A simple diabetes vascular severity staging instrument and its application to a Torres Strait Islander and Aboriginal adult cohort of north Australia.
A simple diabetes vascular severity staging instrument and its application to a Torres Strait Islander and Aboriginal adult cohort of north Australia.
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DOI：
10.1186/1472-6963-12-185
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发表时间：
2012-07-03
影响因子：
2.8
通讯作者：
McDermott RA
中科院分区：
文献类型：
--
作者：
Gibson OR;Segal L;McDermott RA
在没有糖尿病病程的情况下，使用常规收集的澳大利亚土著和托雷斯海峡岛民2型糖尿病成人数据，开发一种预测糖尿病相关血管疾病严重程度的工具。一个复杂的糖尿病严重程度的分类系统进行了简化和调整，用于与澳大利亚土著和托雷斯海峡岛民成年人口与2型糖尿病在北昆士兰州。详细的血管健康风险和发病率映射到常规收集的措施。个人水平的健康筛查，医院分离和死亡率数据相关联，并用于绘制平均每月住院患者的医院费用和死亡率百分比的疾病严重程度的定义，由新开发的工具，以测试结构的有效性。修订后的工具包括四个合并的糖尿病相关的微血管和大血管阶段，范围从最不严重（第1阶段）到严重的不可逆血管损伤（第4阶段）。当应用到土著和托雷斯海峡岛民澳大利亚人口的数据，该工具显示出良好的结构效度，预测更高的医院费用和死亡率的血管疾病的严重程度增加。该工具区分糖尿病相关血管疾病严重程度的水平，通过预测严重程度恶化的住院费用增加和死亡率显示出良好的结构效度，并且可以填充常规收集的数据。它可能有助于未来的卫生服务研究，其使用可以扩展到实践环境中，用于糖尿病管理计划的卫生保健计划和监测血管疾病进展。
To develop an instrument that predicts diabetes-related vascular disease severity using routinely collected data on Australian Aboriginal and Torres Strait Islander adults with type 2 diabetes, in the absence of diabetes duration. A complex diabetes severity classification system was simplified and adapted for use with an Australian Aboriginal and Torres Strait Islander adult population with type 2 diabetes in north Queensland. Detailed vascular health risks and morbidities were mapped to routinely collected measures. Individual–level health screening, hospital separation and mortality data were linked and used to plot mean monthly in-patient hospital cost and percent mortality by disease severity as defined by the newly developed instrument, to test construct validity. The revised instrument consists of four combined diabetes-related microvascular and macrovascular stages that range from least severe (stage 1) to severe irreversible vascular impairment (stage 4). When applied to data of an Aboriginal and Torres Strait Islander Australian population the instrument showed good construct validity, predicting higher hospital cost and mortality as vascular disease severity increased. This instrument discriminates between levels of diabetes-related vascular disease severity, displays good construct validity by predicting increased hospital cost and mortality with worsening severity and can be populated with routinely collected data. It may assist with future health service research and its use could be extended to practice settings for health care planning for diabetes management programs and monitoring vascular disease progression.
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影响因子：
16.2
作者：
Brown, JB;Nichols, GA;Bakst, AW
通讯作者：
Bakst, AW
影响因子：
11.4
作者：
McDermott, Robyn A.;Li, Ming;Campbell, Sandra K.
通讯作者：
Campbell, Sandra K.
DOI：
10.1007/bf03405313
发表时间：
2005-01-01
影响因子：
4.3
作者：
Jebamani, LS;Burchill, CA;Martens, PJ
通讯作者：
Martens, PJ
影响因子：
39.2
作者：
Levey, AS;Coresh, J;Eknoyan, G
通讯作者：
Eknoyan, G
影响因子：
5.3
作者：
O'Neal, D. N.;Piers, L. S.;O'Dea, K.
通讯作者：
O'Dea, K.