Epidemiology and costs of acute hospital care for cerebrovascular disease in diabetic and nondiabetic populations.
Background and Purpose Little is known about the pattern of cerebrovascular disease (CVD) for diabetic and nondiabetic patients or about the cost of treatment for CVD in the United Kingdom.
The purpose of this study was to extend previous work to describe the epidemiology and cost of acute care of CVD as a frequent comorbidity of diabetes in a UK population (408 000 people).
Methods Routine data describing inpatient care for a 4-year period were analyzed (financial years 1991/1992 to 1994/1995).
These data had undergone record linkage to draw together records from the same patients.
Cost estimates were determined by attributing a diagnosis-related group cost weight to each record.
Mortality data from an overlapping period were supplied by the Office of Population Censuses and Surveys.
Results There were 11196 CVD admissions (3.1% of all admissions).
Of these, 7351 (66%) were primary diagnoses.
These admissions were generated by 5358 patients (3904 primary diagnosis).
For people with diabetes, the incidence rate was between 23 and 32.8 per 1000 per year compared with 2.4 to 3.3 per 1000 for the population as a whole, depending on the use of primary and subsidiary codes.
The age-adjusted relative risk of stroke in diabetic men versus nondiabetic men was 3.70 (95% confidence interval, 3.53 to 3.88) and in women was 4.35 (95% confidence interval, 4.37 to 4.76).
We describe other epidemiological relationships.
The cost of CVD is between £1.1 and £1. (...)
Mots-clés Pascal : Epidémiologie, Coût, Accident cérébrovasculaire, Diabète, Royaume Uni, Europe, Complication, Homme, Hospitalisation, Economie santé, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Endocrinopathie
Mots-clés Pascal anglais : Epidemiology, Costs, Stroke, Diabetes mellitus, United Kingdom, Europe, Complication, Human, Hospitalization, Health economy, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0337264
Code Inist : 002B21E01B. Création : 12/09/1997.