Analysis of behavioral management for dental treatment in patients with dementia using the Korean National Health Insurance data

Abstract Background It is well known that atopic dermatitis (AD) is associated with other allergic diseases. Recentely, links to diseases other than allergic disease have also been actively studied. Among them, the results of studies regarding AD comorbidities, especially cardiovascular disease (CVD), have varied from country to country. Objective To analyze whether the risk of CVD is different between AD patients and healthy controls using Korean National Health Insurance Data. Methods We obtained data from 2005 to 2016 from the Korean National Health Insurance Research Database. Patients with one AD code and two AD-related tests codes were selected as AD patients, and age-and sex-matched controls to the AD patients were selected from among those without AD (1:5). Each group was investigated for accompanying metabolic syndrome (which contains hypertension, type 2 diabetes, and hyperlipidemia) and CVD (angina, myocardial infarction, peripheral vascular disease, and stroke) using ICD 10 codes. Results The incidence of metabolic diseases and CVD were significantly different between the AD and control groups. Using multivariable Cox regression, differences were adjusted for sex, age, and other CVD and metabolic diseases. As a result, not only metabolic disease, but also the CVD risk of AD patients was significantly higher than that of the control group. Patients with AD had as significantly higher risk of hyperlipidemia (hazard ratio [HR] = 33.02, p < 0.001), hypertension (HR = 4.86, p < 0.001), and type 2 diabetes (HR = 2.96, p < 0.001). AD patients also had a higher risk of stroke (HR = 10.61, p < 0.001), myocardial infarction (HR = 9.43, p < 0.001), angina (HR = 5.99, p < 0.001), and peripheral vascular disease (HR = 2.46, p < 0.001). Besides hyperlipidemia, there was no difference in risk according to AD severity. Conclusion Patients with AD have a greater risk of CVD than those without AD.

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The short-term effects of particulate matter exposure on asthma-related hospital visits in Korea: based on the national health insurance data

10.26226/morressier.5acc8acfd462b8028d89a637 ◽

2018 ◽

Author(s):

Dae Jin Song

Keyword(s):

Particulate Matter ◽

Health Insurance ◽

National Health Insurance ◽

National Health ◽

Short Term ◽

Health Insurance Data ◽

Hospital Visits ◽

Insurance Data ◽

Particulate Matter Exposure ◽

Short Term Effects

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Prevalence of Treated Epilepsy in Korea Based on National Health Insurance Data

Journal of Korean Medical Science ◽

10.3346/jkms.2012.27.3.285 ◽

2012 ◽

Vol 27 (3) ◽

pp. 285 ◽

Cited By ~ 27

Author(s):

Seo-Young Lee ◽

Ki-Young Jung ◽

Il Keun Lee ◽

Sang Do Yi ◽

Yong Won Cho ◽

...

Keyword(s):

Health Insurance ◽

National Health Insurance ◽

National Health ◽

Health Insurance Data ◽

Insurance Data

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Relationship Between the Triglyceride-glucose Index and Incident Ischemic Heart Disease Risk: A Prospective Study Using National Health Insurance Data

10.21203/rs.3.rs-89360/v1 ◽

2020 ◽

Author(s):

Byoungjin Park ◽

Yong-Jae Lee ◽

Hye Sun Lee ◽

Dong-Hyuk Jung

Keyword(s):

Insulin Resistance ◽

Heart Disease ◽

Health Insurance ◽

Ischemic Heart Disease ◽

National Health Insurance ◽

National Health ◽

Ischemic Heart ◽

Health Insurance Data ◽

Tyg Index ◽

Insurance Data

Abstract Background: Ischemic heart disease (IHD) without diabetes is considered an important challenge to human health and is associated with a poor prognosis as well as a lack of health awareness. Until now, the association between early insulin resistance and IHD among nondiabetic adults has been poorly understood. We prospectively investigated the relationship between the triglyceride-glucose (TyG) index, a surrogate marker of early insulin resistance, and incident IHD risk in a large cohort of nondiabetic adults using National Health Insurance data. Methods: We assessed 16,455 participants (8,426 men and 8,029 women) without diabetes using data from a health risk assessment study (HERAS) and Korea Health Insurance Review & Assessment (HIRA) data. The participants were divided into four groups according to TyG index quartiles, calculated as ln [fasting triglycerides (mg/dL) × fasting plasma glucose (mg/dL)/2]. We prospectively assessed hazard ratios (HRs) with 95% confidence intervals (CIs) for IHD, using multivariate Cox proportional-hazards regression models, over a 50-month period that followed the baseline survey.Results: During the follow-up period, 322 (2.0%) participants developed IHD. HRs of IHD for TyG index quartiles 1–4 were 1.00, 1.63 (95% CI, 1.06–2.49), 1.88 (95% CI, 1.23–2.87), and 2.35 (95% CI, 1.53–3.61), respectively, after adjusting for age, sex, body mass index, smoking status, alcohol intake, physical activity, high sensitivity C-reactive protein, and mean arterial blood pressure.Conclusion: A higher TyG index precedes and significantly predicts future IHD among nondiabetic Koreans. Accordingly, a high TyG index may be a useful additional measure in assessing cardiovascular risks for apparently healthy adults in clinical practice.

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