2型糖尿病患者肝病死亡率和住院情况:一项基于人口的研究
Dunya Tomic1,2, Agus Salim1,3,4, Jacob George5
1Diabetes and Population Health, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
概括
对于澳大利亚糖尿病患者来说,肝脏疾病是一个重大问题,导致死亡和住院. 建议在这个人群中改善肝脏疾病的查.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病患者的肝脏疾病负担在人口层面很大程度上是未知的.
- 糖尿病显著影响非传染性疾病的结果,包括肝脏健康.
- 了解这些趋势对于公共卫生干预至关重要.
研究的目的:
- 调查2型糖尿病澳大利亚人的肝病死亡率和住院病例的负担和趋势.
- 在这个队列中确定肝病住院的主要原因和危险因素.
- 为了将糖尿病患者的肝病住院率与普通人口进行比较.
主要方法:
- 利用了国家糖尿病服务计划和国家死亡指数 (2002-2019) 的链接数据.
- 分析了肝病死亡比例和原因的趋势.
- 检查了肝病住院的主要原因,并将住院率与普通人口进行了比较.
主要成果:
- 肝脏疾病占澳大利亚2型糖尿病患者死亡的1.5-1.9% (2002-2019).
- 在研究期间,由炎症性肝病引起的死亡人数从0.08%增加到0.27%.
- 与酒精有关的肝病是最常见的住院原因,尽管其发病率下降. 与一般人群相比,糖尿病患者患有纤维化和肝硬化住院的风险更高.
结论:
- 肝脏疾病对澳大利亚糖尿病患者造成了相当大的负担.
- 炎症性肝病和纤维化/肝硬化引起越来越多的担忧.
- 需要在糖尿病患者中加强肝病查策略.
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