital inpatient care was identified as the largest item of medical expenditure for patients with diabetes in the US, accounting for 43% of the total medical costs, or US$409 billion.2