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Table 2 Baseline characteristics and three-year health care utilization (2005-2007) for individuals with No metabolic syndrome, At-risk-for metabolic syndrome, with Metabolic syndrome, and with diabetes and/or coronary heart diseases (CHD) according to electronic health record data

From: Identifying primary care patients at risk for future diabetes and cardiovascular disease using electronic health records

 

No metabolic syndrome*

At-risk-for metabolic syndrome*

Metabolic syndrome*

Any diabetes/

CHD

  
 

0 criteria

1-2 criteria

≥ 3 criteria

   

Baseline characteristics

  

N

36,841

36,267

5,185

17,320

  

Age, years (SD)

45 (15)

49 (16)

52 (14)

64 (16)

  

Women, %

62.8%

57.4%

48.6%

48.0%

  

Race (% White)

78.8%

76.5%

78.5%

79.3%

  

Insurance

      

Insurance

% Commercial

77.4%

66.1%

62.2%

35.1%

  

   % Medicare

10.6%

18.3%

20.4%

5.4%

  

Income, $US (SD)

$81,402

($59,796)

$70,551

($53,479)

$62,101

($45,643)

$64,190 (49,551)

  

Three-year outcomes

p-value†

p-value‡

Inpatient admissions, mean number per patient (SD)

0.12 (0.61)

0.23 (1.07)

0.35 (1.20)

1.5 (3.6)

<.0001

<.0001

Length of stay, mean days (SD) §

4 (3)

5 (3)

6 (3)

12 (3)

<.0001

<.0001

Outpatient clinic visits, mean number per patient (SD) §

4.3 (2.3)

6.6 (2.5)

10.4 (2.5)

20.5 (2.5)

<.0001

<.0001

Total cost, US dollars (SD) §

$3,054 ($4)

$4,136 ($4)

$5,057 ($4)

$9,177 ($4)

<.0001

<.0001

Incidence of diabetes mellitus

1.4%

4.0%

11.0%

N/A

<.0001

N/A

Incidence of CHD

3.1%

5.3%

6.4%

N/A

<.0001

N/A

  1. * Individuals categorized after exclusion of diabetes and CHD, including only patients with at least three criteria (formal or surrogate) measured (n = 78,293) using electronic health record data from 2003-2004
  2. † p-values for trend in age-sex-adjusted regression analysis in all 3 categories of metabolic syndrome status (No metabolic syndrome, At-Risk-for metabolic syndrome, and with Metabolic syndrome)
  3. ‡ p-values for trend in age-sex-adjusted regression analysis in all 4 categories (No metabolic syndrome, At-Risk-for metabolic syndrome, with Metabolic syndrome, and any diabetes and/or CHD)
  4. §log-transformed for analysis and then back-transformed for display