Author | Country | Study Design | Study Size | Age Group | Admission Rate/patient-year | Comments |
---|---|---|---|---|---|---|
Randomised trials | Â | Â | Â | Â | Â | Â |
Laffel 1998 [33] | USA | Randomised Control Trial of IDDM cases assigned to standard care or ambulatory care intervention | 171 | 10–15 | 0.09 Treated 0.24 Standard | Admissions codes for diabetes only |
Laffel 2006 [34] | USA | 6-month Randomised Control Trial of IDDM cases assigned to either a blood ketone or urine ketone monitoring group | 123 | 3–22 | 0.38 Blood 0.75 Urine | Admissions codes for diabetes only Also includes emergency assessments |
Non-randomised studies | Â | Â | Â | Â | Â | Â |
Glasgow 1991 [31] | USA | Retrospective analysis of diabetes hospital admission records 1984 – 1988 | 267 | 0–20 | 0.14 – 0.26 | Admissions codes for diabetes only |
Levine 2002 [35] | USA | Prospective 1-year follow-up of T1DM cohort classified into one of 3 baseline HbA1c levels | 300 | 7–16 | 0.13 Overall 0.11 <8.1% 0.04 8.1–9.0% 0.25 >9.0% | Admission rates three times rate in general population |
Svoren 2003 [36] | USA | 2-year prospective Randomised Control Trial of T1DM children assigned to 3 treatment groups | 299 | 7–16 | 0.18 CA 0.09 CA+ 0.13 SC | CA – Ambulatory diabetes care CA+ – CA plus psychoeducational modules SC – Standard care |
Swift 1993 [32] | England | Retrospective T1DM cohort study 1978 – 1988 of hospital admissions post-diagnosis over 10 years, comparing home and hospital management at diagnosis | 236 | 10–14 | 0.02 Home 0.04 Hospital | Home – Initial management without hospitalisation Hospital – Initial hospital management |