title: The effects of outpatient management on hospitalization for ambulatory care sensitive conditions associated with diabetes mellitus.
abstract: BACKGROUND
  Ambulatory care sensitive conditions (ACSC) related to diabetes mellitus can potentially be prevented by good quality outpatient care. The purpose of this study was to evaluate which characteristics of ambulatory patients with diabetes were associated with ACSC hospitalizations.
  
  
  METHODS
  Retrospective chart review of 65 adults with an ACSC diabetes-related hospitalization, and 130 controls with diabetes without ACSC hospitalizations. The primary outcome measure was the difference in hemoglobin A1c between groups.
  
  
  RESULTS
  Patients with an ACSC hospitalization had poorer glucose control (mean A1c 9.24 versus 7.68, P < 0.001), but there was no difference in blood pressure or lipid control.
  
  
  CONCLUSIONS
  Prevention of diabetes-related hospitalizations related more closely to glycemic control, rather than other important aspects of comprehensive care.
authors.affiliation: Department of Internal Medicine, University of South Florida College of Medicine, Tampa, FL 33612, USA. ewarner@health.usf.edu
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Warner
authors.forename: Anita U
authors.initials: AU
authors.lastname: Ziboh
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D006760:Hospitalization; D006801:Humans; D008055:Lipids / Q000097:blood; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D008055:Lipids; C517652:hemoglobin A1c protein, human