Bild D, Geiss L S, Teutsch S M, Gabella B, Hudspeth B A, Schubert R M, Gollmar C W, Kaplan D J, Connell F A, Will J C
Division of Diabetes Control, Centers for Disease Control, Atlanta, Georgia 30333.
J Clin Epidemiol. 1988;41(10):999-1006. doi: 10.1016/0895-4356(88)90039-x.
The pilot study for a sentinel health events surveillance system for deaths among persons under age 45 with diabetes was conducted in six states in 1984 and 1985. Two hundred and thirty-three events were identified. Information from death certificates, physicians, and families revealed that 22% died from acute complications of diabetes and 53% from chronic complications. Blood pressure measurement and urinalysis testing had been performed in the last year for almost all of the decedents, but other preventive practices were reported less frequently. Hypertension was present in 57% and of those, was not controlled in 73%. Forty-four percent were cigarette smokers at the time of death. Agreement between physicians and families was generally higher for clinical conditions than for care practices. This surveillance system appears to yield information about the health care of persons with diabetes not readily available from other sources, although modifications may be necessary before implementation.
1984年和1985年，在六个州开展了针对45岁以下糖尿病患者死亡情况的哨点健康事件监测系统的初步研究。共识别出233起事件。死亡证明、医生和家属提供的信息显示，22%的人死于糖尿病急性并发症，53%死于慢性并发症。几乎所有死者在去年都进行了血压测量和尿液分析检测，但其他预防措施的报告频率较低。57%的人患有高血压，其中73%的血压未得到控制。44%的人在死亡时吸烟。医生和家属之间对于临床状况的一致性通常高于护理措施。尽管在实施前可能需要进行修改，但该监测系统似乎能提供其他来源不易获得的糖尿病患者医疗保健信息。
