新冠疫情对克罗地亚糖尿病管理的影响。

COVID-19 Pandemic Influence on Diabetes Management in Croatia.

作者信息

Cerovečki Ivan, Švajda Marija

机构信息

Division for Public Health, Croatian Institute of Public Health, Zagreb, Croatia.

Division for Health Informatics and Biostatistics, Croatian Institute of Public Health, Zagreb, Croatia.

出版信息

Front Clin Diabetes Healthc. 2021 Mar 21;2:704807. doi: 10.3389/fcdhc.2021.704807. eCollection 2021.

DOI:10.3389/fcdhc.2021.704807

PMID:36994328

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10012086/

Abstract

AIM

The study aims to investigate the effects of the COVID-19 pandemic on diabetes management and diabetes patients' healthcare utilization patterns in Croatia.

METHODS

Using data contained in the Croatian diabetes registry (CroDiab), Central Health Information System of the Republic of Croatia (CEZIH), and the Croatian hospitalization database (BSO), indicators including the total number of registered diabetes patients, number of newly diagnosed diabetes cases, number of diabetes-related primary care visits and hospitalizations, and key diabetes control indicators were analyzed. Yearly values from 2017 until 2020 were compared.

RESULTS

The age-adjusted prevalence rate increased significantly from 2017 until 2019 (2017: 6,858/100,000; 2018: 7,053/100,000; 2019: 7,160/100,000). In 2020 the age-adjusted prevalence rate was 7,088/100,000, but the decrease was insignificant compared to 2019. The age-adjusted rate of new cases decreased from 2017 until 2019 (2017: 910/100,000; 2018: 876/100,000; 2019: 845/100,000), with a significant decrease in 2020 (692/100,000) compared to 2019. The number of diabetes panels increased from 2017 (117,676) to 2018 (131,815), with a slight decrease in 2019 (127,742) and a sharp decrease in 2020 (104,159). A similar trend was observed regarding the numbers of diabetes patients with panels, visits to primary healthcare providers for diabetes-related problems and diabetes patients who visited their primary healthcare provider. A slightly different trend was observed regarding diabetes-related hospitalizations. In 2017 there were 91,192 diabetes-related hospitalizations; the number decreased to 83,219 in 2018, increased again to 102,087 in 2019 and decreased to 85,006 in 2020. The number of hospitalized diabetes patients displayed a similar tendency.

CONCLUSION

The COVID-19 pandemic has had a negative effect on the utilisation of healthcare by diabetes patients, which may have long-term consequences for their general health.

摘要

目的

本研究旨在调查新冠疫情对克罗地亚糖尿病管理及糖尿病患者医疗服务利用模式的影响。

方法

利用克罗地亚糖尿病登记系统（CroDiab）、克罗地亚共和国中央卫生信息系统（CEZIH）及克罗地亚住院数据库（BSO）中的数据，对包括登记糖尿病患者总数、新诊断糖尿病病例数、糖尿病相关初级保健就诊次数和住院次数以及关键糖尿病控制指标等进行分析。比较了2017年至2020年的年度数据。

结果

年龄调整患病率从2017年至2019年显著上升（2017年：6858/100000；2018年：7053/100000；2019年：7160/100000）。2020年年龄调整患病率为7088/100000，但与2019年相比下降不显著。年龄调整新病例率从2017年至2019年下降（2017年：910/100000；2018年：876/100000；2019年：845/100000），2020年与2019年相比显著下降（692/100000）。糖尿病检查次数从2017年（117676次）增至2018年（131815次），2019年略有下降（127742次），2020年大幅下降（104159次）。糖尿病患者接受检查、因糖尿病相关问题就诊于初级医疗服务提供者以及就诊于初级医疗服务提供者的糖尿病患者数量呈现类似趋势。糖尿病相关住院情况观察到略有不同的趋势。2017年有91192例糖尿病相关住院病例；2018年降至83219例，2019年再次增至102087例，2020年降至85006例。住院糖尿病患者数量呈现类似趋势。