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Comparison of incidence, rate and length of all-cause hospital admissions between adults with normoglycaemia, impaired fasting glucose and diabetes: a retrospective cohort study in Geelong, Australia.
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- Author(s): Sajjad MA;Sajjad MA; Holloway KL; Holloway KL; de Abreu LLF; de Abreu LLF; Mohebbi M; Mohebbi M; Kotowicz MA; Kotowicz MA; Kotowicz MA; Kotowicz MA; Pedler D; Pedler D; Pasco JA; Pasco JA; Pasco JA; Pasco JA
- Source:
BMJ open [BMJ Open] 2018 Mar 23; Vol. 8 (3), pp. e020346. Date of Electronic Publication: 2018 Mar 23.- Publication Type:
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
- Publication Information: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
- Subject Terms: Diabetes Mellitus, Type 2/*epidemiology ; Hospitalization/*statistics & numerical data ; Prediabetic State/*blood ; Prediabetic State/*epidemiology; Adult ; Aged ; Aged, 80 and over ; Australia ; Blood Glucose/analysis ; Female ; Humans ; Hypoglycemic Agents/therapeutic use ; Incidence ; Logistic Models ; Male ; Middle Aged ; Prediabetic State/drug therapy ; Retrospective Studies ; Risk Factors ; Young Adult
- Abstract: Objective: To determine whether adults with normoglycaemia, impaired fasting glucose (IFG) and diabetes differed according to the incidence, rate, length and primary reasons for hospital admission.
Design: Retrospective cohort study.
Setting: Barwon Statistical Division, Geelong, Australia.
Participants: Cohort included 971 men and 924 women, aged 20+ years, participating in the Geelong Osteoporosis Study. Glycaemic status was assessed at cohort entry using fasting plasma glucose, use of antihyperglycaemic medication and/or self-report.
Primary and Secondary Outcome Measures: Primary outcome measure was any admission to the major tertiary public hospital in the study region over the follow-up period. Secondary outcome measures were admission rate and length (days).
Results: Over a median follow-up of 7.4 years (IQR 5.3-9.6), participants with diabetes, compared with those with normoglycaemia, were two times as likely to be hospitalised (OR 2.07, 95% CI 1.42 to 3.02), had a higher admission rate (incidence rate ratio 1.61, 95% CI 1.17 to 2.23) and longer hospital stay (third quartile difference 7.7, 95% CI 1.3 to 14.1 and ninth decile difference 16.2, 95% CI 4.2 to 28.3). IFG group was similar to normoglycaemia for the incidence, rate and length of admission. Cardiovascular disease-related diagnoses were the most common primary reasons for hospitalisation across all glycaemic categories.
Conclusions: Our results show increased incidence, rate and length of all-cause hospital admission in adults with diabetes as compared with normoglycaemia; however, we did not detect any associations for IFG. Interventions should focus on preventing IFG-to-diabetes progression and reducing cardiovascular risk in IFG and diabetes.
Competing Interests: Competing interests: None declared.
(© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) - References: Diabet Med. 2015 Jan;32(1):133-40. (PMID: 25131861)
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- Accession Number: 0 (Blood Glucose)
0 (Hypoglycemic Agents) - Publication Date: Date Created: 20180326 Date Completed: 20180913 Latest Revision: 20190202
- Publication Date: 20221213
- Accession Number: PMC5875593
- Accession Number: 10.1136/bmjopen-2017-020346
- Accession Number: 29574446
- Source:
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