IMPACT OF CARDIOVASCULAR-DISEASE ON HEALTH-CARE UTILIZATION IN A DEFINED DIABETIC POPULATION
IMPACT OF CARDIOVASCULAR-DISEASE ON HEALTH-CARE UTILIZATION IN A DEFINED DIABETIC POPULATION
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DOI：
10.1016/0895-4356(94)90100-7
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发表时间：
1994-10-01
影响因子：
7.2
通讯作者：
BROWN, J
中科院分区：
文献类型：
--
作者：
GLAUBER, H;BROWN, J
我们研究了1988年心血管疾病（CVD）对一个健康维护组织的435名糖尿病（DM）和435名匹配的非DM成员的年度医疗保健利用率和费用的影响。58%的糖尿病患者至少有一个诊断的CVD，而非糖尿病患者为26%。糖尿病患者22.7%的门诊就诊、38.7%的住院天数和30%的药房支出主要归因于心血管疾病。人群中高达27%的CABG接受者患有糖尿病。总的来说，CVD直接占DM总医疗费用的至少24%，而非DM的成本为12%。HMO在糖尿病患者的心血管疾病护理上的人均花费是非糖尿病患者的4.5倍。胰岛素治疗与外周血管疾病增加相关。在调整年龄后，CVD更普遍，并在糖尿病肾病患者中产生更长的住院时间。心血管疾病和糖尿病之间的病因学关联是有据可查的，但心血管疾病在糖尿病中的临床和经济重要性似乎未得到充分认识。
We studied the impact on annual medical care utilization and costs in 1988 of cardiovascular disease (CVD) in a population-based sample of 435 diabetic (DM) and 435 matched non-DM members of a Health Maintenance Organization. 58% of DM had at least one diagnosed CVD, compared to 26% of non-DM. 22.7% of outpatient visits, 38.7% of hospital days, and 30% of pharmacy expenditures by those with DM were primarily attributable to CVD. Up to 27% of all CABG recipients in the population had diabetes. In total, CVD directly accounted for at least 24% of total medical care costs among DM, compared to 12% of costs for non-DM. The HMO spent 4.5 times per person more on CVD care in DM than in non-DM members. Treatment with insulin was associated with increased peripheral vascular disease. After adjusting for age, CVD was more prevalent and generated longer hospital stays in DMs with nephropathy. The etiologic association between CVD and DM is well documented but CVD's clinical and economic importance in DM seems underappreciated.