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Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study
We aimed to assess national trends in the rates of diabetes-related potentially preventable hospitalizations (overall and by preventable condition) in the total adult population of Spain. We performed a population-based study of all adult patients with diabetes who were hospitalized from 1997 to 201...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526470/ https://www.ncbi.nlm.nih.gov/pubmed/30978979 http://dx.doi.org/10.3390/jcm8040492 |
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author | Gómez-Huelgas, Ricardo Lara-Rojas, Carmen M. López-Carmona, María D. Jansen-Chaparro, Sergio Barba, Raquel Zapatero, Antonio Guijarro-Merino, Ricardo Tinahones, Francisco J. Pérez-Belmonte, Luis M. Bernal-López, M. Rosa. |
author_facet | Gómez-Huelgas, Ricardo Lara-Rojas, Carmen M. López-Carmona, María D. Jansen-Chaparro, Sergio Barba, Raquel Zapatero, Antonio Guijarro-Merino, Ricardo Tinahones, Francisco J. Pérez-Belmonte, Luis M. Bernal-López, M. Rosa. |
author_sort | Gómez-Huelgas, Ricardo |
collection | PubMed |
description | We aimed to assess national trends in the rates of diabetes-related potentially preventable hospitalizations (overall and by preventable condition) in the total adult population of Spain. We performed a population-based study of all adult patients with diabetes who were hospitalized from 1997 to 2015. Overall potentially preventable hospitalizations and hospitalizations by diabetes-related preventable conditions (short-term complications, long-term complications, uncontrolled diabetes, and lower-extremity amputations) were examined. Annual rates adjusted for age and sex were analyzed and trends were calculated. Over 19-years-period, 424,874 diabetes-related potentially preventable hospitalizations were recorded. Overall diabetes-related potentially preventable hospitalizations decreased significantly, with an average annual percentage change of 5.1 (95%CI: −5.6–(−4.7%); p(trend) < 0.001). Among preventable conditions, the greatest decrease was observed in uncontrolled diabetes (−5.6%; 95%CI: −6.7–(−4.7%); p(trend) < 0.001), followed by short-term complications (−5.4%; 95%CI: −6.1–(−4.9%); p(trend) < 0.001), long-term complications (−4.6%; 95%CI: −5.1–(−3.9%); p(trend) < 0.001), and lower-extremity amputations (−1.9%; 95%CI: −3.0–(−1.3%); p(trend) < 0.001). These reductions were observed in all age strata for overall DM-related PPH and by preventable condition but lower-extremity amputations for those <65 years old. There was a greater reduction in overall DM-related PPH, uncontrolled DM, long-term-complications, and lower extremity amputations in females than in males (all p < 0.01). No significant difference was shown for short-term complications (p = 0.101). Our study shows a significant reduction in national trends for diabetes-related potentially preventable hospitalizations in Spain. These findings could suggest a sustained improvement in diabetes care in Spain, despite the burden of these diabetes-related complications and the increase in the diabetes mellitus prevalence. |
format | Online Article Text |
id | pubmed-6526470 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-65264702019-05-31 Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study Gómez-Huelgas, Ricardo Lara-Rojas, Carmen M. López-Carmona, María D. Jansen-Chaparro, Sergio Barba, Raquel Zapatero, Antonio Guijarro-Merino, Ricardo Tinahones, Francisco J. Pérez-Belmonte, Luis M. Bernal-López, M. Rosa. J Clin Med Article We aimed to assess national trends in the rates of diabetes-related potentially preventable hospitalizations (overall and by preventable condition) in the total adult population of Spain. We performed a population-based study of all adult patients with diabetes who were hospitalized from 1997 to 2015. Overall potentially preventable hospitalizations and hospitalizations by diabetes-related preventable conditions (short-term complications, long-term complications, uncontrolled diabetes, and lower-extremity amputations) were examined. Annual rates adjusted for age and sex were analyzed and trends were calculated. Over 19-years-period, 424,874 diabetes-related potentially preventable hospitalizations were recorded. Overall diabetes-related potentially preventable hospitalizations decreased significantly, with an average annual percentage change of 5.1 (95%CI: −5.6–(−4.7%); p(trend) < 0.001). Among preventable conditions, the greatest decrease was observed in uncontrolled diabetes (−5.6%; 95%CI: −6.7–(−4.7%); p(trend) < 0.001), followed by short-term complications (−5.4%; 95%CI: −6.1–(−4.9%); p(trend) < 0.001), long-term complications (−4.6%; 95%CI: −5.1–(−3.9%); p(trend) < 0.001), and lower-extremity amputations (−1.9%; 95%CI: −3.0–(−1.3%); p(trend) < 0.001). These reductions were observed in all age strata for overall DM-related PPH and by preventable condition but lower-extremity amputations for those <65 years old. There was a greater reduction in overall DM-related PPH, uncontrolled DM, long-term-complications, and lower extremity amputations in females than in males (all p < 0.01). No significant difference was shown for short-term complications (p = 0.101). Our study shows a significant reduction in national trends for diabetes-related potentially preventable hospitalizations in Spain. These findings could suggest a sustained improvement in diabetes care in Spain, despite the burden of these diabetes-related complications and the increase in the diabetes mellitus prevalence. MDPI 2019-04-11 /pmc/articles/PMC6526470/ /pubmed/30978979 http://dx.doi.org/10.3390/jcm8040492 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gómez-Huelgas, Ricardo Lara-Rojas, Carmen M. López-Carmona, María D. Jansen-Chaparro, Sergio Barba, Raquel Zapatero, Antonio Guijarro-Merino, Ricardo Tinahones, Francisco J. Pérez-Belmonte, Luis M. Bernal-López, M. Rosa. Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study |
title | Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study |
title_full | Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study |
title_fullStr | Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study |
title_full_unstemmed | Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study |
title_short | Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study |
title_sort | trends in diabetes-related potentially preventable hospitalizations in adult population in spain, 1997–2015: a nation-wide population-based study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526470/ https://www.ncbi.nlm.nih.gov/pubmed/30978979 http://dx.doi.org/10.3390/jcm8040492 |
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