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Prevalence and associated factors of hospitalization for dysglycemia among elderly type 2 diabetes patients: A nationwide study

查看全文 作　　者：Wisit [1]Kaewput;Charat [2]Thongprayoon;Narittaya [3]Varothai;Anupong [4]Sirirungreung;Ram [1]Rangsin;Tarun [5]Bathini;Michael A [1]Mao;Wisit [6]Cheungpasitporn 高影响力作者 机构地区：[1]Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok 10400, Thailand;[2]Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55905, United States;[3]Division of Geriatrics, Department of Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok 10400, Thailand;[4]Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA 90095, United States;[5]Department of Internal Medicine, University of Arizona, Tucson, AZ 85721, United States;[6]Division of Nephrology, Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, United States高影响力机构 出　　处：《World Journal of Diabetes》索引2019年第10卷第3期,共12页高影响力期刊 摘　　要：BACKGROUND The prevalence of older individuals with type 2 diabetes mellitus (T2DM) is increasing due to the aging population and improved medical care. These patients are very susceptible to disease and treatment-related hospitalizations, resulting in higher health care costs, morbidity, and decreased quality of life. However, data of treatment-related complications, especially dysglycemiarelated hospitalizations, are lacking. AIM To assess the prevalence and associated factors for dysglycemia-related hospitalizations among elderly diabetic patients in Thailand using nationwide patient sample. METHODS T2DM patients aged ≥ 65 years who received medical care at public hospitals in Thailand in the year 2014 were included. The prevalence of hospitalization due to dysglycemia within one year was examined. Multivariable logistic regression was performed to assess the independent factors associated with hospitalization due to hypoglycemia and hyperglycemia RESULTS A total of 11404 elderly T2DM patients were enrolled in this study. The mean age was 72.9 ± 5.5 years. The prevalence of hospital admissions due to diabetic ketoacidosis, hyperosmolar hyperglycemic state, hyperglycemic dehydration syndrome, and hypoglycemia among elderly T2DM patients in the year 2014 was 0.1%, 0.1%, 1.7% and 3.1%, respectively. Increased hospitalization due to hypoglycemia was associated with older age, female sex, had hypertension, dementia, lower body mass index, elevated hemoglobin A1C (HbA1C), decreased kidney function, insulin use. Increased hospitalization due to hyperglycemia was associated with dementia, depression, lower body mass index, elevated HbA1C, and insulin use. CONCLUSION The prevalence of dysglycemia-related hospitalization in elderly T2DM patients in Thailand was 4.9%. Close monitoring of blood glucose should be provided in high-risk patients for prevention and early detection for these complications. 关 键 词：Type 2 DIABETES mellitus HOSPITALIZATION DIABETES in elderly DYSGLYCEMIA HYPOGLYCEMIA HYPERGLYCEMIA
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