糖尿病相关的发病率、住院风险和残疾情况。

Diabetes mellitus related morbidity, risk of hospitalization and disability.

作者信息

Naslafkih Abdelouahed, Sestier François

机构信息

Programme of Insurance Medicine, University of Montreal.

出版信息

J Insur Med. 2003;35(2):102-13.

PMID:14733032

Abstract

OBJECTIVE

To investigate the rates of complications, hospitalizations and disabilities attributable to type 1 and type 2 diabetes mellitus (DM) combined, unless otherwise noted.

METHODOLOGY

Risk assessment of DM-related morbidity, hospitalizations and disabilities using data from the medical literature and health statistics on the population. Calculation of morbidity, hospitalization, and disability ratios (MbR, HR, DR) will allow comparison of observed rates in people with DM to those reported in the nondiabetic population.

RESULTS

MbRs vary according to the morbid condition studied: approximately 300% at age 45-64 years for ischemic heart disease, 533% for coronary heart disease or stroke, 226% to 388% for chronic heart failure, 560% for peripheral vascular disease, 380% for neuropathy at age 35-74 years, 890% to 2225% for lower limb amputations, 1458% to 3287% for end-stage renal disease. For ocular complications: cataracts, 165% to 232%; glaucoma 140% to 330%; trouble seeing, 180% to 231%; blindness at age > or = 65 years, 517%. Higher values are noted at younger ages. HR: 200% to 409%. DR: 217% to 328%.

CONCLUSION

Among diseases, DM is one of the leading and growing causes of hospital admission and disability. Precise risk assessment of morbidity is essential for realistic underwriting of health and disability insurance.

摘要

目的

调查1型和2型糖尿病合并症（除非另有说明）导致的并发症、住院率和残疾率。

方法

利用医学文献数据和人群健康统计资料对糖尿病相关发病率、住院率和残疾率进行风险评估。计算发病率、住院率和残疾率（MbR、HR、DR），以便将糖尿病患者的观察率与非糖尿病人群报告的率进行比较。

结果

MbR因所研究的疾病状况而异：45 - 64岁时缺血性心脏病约为300%，冠心病或中风为533%，慢性心力衰竭为226%至388%，外周血管疾病为560%，35 - 74岁时神经病变为380%，下肢截肢为890%至2225%，终末期肾病为1458%至3287%。眼部并发症方面：白内障为165%至232%；青光眼为140%至330%；视力障碍为180%至231%；65岁及以上失明为517%。较年轻年龄段的值更高。HR：200%至409%。DR：217%至328%。