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Smoking is associated with a higher risk of unplanned medical visits among adult patients with diabetes, using retrospective electronic medical record data from 2014 to 2016
by
Hsu, Benson
, Weber, Tess L.
, Russo, Jaymi
, Anshutz, Drake
, Selya, Arielle
, Griese, Emily
, Stansbury, Cheryl
, Johnson, Eric L.
in
Adult
/ Aged
/ Ambulatory Care - statistics & numerical data
/ Body mass index
/ Cigarettes
/ Codes
/ Datasets
/ Diabetes
/ Diabetes Mellitus, Type 1 - epidemiology
/ Diabetes Mellitus, Type 1 - therapy
/ Diabetes Mellitus, Type 2 - epidemiology
/ Diabetes Mellitus, Type 2 - therapy
/ Diabetes therapy
/ Diabetics
/ Electronic Health Records
/ Electronic records
/ Emergency medical care
/ Ethnicity
/ Female
/ Health Administration
/ Health care expenditures
/ Health care industry
/ Health care policy
/ Health Informatics
/ Health services
/ Humans
/ Male
/ Medical records
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Missing data
/ Nursing Research
/ Organization
/ Patients
/ Population
/ Public Health
/ Regression analysis
/ Research Article
/ Retrospective Studies
/ Risk Factors
/ Smoking
/ Smoking - epidemiology
/ structure and delivery of healthcare
/ Tax rates
/ Tobacco
/ Trends
/ Type 2 diabetes
/ Unplanned medical visits
2020
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Smoking is associated with a higher risk of unplanned medical visits among adult patients with diabetes, using retrospective electronic medical record data from 2014 to 2016
by
Hsu, Benson
, Weber, Tess L.
, Russo, Jaymi
, Anshutz, Drake
, Selya, Arielle
, Griese, Emily
, Stansbury, Cheryl
, Johnson, Eric L.
in
Adult
/ Aged
/ Ambulatory Care - statistics & numerical data
/ Body mass index
/ Cigarettes
/ Codes
/ Datasets
/ Diabetes
/ Diabetes Mellitus, Type 1 - epidemiology
/ Diabetes Mellitus, Type 1 - therapy
/ Diabetes Mellitus, Type 2 - epidemiology
/ Diabetes Mellitus, Type 2 - therapy
/ Diabetes therapy
/ Diabetics
/ Electronic Health Records
/ Electronic records
/ Emergency medical care
/ Ethnicity
/ Female
/ Health Administration
/ Health care expenditures
/ Health care industry
/ Health care policy
/ Health Informatics
/ Health services
/ Humans
/ Male
/ Medical records
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Missing data
/ Nursing Research
/ Organization
/ Patients
/ Population
/ Public Health
/ Regression analysis
/ Research Article
/ Retrospective Studies
/ Risk Factors
/ Smoking
/ Smoking - epidemiology
/ structure and delivery of healthcare
/ Tax rates
/ Tobacco
/ Trends
/ Type 2 diabetes
/ Unplanned medical visits
2020
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Smoking is associated with a higher risk of unplanned medical visits among adult patients with diabetes, using retrospective electronic medical record data from 2014 to 2016
by
Hsu, Benson
, Weber, Tess L.
, Russo, Jaymi
, Anshutz, Drake
, Selya, Arielle
, Griese, Emily
, Stansbury, Cheryl
, Johnson, Eric L.
in
Adult
/ Aged
/ Ambulatory Care - statistics & numerical data
/ Body mass index
/ Cigarettes
/ Codes
/ Datasets
/ Diabetes
/ Diabetes Mellitus, Type 1 - epidemiology
/ Diabetes Mellitus, Type 1 - therapy
/ Diabetes Mellitus, Type 2 - epidemiology
/ Diabetes Mellitus, Type 2 - therapy
/ Diabetes therapy
/ Diabetics
/ Electronic Health Records
/ Electronic records
/ Emergency medical care
/ Ethnicity
/ Female
/ Health Administration
/ Health care expenditures
/ Health care industry
/ Health care policy
/ Health Informatics
/ Health services
/ Humans
/ Male
/ Medical records
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Missing data
/ Nursing Research
/ Organization
/ Patients
/ Population
/ Public Health
/ Regression analysis
/ Research Article
/ Retrospective Studies
/ Risk Factors
/ Smoking
/ Smoking - epidemiology
/ structure and delivery of healthcare
/ Tax rates
/ Tobacco
/ Trends
/ Type 2 diabetes
/ Unplanned medical visits
2020
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Smoking is associated with a higher risk of unplanned medical visits among adult patients with diabetes, using retrospective electronic medical record data from 2014 to 2016
Journal Article
Smoking is associated with a higher risk of unplanned medical visits among adult patients with diabetes, using retrospective electronic medical record data from 2014 to 2016
2020
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Overview
Background
Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the association between smoking status and unplanned medical visits among patients with diabetes.
Methods
Data were drawn from electronic medical records (EMR’s) from a large healthcare provider in the Northern Plains region of the US, from adult (≥18 years old) patients with type 1 or type 2 diabetes who received care at least once during 2014–16 (
N
= 62,149). The association between smoking status (current, former, or never smoker) and having ≥1 unplanned visit (comprised of emergency department visits, hospitalizations, hospital observations, and urgent care) was examined after adjusting for age, race/ethnicity, and body mass index (BMI). The top ten most common diagnoses for unplanned visits were examined by smoking status.
Results
Both current and former smoking were associated with an approximately 1.2-fold increase in the odds of having at least one unplanned medical visit in the 3-year period (OR = 1.22, 95% CI = 1.16–129; OR = 1.23, 95% CI = 1.19–1.28, respectively), relative to never-smokers. Most common diagnoses for all patients were pain-related. However, diagnoses related to musculoskeletal system and connective tissue disorders were more common among smokers. Smoking is associated with a higher rate of unplanned medical visits among patients with diabetes in this regional healthcare system.
Conclusions
Results from this study reveal higher rates of unplanned visits among smokers and former smokers, as well as increased frequencies of unplanned medical visits among current smokers.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Aged
/ Ambulatory Care - statistics & numerical data
/ Codes
/ Datasets
/ Diabetes
/ Diabetes Mellitus, Type 1 - epidemiology
/ Diabetes Mellitus, Type 1 - therapy
/ Diabetes Mellitus, Type 2 - epidemiology
/ Diabetes Mellitus, Type 2 - therapy
/ Female
/ Humans
/ Male
/ Medicine
/ Patients
/ Smoking
/ structure and delivery of healthcare
/ Tobacco
/ Trends
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