Tomlin Andrew M, Tilyard Murray W, Dovey Susan M, Dawson Alexander G
Royal New Zealand College of General Practitioners' Research Unit, Department of General Practice, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Diabetes Res Clin Pract. 2006 Sep;73(3):260-7. doi: 10.1016/j.diabres.2006.01.008. Epub 2006 Feb 28.
To examine differences in morbidity and rates of hospital admission between diabetes patients and patients without diabetes in New Zealand.
A 1,123 and 11,325 patients with Types 1 and 2 diabetes in the Southlink Health diabetes register were identified. Types 1 and 2 diabetes patients were matched with non-diabetic patients drawn from primary care patient registers. Hospital admission rates for diabetic complications and general medical conditions, length of stay in hospital, patients readmitted, deaths in hospital and hospital procedures were analyzed for the 3-year period from 2000 to 2002.
Diabetes patients were more likely to be admitted to hospital for any reason than patients without diabetes (odds ratio (OR) 2.55, 95% confidence interval (CI) 2.13-3.04, p<0.001 for Type 1 patients; OR 1.40, CI 1.33-1.48, p<0.001 for Type 2 patients). A 46% (770) of all admissions for Type 1 patients were due to complications arising from diabetes and 33% (4685) for Type 2 patients. Major complications included ischaemic heart disease, heart failure, cataracts and conditions specific to diabetes.
Increasing prevalence of diabetes will increase demand for hospital services overall, and particularly for inpatient care related to macroangiopathy, ophthalmic and renal problems and peripheral circulatory disorders.
研究新西兰糖尿病患者与非糖尿病患者在发病率和住院率方面的差异。
从南联健康糖尿病登记册中识别出1123例1型糖尿病患者和11325例2型糖尿病患者。将1型和2型糖尿病患者与从初级保健患者登记册中抽取的非糖尿病患者进行匹配。分析了2000年至2002年这3年期间糖尿病并发症和一般医疗状况的住院率、住院时间、再次入院患者、住院死亡人数及住院手术情况。
糖尿病患者因任何原因住院的可能性均高于非糖尿病患者（1型患者的优势比（OR）为2.55，95%置信区间（CI）为2.13 - 3.04，p<0.001；2型患者的OR为1.40，CI为1.33 - 1.48，p<0.001）。1型患者所有住院病例中有46%（770例）是由糖尿病引发的并发症导致的，2型患者为33%（4685例）。主要并发症包括缺血性心脏病、心力衰竭、白内障及糖尿病特有的病症。
糖尿病患病率的上升将总体增加对医院服务的需求，尤其是与大血管病变、眼科和肾脏问题以及外周循环障碍相关的住院护理需求。
