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1998年至2018年,瑞士糖尿病潜在可避免住院的趋势:来自多项横截面研究的数据
Ko Ko Maung1, Charlène Mauron2, Alexandre Gouveia2
1Department of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Heliyon
|December 17, 2024
概括
从1998年到2018年,因糖尿病而潜在可避免的住院病例 (PAH) 在瑞士增加,原因是长期并发症. 这些PAH病例中的很大一部分与不受控制的糖尿病或短期并发症有关,突出了改善门诊护理的领域.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 糖尿病管理 糖尿病管理
背景情况:
- 及时的门诊护理对于预防糖尿病患者的潜在可避免住院 (PAH) 非常重要.
- 分析PAH对糖尿病的趋势,决定因素和后果,可以了解医疗保健系统的表现.
研究的目的:
- 分析20年来瑞士糖尿病潜在可避免住院病例 (PAH) 的趋势,决定因素和后果.
- 确定导致PAH的因素,并为预防策略提供信息.
主要方法:
- 利用了瑞士从1998年到2018年的医院出院数据.
- 根据经济合作与发展组织 (OECD) 的标准,定义了潜在可避免的住院治疗 (PAH).
主要成果:
- 糖尿病的潜在可避免住院病例 (PAH) 从1998年的2600人增加到2018年的5730人,主要是由于长期并发症.
- 失控的糖尿病和短期并发症占了PAH的很大一部分,患者人口统计和区域差异明显.
- 2018年,糖尿病的PAH代表了56255天的住院时间,占有155张床位,估计花费7600万瑞士法郎.
结论:
- 在1998年至2018年期间,瑞士糖尿病潜在可避免住院病例 (PAH) 的发生率上升.
- 根据地理区域和患者因素,PAH表现出不同的特征,其中很大一部分与不受控制的糖尿病或可预防的短期并发症有关.
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