Brown L J, Scott R S, Beaven D W
N Z Med J. 1985 Oct 9;98(788):839-43.
The extent and patterns of use of hospital services by diabetic persons in New Zealand are not well documented. The usage of all four major Canterbury hospitals was prospectively studied for the 12 month period 1 January to 31 December 1983. There were 889 admissions by 689 diabetic persons who were either discharged from or died in hospital within the 12 month survey period (F = 373, M = 316). Ages ranged from three to 95 years mean 64.6 yr (SEM 0.7). One hundred and fifty-one patients were hospitalised more than once. At admission, 63.9% of patients were treated with diet or diet plus oral hypoglycaemic agents, 27.6% with insulin and 8.5% were newly diagnosed. The mean hospital stay was 20.1 (1.1 days), but the longest admission stays were by those over 65 years of age. Overall diabetic persons accounted for 4.8% of the total bed occupancy of the four hospitals. During 1983 14.8% percent of the 1200 insulin treated diabetic persons and 10.2% of the estimated 4000 non-insulin treated diabetic persons in the Canterbury Hospital Board area were hospitalised. Conditions associated with or a consequence of diabetes precipitated 57.5% of admissions. The potentially preventible disorders of glycaemic control and infection were factors in 25% and 26.9% of admissions respectively. These data show high risk of hospitalisation amongst diabetic individuals, particularly for those using insulin, but there is scope for prevention of admission or at least for reduction in duration of hospital stay.
新西兰糖尿病患者使用医院服务的程度和模式尚无充分记录。对1983年1月1日至12月31日这12个月期间坎特伯雷地区所有四家主要医院的使用情况进行了前瞻性研究。在12个月的调查期内，689名糖尿病患者共住院889次，这些患者要么已出院，要么在医院死亡（女性 = 373人，男性 = 316人）。年龄范围为3岁至95岁，平均年龄64.6岁（标准误0.7）。151名患者住院不止一次。入院时，63.9%的患者接受饮食治疗或饮食加口服降糖药治疗，27.6%使用胰岛素治疗，8.5%为新诊断患者。平均住院时间为20.1（1.1天），但住院时间最长的是65岁以上的患者。总体而言，糖尿病患者占四家医院总床位占用率的4.8%。1983年期间，坎特伯雷医院委员会地区1200名接受胰岛素治疗的糖尿病患者中有14.8%以及估计4000名未接受胰岛素治疗的糖尿病患者中有10.2%住院治疗。与糖尿病相关或作为糖尿病后果的疾病导致了57.5%的住院病例。血糖控制潜在可预防的紊乱和感染分别是25%和26.9%住院病例的因素。这些数据表明糖尿病患者住院风险很高，尤其是使用胰岛素的患者，但仍有预防住院或至少缩短住院时间的空间。
