Assessment of the effect of a comprehensive diabetes management program on hospital admission rates of children with diabetes mellitus

Diabetes Educ. 1990 Sep-Oct;16(5):389-93. doi: 10.1177/014572179001600511.


Admission records at Children's Hospital Medical Center in Cincinnati were reviewed to determine the impact of a comprehensive diabetes management program on selected indicators of health status in children with diabetes mellitus. Two periods were compared: January 1973 through June 1978 (period A), prior to institution of the program, and July 1978 through December 1987 (period B). Although the number of children admitted with a diagnosis of type I diabetes not associated with DKA or other diagnoses increased by 10% during these 10 years, the number of children with diabetic ketoacidosis (DKA) not associated with other diagnoses fell from 58% in period A to 24% in period B. Similarly, average length of stay for the reported DKA admissions decreased from a mean of 5.84 days in period A to a mean of 4.62 days in period B. This reduction of 1.2 days saved an estimated $342,000 in hospitalization costs. These findings suggest that a comprehensive diabetes management program consisting of medical treatment, education, and psychological support services, has a positive influence on patient outcome and can be cost effective.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Diabetes Mellitus / nursing
  • Diabetes Mellitus / rehabilitation
  • Diabetes Mellitus / therapy*
  • Female
  • Hospitals, Pediatric
  • Humans
  • Infant
  • Length of Stay
  • Male
  • Ohio
  • Patient Admission / economics
  • Patient Admission / statistics & numerical data*
  • Patient Care Planning / organization & administration*
  • Patient Care Planning / standards
  • Program Evaluation