2013-2017 年波兰糖尿病与角膜移植术的相关性研究。
The Association between Diabetes Mellitus and Keratoplasty in Poland in the Years 2013-2017.
机构信息
Department of Analyses and Strategies, Ministry of Health, 00-952 Warsaw, Poland.
Department of Ophthalmology, Public Ophthalmic Clinical Hospital (SPKSO), Medical University of Warsaw, 03-709 Warsaw, Poland.
出版信息
Int J Environ Res Public Health. 2021 Sep 16;18(18):9767. doi: 10.3390/ijerph18189767.
BACKGROUND
The aim of this study is to assess the incidence and characteristic of corneal grafts and its association with diabetes mellitus in Poland in the years 2013-2017.
METHODS
The retrospective survey of the National Database of Hospitalizations was performed to identify all the corneal transplantations in Poland between January 2013 and December 2017. The comorbid diseases, in particular diabetes mellitus, were verified in the patients' medical history. The logistic regression was applied to demonstrate the factors related to urgent surgeries.
RESULTS
In total, 5069 corneal grafts in 4710 patients were reported in the years 2013-2017. The number of CTs gradually increased by 37% from 914 (2.37 surgeries per one hundred thousand population) in the year 2013 to 1250 (3.25 surgeries per one hundred thousand population) in 2017, the final year of the study. CT incidence was the highest in subjects aged 70 years or older: 13.18 per one hundred thousand population in the year 2017. On average, about 22.43% of procedures were performed in patients with DM. The chance of urgent surgery was mostly correlated with full thickness CT and patients' age.
CONCLUSIONS
Despite the relatively low value of CT in Poland, there was an increasing number of CTs in the analyzed period.
背景
本研究旨在评估 2013-2017 年间波兰角膜移植的发生率和特征及其与糖尿病的关系。
方法
对国家住院数据库进行回顾性调查，以确定 2013 年 1 月至 2017 年 12 月期间波兰所有的角膜移植手术。在患者病史中验证了合并症，特别是糖尿病。应用逻辑回归分析显示与紧急手术相关的因素。
结果
在 2013 年至 2017 年间，共报告了 4710 例患者的 5069 例角膜移植手术。从 2013 年的 914 例（每 10 万人中有 2.37 例手术）到研究结束年 2017 年的 1250 例（每 10 万人中有 3.25 例手术），CT 数量逐渐增加了 37%。CT 发生率在 70 岁及以上的患者中最高：2017 年为每 10 万人 13.18 例。平均而言，约 22.43%的手术是在患有 DM 的患者中进行的。紧急手术的可能性主要与全层 CT 和患者年龄相关。
结论
尽管波兰 CT 的比例相对较低，但在分析期间 CT 的数量有所增加。
Zotero 插件