Wierzba Waldemar, Karnafel Waldemar, Śliwczyński Andrzej, Pinkas Jarosław, Gujski Mariusz
Department of Public Health, University of Humanities and Economics, Lodz, Poland.
National Health Fund, Central Office, Warsaw, Poland.
Arch Med Sci. 2018 Apr 6;17(3):646-651. doi: 10.5114/aoms.2018.74261. eCollection 2021.
Diabetes mellitus is a systemic disease and has a negative effect on the cardiovascular system. This paper aimed to present a retrospective analysis of morbidity associated with heart failure in subgroups of patients with and without diabetes in Poland in 2012.
Data from the National Health Fund were used for the study. In general, 656,937 patients with heart failure, including 281,538 males and 375,354 females, were studied. In this population, additionally, 201,043 patients with heart failure (main diagnosis) and diabetes were studied, including 82,117 males and 118,926 females.
The mean index of morbidity associated with heart failure in the whole subpopulation of diabetes patients was 9.03%; 8.42% for males and 9.50% for females. Morbidity associated with heart failure in the population of patients diagnosed with diabetes in Poland in 2012 was seven times higher compared to morbidity associated with heart failure in non-diabetes patients. Morbidity associated with heart failure in females was significantly higher compared to morbidity in males in the whole population, in both the subpopulations of patients with and without diabetes.
Diabetes mellitus significantly increases risk of heart failure in both women and men. The risk is significantly high after the age of 60 years and higher in females.
糖尿病是一种全身性疾病,对心血管系统有负面影响。本文旨在对2012年波兰有糖尿病和无糖尿病患者亚组中心力衰竭相关发病率进行回顾性分析。
研究使用了国家卫生基金的数据。总体上,研究了656,937例心力衰竭患者,其中男性281,538例,女性375,354例。此外,在该人群中还研究了201,043例以心力衰竭为主要诊断且患有糖尿病的患者,其中男性82,117例,女性118,926例。
糖尿病患者整个亚组中心力衰竭相关发病率的平均指数为9.03%;男性为8.42%,女性为9.50%。2012年波兰糖尿病患者人群中心力衰竭相关发病率是非糖尿病患者心力衰竭相关发病率的7倍。在整个总体以及有糖尿病和无糖尿病患者的亚组中,女性心力衰竭相关发病率均显著高于男性。
糖尿病显著增加男性和女性心力衰竭的风险。60岁以后风险显著升高,且女性更高。