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Diabetes can lead to a range of established vascular and metabolic complications, leading to the development and implementation of relevant policies in various prevention
programs .
Diabetes is also associated with an increased risk of a wider range of diseases, including cancer, liver disease and common infections
Diabetes Vascular Prevention Diabetes is also associated with an increased risk of a wider range of diseases, including cancer, liver disease and common infections
In this epidemiological analysis, researchers identified 309,874 people with diabetes (type 1 or 2) over the age of 18 in England from the Clinical Practice Research Datalink from 2003-2018 and compared them with hospital records for inpatients.
data link
.
A mixed prevalence and incident diabetes study population was generated through serial cross-sections and follow-up
A discrete Poisson regression model was used to estimate annual cause-specific hospitalization rates in 17 cause groups for men and women with diabetes
.
A 1:1 age- and sex-matched cohort of nondiabetic patients was then generated to compare cause-specific hospitalization rates in diabetic and nondiabetic patients
The results showed that people with diabetes had higher rates of hospitalization for all causes than those without diabetes throughout the study period
.
In 2003, diabetes itself and ischaemic heart disease were the leading causes of excess hospitalizations (defined as the absolute difference between the diabetic and non-diabetic populations)
In 2003, diabetes itself and ischaemic heart disease were the leading causes of excess hospitalizations (defined as the absolute difference between the diabetic and non-diabetic populations)
Nearly all traditional diabetes complication groups (vascular disease, amputations, and diabetes) declined, while conditions not specific to diabetes (cancer, infections, and non-infectious and non-cancer respiratory conditions) rose
These different trends represent changes in the reasons for hospitalization, for example, traditional diabetes complications accounted for more than 50% of hospitalizations in 2003, but only about 30% in 2018
.
Conversely, over the same period, the proportion of hospitalizations due to respiratory infections increased from 3% to 10% in men and 4% to 12% in women
Traditional diabetes complications accounted for more than 50% of hospitalizations in 2003, but only about 30% in 2018
Taken together, the changing composition of excess risk and hospitalization burden in people with diabetes means that preventive and clinical measures should evolve to reflect the various reasons that drive persistent excess hospitalizations 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.
Trends in leading causes of hospitalisation of adults with diabetes in England from 2003 to 2018: an epidemiological analysis of linked primary care records.
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