Diabetes-related admissions and ED visits | ||||
---|---|---|---|---|
Diabetes-related admissions and ED visits/100 person-years | *Person-years | Adjusted rate ratio (95% CI) | p Value | |
Patient characteristics | ||||
Age group | ||||
<6th birthday (n=224) | 17.04 | 1004 | 1.06 (0.81 to 1.39) | 0.6862 |
6th–13th birthday (n=1448) | 13.52 | 6561 | (Ref) 1.0 | |
≥13th birthday (n=1521) | 15.99 | 4467 | 1.12 (1.06 to 1.18) | 0.0001 |
Sex | ||||
Male (n=1634) | 13.12 | 6128 | (Ref) 1.0 | |
Female (n=1559) | 16.37 | 5903 | 1.27 (1.03 to 1.57) | 0.0242 |
Duration of diabetes | ||||
<5 years (n=1948) | 14.97 | 7727 | (Ref) 1.0 | |
≥5 years (n=1245) | 14.34 | 4304 | 1.23 (1.03 to 1.47) | 0.0213 |
Baseline HbA1c | ||||
<7.5% (<58 mmol/mol) (n=718) | 12.37 | 2798 | (Ref) 1.0 | |
7.5–9.0% (58–75 mmol/mol) (n=1847) | 13.43 | 7025 | 1.08 (0.90 to 1.31) | 0.4124 |
>9.0% (>75 mmol/mol) (n=631) | 21.88 | 2209 | 1.59 (1.32 to 1.91) | <0.0001 |
Deprivation quintile | ||||
1 (least deprived) (n=1073) | 12.01 | 4047 | (Ref) 1.0 | |
2 (n=861) | 15.04 | 3197 | 1.23 (1.00 to 1.51) | 0.0495 |
3 (n=597) | 11.81 | 2250 | 0.89 (0.70 to 1.13) | 0.3294 |
4 (n=387) | 20.61 | 1492 | 1.48 (1.19 to 1.84) | 0.0004 |
5 (most deprived) (n=252) | 21.71 | 956 | 1.60 (1.27 to 2.00) | <0.0001 |
Missing (n=23) | 25.91 | 89 | 2.12 (0.98 to 4.58) | 0.0561 |
Other chronic condition | ||||
No (n=2616) | 14.75 | 9650 | (Ref) 1.0 | |
Yes (n=577) | 14.57 | 2381 | 1.05 (0.85 to 1.30) | 0.6407 |
At least one diabetes-related admission or ED visit in 2 years prior to index date | ||||
No (n=1869) | 10.15 | 6900 | (Ref) 1.0 | |
Yes (n=1324) | 20.82 | 5131 | 2.16 (1.87 to 2.50) | <0.0001 |
Center characteristics | ||||
Center type | ||||
Large community (n=1346) | 14.80 | 5053 | (Ref) 1.0 | |
Small community (n=642) | 20.82 | 2473 | 1.14 (0.77 to 1.70) | 0.5055 |
Tertiary (n=1205) | 11.30 | 4505 | 0.93 (0.71 to 1.21) | 0.5848 |
24-hour support | ||||
No (n=1730) | 16.45 | 6535 | (Ref) 1.0 | |
Yes (n=1463) | 12.65 | 5497 | 0.86 (0.70 to 1.05) | 0.1265 |
Physician model | ||||
Pediatric endocrinologist (n=1946) | 11.98 | 7310 | (Ref) 1.0 | |
Generalist (n=606) | 17.81 | 2237 | 1.22 (0.86 to 1.75) | 0.2682 |
Visiting pediatric endocrinologist (n=641) | 20.02 | 2484 | 1.14 (0.80 to 1.62) | 0.4593 |
Annual nursing patient load | ||||
<200 (n=1283) | 13.59 | 4981 | (Ref) 1.0 | |
≥200 (n=1910) | 15.53 | 7051 | 1.00 (0.75 to 1.34) | 0.9885 |
*Person-years is computed as the time from the date of initial application for pump funding to the earliest date of: death, date of pump discontinuation, 19th birthday, or outmigration from Ontario.
ED, emergency department; HbA1c, glycated hemoglobin.