Risk of hospital admission or emergency department presentation due to diabetes complications: a retrospective cohort study in Tasmania, Australia.
| Autor: | Dinh, Ngan T. T., de Graaff, Barbara, Campbell, Julie A., Jose, Matthew D., Burgess, John, Saunder, Timothy, Kitsos, Alex, Otahal, Petr, Palmer, Andrew J. |
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| Předmět: |
DIABETES complications
HOSPITAL emergency services CONFIDENCE intervals CEREBROVASCULAR disease DIABETIC foot DIABETIC neuropathies PERIPHERAL vascular diseases RETROSPECTIVE studies ACQUISITION of data CARDIOVASCULAR diseases REGRESSION analysis RISK assessment MEDICAL care use COMPARATIVE studies HOSPITAL care MEDICAL records RESEARCH funding DESCRIPTIVE statistics DIABETIC retinopathy AMPUTATION DATA analysis software LONGITUDINAL method DIABETIC nephropathies COMORBIDITY POISSON distribution |
| Zdroj: | Australian Health Review; 2023, Vol. 47 Issue 3, p282-290, 9p |
| Abstrakt: | Objective. To estimate the risk of an emergency department (ED)/inpatient visit due to complications in people with diabetes and compare them to their non-diabetes counterparts. Methods. This matched retrospective cohort study used a linked dataset in Tasmania, Australia for the 2004–17 period. People with diabetes (n = 45 378) were matched on age, sex and geographical regions with people without diabetes (n = 90 756) based on propensity score matching. The risk of an ED/inpatient visit related to each complication was estimated using negative binomial regression. Results. In people with diabetes, the combined ED and admission rates per 10 000 person-years were considerable, especially for macrovascular complications (ranging from 31.8 (lower extremity amputation) to 205.2 (heart failure)). The adjusted incidence rate ratios of ED/inpatient visits were: retinopathy 59.1 (confidence interval 25.8, 135.7), lower extremity amputation 11.1 (8.8, 14.1), foot ulcer/gangrene 9.5 (8.1, 11.2), nephropathy 7.4 (5.4, 10.1), dialysis 6.5 (3.8, 10.9), transplant 6.3 (2.2, 17.8), vitreous haemorrhage 6.0 (3.7, 9.8), fatal myocardial infarction 3.4 (2.3, 5.1), kidney failure 3.3 (2.3, 4.5), heart failure 2.9 (2.7, 3.1), angina pectoris 2.1 (2.0, 2.3), ischaemic heart disease 2.1 (1.9, 2.3), neuropathy 1.9 (1.7, 2.0), non-fatal myocardial infarction 1.7 (1.6, 1.8), blindness/low vision 1.4 (0.8, 2.5), non-fatal stroke 1.4 (1.3, 1.6), fatal stroke 1.3 (0.9, 2.1) and transient ischaemic attack 1.1 (1.0, 1.2). Conclusions. Our results demonstrated the high demand on hospital services due to diabetes complications (especially macrovascular complications) and highlighted the importance of preventing and properly managing microvascular complications. These findings will support future resource allocation to reduce the increasing burden of diabetes in Australia [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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