Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-08T06:50:03 RDF description of Recurrent DKA results in high societal costs - a retrospective study identifying social predictors of recurrence for potential future intervention - http://repository.healthpartners.com/individual/document-rn26655 Recurrent DKA results in high societal costs - a retrospective study identifying social predictors of recurrence for potential future intervention Clinical diabetes and endocrinology Prevention 1 Diabetes document-rn26655 10.1186/s40842-021-00127-6 18765 2022-02-21T22:48:57.408-06:00 public Social Determinants of Health Mortality Economics Risk Factors 7 31830 <p>AIMS: Diabetic ketoacidosis (DKA) is an emergency with high morbidity and mortality. This study examined patient factors associated with hospitalization for recurrent DKA. METHODS: Characteristics of 265 subjects admitted for DKA at Hennepin County Medical Center between January 2017 and January 2019 were retrospectively analyzed. Differences between subjects with a single admission versus multiple were reviewed. RESULTS: Forty-eight out of 265 patients had recurrent DKA. Risk factors included African American race (adjusted odds ratio (aOR) versus white non-Hispanic�=�4.6, 95% CI 1.8-13, p�=�0.001) or other race/ethnicity (aOR�=�8.6, 2.9-28, p�<�0.0001), younger age (aOR 37-52y versus 18-36y�=�0.48, 0.19-1.16, p�=�0.10; aOR 53-99y versus 18-36y�=�0.37, 0.12-0.99, p�=�0.05), type 1 diabetes mellitus (aOR�=�2.4, 1.1-5.5, p�=�0.04), ever homeless (aOR�=�2.5, 1.1-5.4, p�=�0.03), and drug abuse (aOR�=�3.2, 1.3-7.8, p�=�0.009). DKA cost a median of $29,981 per admission. CONCLUSIONS: Recurrent DKA is costly, and social determinants are strong predictors of recurrence. This study highlights the need for targeted preventative care programs.<p>