Pediatric Endocrinology, University of Michigan, Ann Arbor, Michigan, USA.
J Womens Health (Larchmt). 2010 Nov;19(11):2033-42. doi: 10.1089/jwh.2010.2029. Epub 2010 Oct 12.
To evaluate national trends in hospitalizations and hospital charges associated with diabetes over a recent 14-year period.
We evaluated hospital discharges with a primary or secondary diagnosis of diabetes (250.xx)in the Nationwide Inpatient Sample (1993-2006). Outcomes included population-adjusted estimates of hospital discharges and hospital charges (2006 $U.S.).
Overall, discharges associated with diabetes increased 65.3% (1,384/100,000 in 1993, 2,288/100,000 in 2006) over the 14-year period (p < 0.001 test for trend). The largest increase in hospitalizations occurred among adults 30-39 years of age, representing a 102% increase. Among young adults, increases among women were ∼1.3 times greater compared with men, for the 20-29 year (63% vs. 46%) and 30-39 year (118% vs. 85%) age groups, even after excluding pregnancy-related hospitalizations. Overall, women had higher rates of hospitalizations associated with diabetes compared with men, but there was evidence of an age by sex interaction, with higher rates of hospitalizations among women in the younger age groups and among men in the older age groups. Annual inflation-adjusted total charges for hospitalizations with diabetes increased 220% over the period.
Large increases in diabetes hospitalizations occurring among adults aged 30-39 years and young women signal a shift in the hospital burden of diabetes.
评估最近 14 年来与糖尿病相关的住院和住院费用的国家趋势。
我们在全国住院患者样本（1993-2006 年）中评估了以糖尿病（250.xx）为主要或次要诊断的住院患者。结果包括按人口调整的住院患者和住院费用（2006 年美元）的估计。
总体而言，14 年间与糖尿病相关的住院人数增加了 65.3%（1993 年为每 100,000 人 1,384 人，2006 年为 2,288 人）（趋势检验 p < 0.001）。住院人数增加最多的是 30-39 岁的成年人，增加了 102%。在年轻成年人中，女性的增长率比男性高约 1.3 倍，20-29 岁（63%比 46%）和 30-39 岁（118%比 85%）年龄组，即使排除了与妊娠相关的住院。总体而言，女性与糖尿病相关的住院率高于男性，但有年龄与性别相互作用的证据，在年龄较小的女性和年龄较大的男性中，住院率更高。糖尿病住院患者的年通货膨胀调整总费用在此期间增加了 220%。
30-39 岁的成年人和年轻女性中糖尿病住院人数的大幅增加表明糖尿病的住院负担发生了转变。
