Date of Award

7-11-2015

Degree Type

Thesis

Degree Name

M.Sc.

Department

Nursing

First Advisor

El-Masri, Maher

Keywords

Community based hospitals, Emergency department utilization, Hospital admissions for diabetes related problems, Non-urgent visits for diabetes related problems, Predictors of emergency department use, Retrospective data analysis

Rights

CC BY-NC-ND 4.0

Abstract

The purposes of this study were to explore the independent predictors of non-urgent ED visits for diabetes related problems and to compare the rates of hospitalization between urgent and non-urgent ED visits for diabetes related problems. This study was completed within the context of a secondary data analysis on a subset of population based data pertaining to ED visits and hospital admissions made between 2009 and 2011 in the Windsor-Essex region of Ontario, Canada. A sample of 1913 patient observations was analyzed using multivariate logistic regression using generalized estimating equations modeling. The findings suggested that age, type of diabetes, main problem/complaint, hospital type, ambulatory type, and proximity to ED were independent predictors of non-urgent ED visits for diabetes related problems. This study also found that those who were triaged as urgent were more likely to be admitted for their diabetes related problems compared to individuals who were triaged as non-urgent.

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