75 岁及以上的墨西哥裔美国人的糖尿病与住院治疗情况。
Diabetes and Hospitalizations Among Mexican Americans Aged 75 Years and Older.
机构信息
The University of Texas Medical Branch, Galveston, TX, USA.
出版信息
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241266108. doi: 10.1177/21501319241266108.
OBJECTIVE
To examine factors associated with hospitalization among Mexican Americans aged 75 years and older with diabetes (with and without complications) and without diabetes over 12 years of follow up.
METHODS
Participants (N = 1454) were from the Hispanic Established Population for the Epidemiologic Study of the Elderly (2004/2005-2016) residing in Arizona, California, Colorado, New Mexico, and Texas. Measures included socio-demographics, medical conditions, falls, depressive symptoms, cognitive function, disability, physician visits, and hospitalizations. Participants were categorized as no diabetes (N = 1028), diabetes without complications (N = 180), and diabetes with complications (N = 246).
RESULTS
Participants with diabetes and complications had greater odds ratio (1.56, 95% Confidence Interval = 1.23-1.98) over time of being admitted to the hospital in the prior year versus those without diabetes. Participants with diabetes had greater odds of hospitalization if they had heart failure, falls, amputation, and insulin treatment.
CONCLUSIONS
In Mexican American older adults, diabetes and diabetes-related complications increased the risk of hospitalization.
目的
在 12 年的随访中，调查与 75 岁及以上患有糖尿病（有或无并发症）和无糖尿病的墨西哥裔美国人住院相关的因素。
方法
参与者（N=1454）来自西班牙裔老年人流行病学研究的既定人群（2004/2005-2016 年），居住在亚利桑那州、加利福尼亚州、科罗拉多州、新墨西哥州和德克萨斯州。措施包括社会人口统计学、医疗状况、跌倒、抑郁症状、认知功能、残疾、医生就诊和住院治疗。参与者分为无糖尿病（N=1028）、无并发症糖尿病（N=180）和有并发症糖尿病（N=246）。
结果
患有并发症的糖尿病患者与无糖尿病患者相比，在过去一年住院的可能性更高（优势比 1.56，95%置信区间 1.23-1.98）。患有心力衰竭、跌倒、截肢和胰岛素治疗的糖尿病患者住院的可能性更大。
结论
在墨西哥裔美国老年人中，糖尿病和糖尿病相关并发症增加了住院的风险。
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