Diabetes mellitus hospitalization and mortality rate according to a national database in Brazil: a longitudinal study.

Diabetes mellitus hospitalization and mortality rate according to a national database in Brazil: a longitudinal study.
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DOI:
10.1186/s12889-021-10438-z
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发表时间:
2021-02-25
期刊:
影响因子:
4.5
通讯作者:
Gualdi LP
Gualdi LP
中科院分区:
医学2区
文献类型:
--
作者:
Florêncio RB;de Araújo Fonseca LG;da Silva VFD;Lima ÍNDF;Gualdi LP

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糖尿病(Diabetes mellitus,DM)是一个全球性的重要公共卫生问题。除了功能受损外,导致住院的大量并发症导致高昂的治疗费用。本研究的目的是分析巴西2008年至2019年期间因糖尿病住院的发生率、死亡率和住院费用,并观察住院时间和住院时间的时间趋势。这是一项纵向描述性研究,其中纳入了巴西“Sistema Musnico de Saúde”医院信息系统(SIH/SUS; http://datasus.saude.gov.br)中登记的因DM(ICD-10)住院的所有数据。通过非配对学生t检验、双因素ANOVA和Tukey事后检验(p < 0.05)进行组间比较。2008年至2019年期间,巴西因糖尿病住院的人数增加了1.83%。东南部地区发病率和死亡率最高,分别为34.6%和34.6%,与其他地区相比差异有显著性(P < 0.05)。我们还发现,与男性相比,女性更有可能住院,但没有统计学显著差异。最后,根据年龄组观察到住院和死亡率逐渐增加,以及多年来因DM住院而增加的支出。在巴西,由于糖尿病而住院治疗的人数在过去12年中显著增加,因此需要进行初级卫生保健干预以帮助减少这种情况。
Diabetes mellitus (DM) is an important public health problem worldwide. In addition to the impairment in functionality, the large number of complications which lead to hospitalizations results in high treatment costs. The aim of this study was to analyze the incidence of hospitalizations, mortality rate and hospital costs, as well as to observe the temporal trend of hospitalizations and length of hospital stay due to DM between 2008 and 2019 in Brazil. This is a longitudinal descriptive study in which all data regarding hospital admissions registered in the Brazilian system of Hospital Information of “Sistema Único de Saúde” (SIH/SUS; http://datasus.saude.gov.br) due to DM (ICD-10) were included. Comparisons among the groups were performed by an unpaired Student’s t-test, two-way ANOVA with a Tukey post hoc test (p < 0.05). An increased hospitalization of 1.83% due to DM was observed between 2008 and 2019 in Brazil. The Southeastern region had the highest incidence (34.6%) and mortality rate when compared to the other regions (p < 0.05). We also found that females were more likely to be hospitalized in comparison to males, without a statistically significant difference. Finally, a progressive increase of hospitalizations and mortality rate were observed according to age groups, as well as increased spending due to DM hospitalizations over the years. Hospitalizations due to DM in Brazil showed an expressive increase over the last 12 years, and there is a need for primary healthcare interventions to help reduce this situation.
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