西班牙糖尿病成年患者急性心肌梗死住院率、病死率和费用的变化趋势，2001-2006 年。

Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006.

机构信息

Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922 Madrid, Spain.

出版信息

BMC Health Serv Res. 2010 Mar 8;10:59. doi: 10.1186/1472-6963-10-59.

DOI:10.1186/1472-6963-10-59

PMID:20205960

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2839980/

Abstract

BACKGROUND

Acute myocardial infarction (AMI) is one of the more frequent reasons diabetic patients are admitted to hospital, and there are reports that the long-term prognosis after an AMI is much worse in these patients than in non-diabetic patients. This study aims to compare hospital admissions and costs in Spanish diabetic and non-diabetic subjects due to AMI during the period 2001-2006.

METHODS

We conducted a retrospective study of 6 years of national hospitalization data associated with diabetes using the Minimum Basic Data Set. National hospitalization rates were calculated for AMI among diabetic and non-diabetic adults. Fatality rates, mean hospital stay and direct medical costs related to hospitalization were analyzed. Costs were calculated using Diagnosis-Related Groups for AMI in diabetics and non-diabetics patients.

RESULTS

During the study period, a total of 307,099 patients with AMI were admitted to Spanish hospitals. Diabetic patients made up 29.6% of the total. The estimated incidence due to AMI in diabetics increased from 54.7 cases per 100,000 in 2001 to 64.1 in 2006. Diabetic patients had significantly higher mortality than nondiabetic patients after adjusting for age, gender, and year (OR 1.11 [95% CI, 1.08-1.14]). The cost among diabetic patients increased by 21.3% from 2001 to 2006.

CONCLUSIONS

Diabetic patients have higher rates of hospital admission and fatality rates during the hospitalization after an AMI than nondiabetic patients. Diabetic adults who have suffered an AMI have a greater than expected increase in direct hospital costs over the period 2001-2006.

摘要

背景

急性心肌梗死（AMI）是糖尿病患者住院的常见原因之一，有报道称，AMI 后这些患者的长期预后比非糖尿病患者差得多。本研究旨在比较 2001-2006 年期间西班牙糖尿病和非糖尿病患者因 AMI 住院的人数和费用。

方法

我们使用最小基本数据集对 6 年与糖尿病相关的国家住院数据进行了回顾性研究。计算了糖尿病和非糖尿病成年人中 AMI 的国家住院率。分析了死亡率、平均住院时间和与住院相关的直接医疗费用。使用糖尿病和非糖尿病患者的 AMI 的诊断相关组来计算费用。

结果

在研究期间，共有 307099 例 AMI 患者入住西班牙医院。糖尿病患者占总数的 29.6%。估计 2001 年至 2006 年期间，糖尿病患者因 AMI 导致的发病率从每 10 万人 54.7 例增加到 64.1 例。调整年龄、性别和年份后，糖尿病患者的死亡率明显高于非糖尿病患者（OR 1.11 [95% CI，1.08-1.14]）。2001 年至 2006 年期间，糖尿病患者的费用增加了 21.3%。