Department of Health Care Management, Chang Gung University, Tao-Yuan 333, Taiwan.
Diabet Med. 2009 Oct;26(10):1055-62. doi: 10.1111/j.1464-5491.2009.02818.x.
To investigate whether health-related quality of life (HRQOL) predicts hospital admission in a nationally representative sample of adults with diabetes.
We conducted a prospective study on persons aged > or = 18 years with self-reported physician-diagnosed diabetes (n = 797) who participated in the National Health Interview Survey in Taiwan, 2001. Of these potential participants, 674 provided consent for data linkage and were successfully linked to the National Health Insurance claims data. We analysed the associations between the Short Form 36 (SF-36) subscales and summaries and the occurrence of hospital admission for any cause during 2002.
Approximately 23% of participants with diabetes had at least one hospital admission during 2002. After adjusting for demographic characteristics, co-morbidities and diabetics-related attributes, those who had been admitted to hospital had significantly poorer mean scores on each of the physical dimensions, physical components summary (PCS) and social functioning domain of the SF-36 at baseline. In logistic regression models, poorer scores on the PCS [odds ratio (OR) = 1.80; 95% confidence interval (CI) = (1.14-2.86)], duration of diabetes > or = 10 years [OR = 2.10; 95% CI = (1.14-3.89)] and the presence of heart disease [OR = 1.63; 95% CI = (1.01-2.63)] were significantly associated with an increased risk of hospital admission.
In people with diabetes, poorer scores on the PCS of the SF-36 at baseline may provide additional information for assessment of hospital admission risk, independent of other measures of health outcomes.
调查健康相关生活质量（HRQOL）是否可预测具有代表性的成年糖尿病患者住院。
我们对参加 2001 年台湾全国健康访谈调查且自我报告有医生诊断的糖尿病患者（n=797）进行了一项前瞻性研究。在这些潜在的参与者中，674 名同意进行数据链接并成功链接到国家健康保险索赔数据。我们分析了 SF-36 量表和总结与 2002 年任何原因住院之间的关联。
大约 23%的糖尿病患者在 2002 年至少有一次住院经历。在调整人口统计学特征、合并症和糖尿病相关特征后，与那些住院的患者相比，基线时在每个身体维度、身体成分综合得分（PCS）和 SF-36 的社会功能领域得分较差的患者，在住院方面有显著较差的平均得分。在逻辑回归模型中，PCS 得分较差（OR=1.80；95%置信区间[CI]：1.14-2.86）、糖尿病病程≥10 年（OR=2.10；95%CI：1.14-3.89）和心脏病（OR=1.63；95%CI：1.01-2.63）与住院风险增加显著相关。
在糖尿病患者中，SF-36 的 PCS 基线得分较差可能提供有关住院评估风险的额外信息，独立于其他健康结果衡量标准。
