Social Disparities in the Risk of Potentially Avoidable Hospitalization for Diabetes Mellitus: an Analysis with Linked Census and Hospital Data

Abstract Background and Aims. Patients with diabetes mellitus, especially type 2 diabetes, have often a multifactorial renal impairment. The aim of this study was to correlate renal vascular lesions occurring in patients with diabetes mellitus with clinical and laboratory parameters. Material and method. We performed a retrospective study on a sample of 127 patients with diabetes mellitus, who died in hospital. Data from necropsies were correlated with the clinical and laboratory data collected from the medical records of these patients. Results. Renal vascular lesions were frequently found in patients from the study group. The most common were nephroangiosclerosis lesions, which correlated with age, diabetes duration, systolic blood pressure and mean fasting glucose. Conclusions. Most patients in the study group had multiple cardiovascular risk factors (advanced age, dyslipidemia, hypertension) that explain the high prevalence of renal vascular lesions.

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Primary care continuity and potentially avoidable hospitalization in persons with dementia

Journal of the American Geriatrics Society ◽

10.1111/jgs.17049 ◽

2021 ◽

Author(s):

Claire Godard‐Sebillotte ◽

Erin Strumpf ◽

Nadia Sourial ◽

Louis Rochette ◽

Eric Pelletier ◽

...

Keyword(s):

Primary Care ◽

Avoidable Hospitalization ◽

Care Continuity ◽

Potentially Avoidable Hospitalization

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Relationship between Sexual Needs and the Quality of Life of Diabetes Mellitus Patients

KnE Life Sciences ◽

10.18502/kls.v6i1.8643 ◽

2021 ◽

pp. 535-544

Author(s):

Muh. Zukri Malik ◽

. Mikawati ◽

Dewi Purnamasari

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Cross Sectional Study ◽

Hospital Data ◽

Cross Sectional ◽

Study Approach ◽

Sexual Activities ◽

Patients With Diabetes ◽

The Relationship

Diabetes mellitus is a chronic disease that can cause serious complications and has a major impact on the quality of life experienced by sufferers. One of the effects of diabetes mellitus is a change in sexual identity and a person’s physical ability to carry out sexual activities. This study aims to determine the relationship between sexual needs fulfilment and quality of life experienced by Diabetes Mellitus patients. This research is a non-experimental quantitative study using a cross-sectional study approach, the population in this study were 49 diabetes Mellitus patients treated at the Labuang Baji Hospital. Data was collected using a questionnaire, sexual needs in women were assessed using the FSFI (Female Sexual Function Index) questionnaire and in men using the IIEF (International Index of Erectile Functions) while the quality of life was assessed using DQOL (Diabetes Quality Of Life). 57.7% of respondents felt their sexual needs were not met, and the quality of life of patients with diabetes mellitus 46.9% is poor. There is a relationship between sexual fulfilment and quality of life in diabetes mellitus patients at the Makassar Labuang Baji Hospital, Indonesia. Keywords: diabetes mellitus, sexual needs, quality of life

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DPARD: rationale, design and initial results from the Dutch national diabetes registry

BMC Endocrine Disorders ◽

10.1186/s12902-021-00782-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jessica C. G. Bak ◽

Dick Mul ◽

Erik H. Serné ◽

Harold W. de Valk ◽

Theo C. J. Sas ◽

...

Keyword(s):

Diabetes Mellitus ◽

Diabetes Care ◽

Diabetes Management ◽

Management Strategies ◽

Clinical Information ◽

Past Century ◽

Hospital Data ◽

Diabetes Registry ◽

Quality Of Diabetes Care

Abstract Background Treatment of diabetes mellitus has majorly improved over the past century, however, the disease burden is high and its prevalence still expanding. Further insight in the diabetes population is imperative to improve the quality of diabetes care by enhancement of knowledge-based diabetes management strategies. To this end, in 2017 a Dutch nationwide consortium of diabetologists, paediatric endocrinologists, and diabetes patients has founded a national outpatient diabetes care registry named Dutch Pediatric and Adult Registry of Diabetes (DPARD). We aim to describe the implementation of DPARD and to provide an overview of the characteristics of patients included during the first 2 years. Methods For the DPARD cohort with long-term follow-up of observational nature, hospital data are gathered directly from electronic health records and securely transferred and stored. DPARD provides weekly updated clinical information on the diabetes population care on a hospital-level benchmarked against the national average. Results Between November 2017 and January 2020, 20,857 patients were included from 8 (11%) Dutch hospitals with a level of care distribution representative of all diabetic outpatients in the Netherlands. Among patients with known diabetes type, 41% had type 1 diabetes, 51% type 2 diabetes, and 8% had diabetes due to other causes. Characteristics of the total patient population were similar to patients with unknown diabetes classification. HbA1c levels decreased over the years, while BMI levels showed an increase over time. Conclusions The national DPARD registry aims to facilitate investigation of prevalence and long-term outcomes of Dutch outpatients with diabetes mellitus and their treatment, thus allowing for quality improvement of diabetes care as well as allowing for comparison of diabetes care on an international level.

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Potentially avoidable hospitalization for asthma in children and adolescents by migrant status: results from the Italian Network for Longitudinal Metropolitan Studies

BMC Public Health ◽

10.1186/s12889-020-09930-9 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Laura Cacciani ◽

Cristina Canova ◽

Giulia Barbieri ◽

Teresa Dalla Zuanna ◽

Claudia Marino ◽

...

Keyword(s):

Children And Adolescents ◽

Geographical Area ◽

Central Italy ◽

Specific Rate ◽

Avoidable Hospitalization ◽

Children And Adolescent ◽

Adolescent Immigrants ◽

Rate Ratios ◽

Area Of Origin ◽

Potentially Avoidable Hospitalization

Abstract Background Global migration toward Europe is increasing. Providing health assistance to migrants is challenging because numerous barriers limit their accessibility to health services. Migrants may be at a greater risk of developing asthma and receiving lower quality healthcare assistance than non-migrants. We aim to investigate whether immigrants as children and adolescents have higher rates of potentially avoidable hospitalization (PAH) for asthma compared to Italians. Methods We performed a retrospective longitudinal study using six cohorts of 2–17-year-old residents in North and Central Italy from 01/01/2001 to 31/12/2014 (N = 1,256,826). We linked asthma hospital discharges to individuals using anonymized keys. We estimated cohort-specific age and calendar-year-adjusted asthma PAH rate ratios (HRRs) and 95% confidence intervals (95%CIs) among immigrants compared to Italians. We applied a two-stage random effect model to estimate asthma PAH meta-analytic rate ratios (MHRRs). We analyzed data by gender and geographical area of origin countries. Results Three thousand three hundred four and 471 discharges for asthma PAH occurred among Italians and immigrants, respectively. Compared to Italians, the asthma PAH cohort-specific rate was higher for immigrant males in Bologna (HRR:2.42; 95%CI:1.53–3.81) and Roma (1.22; 1.02–1.45), and for females in Torino (1.56; 1.10–2.20) and Roma (1.82; 1.50–2.20). Asthma PAH MHRRs were higher only among immigrant females (MHRRs:1.48; 95%CI:1.18–1.87). MHRRs by area of origin were 63 to 113% higher among immigrants, except for Central-Eastern Europeans (0.80; 0.65–0.98). Conclusion The asthma PAH meta-analytic rate was higher among female children and adolescent immigrants compared to Italians, with heterogeneity among cohorts showing higher cohort-specific PAH also among males, with some differences by origin country. Access to primary care for children and adolescent immigrants should be improved and immigrants should be considered at risk of severe asthma outcomes and consequently targeted by clinicians.

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Faktor-faktor yang berhubungan dengan kejadian diabetes mellitus tipe-II pada pasien rawat jalan

Jurnal SAGO Gizi dan Kesehatan ◽

10.30867/gikes.v2i2.258 ◽

2021 ◽

Vol 2 (2) ◽

pp. 122

Author(s):

Cut Cahaya Rani ◽

Nunung Sri Mulyani

Keyword(s):

Diabetes Mellitus ◽

Significant Relationship ◽

Type Ii Diabetes ◽

Type Ii Diabetes Mellitus ◽

Type Ii ◽

Hospital Data ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Cross Sectional Design

Background: Diabetes Mellitus (DM) occurs due to hyperglycemia, abnormalities in carbohydrate, protein, and fat metabolism caused by decreased insulin secretion, or decreased insulin sensitivity or both, causing chronic microvascular, macrovascular, and neuropathic complications. Aceh ranks 8th in the prevalence of diabetes mellitus from all provinces in Indonesia at 2.6% and the national prevalence is 2.1%.Objective: This study aims to determine the factors associated with the incidence of type-II diabetes mellitus in outpatients.Methods: An analytical observational study with a cross-sectional design was conducted in 2019 in Banda Aceh. The sampling method is purposive sampling with a total of 96 samples, outpatients at the Meuraxa Hospital. Data collection that has been carried out includes data on age, gender, genetics, obesity, and diet. Chi-square test data analysis at 95% CI.Results: The results of this study have shown that people who are over 43 years of age suffer from type-II diabetes mellitus and people who are obese, have genetics, and have poor diet can suffer from type-II diabetes mellitus. There was a significant relationship between age, genetics, obesity, and diet with the incidence of type-II diabetes mellitus (p < 0.05), while gender did not have a significant relationship with the incidence of diabetes mellitus (p > 0.05).Conclusion: Obesity in patients with type II diabetes is age, genetic factors, and diet. Suggestion, it is necessary to continue counseling related to the causes of type-II diabetes mellitus in patients who visit the hospital.

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