Increasing trend in emergency department visits for hypoglycemia from patients with type 2 diabetes mellitus in Taiwan
| Autor: | Lynn Chu Huang, Ying-Ju Chen, Chii Min Hwu, Likwang Chen, Chen Chang Yang |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty Time Factors Databases Factual Endocrinology Diabetes and Metabolism Taiwan Type 2 diabetes Hypoglycemia Sex Factors Residence Characteristics Risk Factors Diabetes mellitus Internal Medicine medicine Humans Hypoglycemic Agents In patient Antidiabetic agents Aged Aged 80 and over Nutrition and Dietetics business.industry Incidence Incidence (epidemiology) Age Factors Type 2 Diabetes Mellitus Emergency department Middle Aged medicine.disease humanities Diabetes Mellitus Type 2 Emergency medicine Female Emergency Service Hospital Family Practice business Biomarkers |
| Zdroj: | Primary Care Diabetes. 9:490-496 |
| ISSN: | 1751-9918 |
| Popis: | We analyze the time trends of hypoglycemia-related emergency department visits in Taiwan between 2000 and 2010, focusing on type 2 diabetic patients receiving antidiabetic agents.From a national dataset containing longitudinal medical claims of one million persons, we ascertained 4479 hypoglycemia-related emergency department visits from 3184 type 2 diabetic patients for analysis. We used negative binomial regression to calculate the incidence rate ratios (IRRs) for comparing event rates of hypoglycemia-related emergency department visits in different study periods.Rates of hypoglycemia-related emergency department visits increased 4.8 folds from year 2000 to 2010 (adjusted IRR 4.88, 95% CI 3.94-6.05, P0.001). Severe hypoglycemia requiring emergency department visits prevailed among women, older patients (≥ 65 years), and those not lived in the urban areas.Within a 10-year period, there was a substantial increase in the rates of hypoglycemia-related emergency department visits from type 2 diabetic patients in Taiwan. Appropriate risk management plans should be developed to prevent the occurrence of severe hypoglycemia in patients with type 2 diabetes in Taiwan. |
| Databáze: | OpenAIRE |
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