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Risk factors for hospitalisation due to diabetes complications

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From Māori Health Review Issue 14
Authors:
  • Tomlin AM et al
Summary:

This study determined risk factors monitored in primary care that were significantly associated with diabetes complications requiring hospitalisation, using clinical and demographic data for 1080 type 1 and 11,283 type 2 New Zealand diabetes patients attending a free primary care diabetes examination between 2000 and 2002. Hospital admissions data for the 2 years following the index examination were linked for each patient using a unique National Health Index code. Hospitalisations for diabetes complications occurred in 222 cases (20.6%) in the type 1 cohort and in 1948 cases (17.3%) in the type 2 cohort. In both cohorts, patients admitted with diabetes complications had significantly higher mean glycosylated haemoglobin (HbA1c) and triglyceride levels, urine albumin:creatinine ratios and duration of diabetes than patients not admitted. In type 2 patients, age, obesity, HbA1c, urine albumin:creatinine ratios, HDL levels and treatment with insulin or oral medication increased the likelihood of admission.

Comment:
This study has importantly identified risk factors for hospitalisations in patients with diabetes. For primary care providers, the results confirm the need to aggressively screen for and manage these risk factors in order to prevent diabetes complications.
Reference: Diabetes Research and Clinical Practice. 2008;80:244-52
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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