Lancet sub-journal: Main causes and trends of hospitalisation of adults with diabetes in England from 2003 to 2018

As we all know, diabetes can lead to many complications, including acute metabolic decompensation, diabetic ketoacidosis, ischemic heart disease, stroke, micro- vascular complications, such as kidney disease and retinopathy ,as these complications in a very traditional It is largely preventable through evidence-based interventions, and some high-income countries have implemented various prevention programmes that have beenthe focusof guidelines forfuture events in people with diabetes

Diabetes is known to cause a variety of complications, including acute metabolic decompensation, diabetic ketoacidosis, ischemic heart disease, stroke, microvascular complications such as kidney disease and retinopathy .

In this epidemiological analysis , we identified 309,874 people with diabetes (type 1) aged 18 years or older in England from the Clinical Practice Research data link associated with hospital admissions for hospital event statistics from 2003 to 2018.

statistics

The results showed that throughout the study period, patients with diabetes had higher rates of hospitalization for all reasons than those without diabetes

Diabetes itself and ischaemic heart disease were the leading causes of overhospitalization in 2003

Proportional contribution of major cause-specific diseases to hospitalization burden in patients with diabetes from 2003 to 2018

Proportional contribution of major cause-specific diseases to hospitalization burden in patients with diabetes from 2003 to 2018

Hospitalization rates for people with diabetes decreased and the reasons for hospitalization changed

Nearly all traditional diabetes complication groups (vascular disease, amputation, and diabetes) decreased, while nondiabetes-specific diseases (cancer, infection , noninfectious, and noncancerous respiratory disease) increased

The changing composition of the burden of hospitalization in people with diabetes means that preventive and clinical measures should evolve to address the various causes of persistent overhospitalization in people with diabetes

References: Trends in leading causes of hospitalisation of adults with diabetes in England from 2003 to 2018: an epidemiological analysis of linked primary care records Jonathan Pearson-Stuttard, FRSPH Yiling J Cheng, PhD James Bennett, PhD Eszter P Vamos, FFPH Bin Zhou , PhD Prof Jonathan Valabhji, MD et al.
Show all authors Open AccessPublished:November 30, 2021 DOI:https://doi.
org/10.
1016/S2213-8587(21)00288-6 DOI:https://doi.
org /10.
1016/S2213-8587(21)00288-6

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