Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006.
Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006.
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DOI：
10.1186/1472-6963-10-59
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发表时间：
2010-03-08
影响因子：
2.8
通讯作者：
Jiménez-García R
中科院分区：
文献类型：
--
作者：
Lopez-de-Andres A;Hernández-Barrera V;Carrasco-Garrido P;Esteban-Hernandez J;Gil-de-Miguel A;Jiménez-García R
急性心肌梗死（AMI）是糖尿病患者入院的更常见原因之一，并且有报道称这些患者AMI后的长期预后比非糖尿病患者差得多。本研究旨在比较2001-2006年期间西班牙糖尿病和非糖尿病受试者因AMI的住院率和费用。我们使用最小基础数据集对6年的全国糖尿病相关住院数据进行了回顾性研究。计算了糖尿病和非糖尿病成人中AMI的全国住院率。分析病死率、平均住院时间和与住院相关的直接医疗费用。使用糖尿病和非糖尿病患者的AMI诊断相关组计算成本。在研究期间，共有307，099名AMI患者入住西班牙医院。糖尿病患者占29.6%。糖尿病患者中AMI的估计发病率从2001年的每10万人54.7例增加到2006年的64.1例。在校正年龄、性别和年份后，糖尿病患者的死亡率显著高于非糖尿病患者（OR 1.11 [95%CI，1.08-1.14]）。从2001年到2006年，糖尿病患者的费用增加了21.3%。糖尿病患者在AMI后住院期间的住院率和病死率高于非糖尿病患者。在2001-2006年期间，患有急性心肌梗死的糖尿病成人的直接住院费用增加幅度大于预期。
Acute myocardial infarction (AMI) is one of the more frequent reasons diabetic patients are admitted to hospital, and there are reports that the long-term prognosis after an AMI is much worse in these patients than in non-diabetic patients. This study aims to compare hospital admissions and costs in Spanish diabetic and non-diabetic subjects due to AMI during the period 2001-2006. We conducted a retrospective study of 6 years of national hospitalization data associated with diabetes using the Minimum Basic Data Set. National hospitalization rates were calculated for AMI among diabetic and non-diabetic adults. Fatality rates, mean hospital stay and direct medical costs related to hospitalization were analyzed. Costs were calculated using Diagnosis-Related Groups for AMI in diabetics and non-diabetics patients. During the study period, a total of 307,099 patients with AMI were admitted to Spanish hospitals. Diabetic patients made up 29.6% of the total. The estimated incidence due to AMI in diabetics increased from 54.7 cases per 100,000 in 2001 to 64.1 in 2006. Diabetic patients had significantly higher mortality than nondiabetic patients after adjusting for age, gender, and year (OR 1.11 [95% CI, 1.08-1.14]). The cost among diabetic patients increased by 21.3% from 2001 to 2006. Diabetic patients have higher rates of hospital admission and fatality rates during the hospitalization after an AMI than nondiabetic patients. Diabetic adults who have suffered an AMI have a greater than expected increase in direct hospital costs over the period 2001-2006.
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影响因子：
5.9
作者：
de Velasco, JA;Cosín, J;Sellers, MD
通讯作者：
Sellers, MD
影响因子：
5.9
作者：
Heras, M;Marrugat, J;Vila, J
通讯作者：
Vila, J
影响因子：
--
作者：
Vaccaro, O;Eberly, LE;Stamler, J
通讯作者：
Stamler, J
影响因子：
2.8
作者：
Vaccarino, V;Parsons, L;Krumholz, HM
通讯作者：
Krumholz, HM
影响因子：
5.7
作者：
Norhammar, A.;Stenestrand, U.;Wallentin, L.
通讯作者：
Wallentin, L.