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J. Clin. Med. 2019, 8(4), 492; https://doi.org/10.3390/jcm8040492

Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study

1
Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga (UMA), 29010 Málaga, Spain
2
Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Madrid, Spain
3
Servicio de Medicina Interna, Hospital Universitario Rey Juan Carlos, 28933 Móstoles, Madrid, Spain
4
Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28942 Fuenlabrada, Madrid, Spain
5
Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga (UMA), 29010 Málaga, Spain
6
Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, 28029 Madrid, Spain
*
Authors to whom correspondence should be addressed.
L.M.P.-B. and M.R.B.-L. have contributed equally to this work and share the last authorship.
Received: 23 March 2019 / Revised: 5 April 2019 / Accepted: 8 April 2019 / Published: 11 April 2019
(This article belongs to the Section Endocrinology & Metabolism)
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Abstract

We aimed to assess national trends in the rates of diabetes-related potentially preventable hospitalizations (overall and by preventable condition) in the total adult population of Spain. We performed a population-based study of all adult patients with diabetes who were hospitalized from 1997 to 2015. Overall potentially preventable hospitalizations and hospitalizations by diabetes-related preventable conditions (short-term complications, long-term complications, uncontrolled diabetes, and lower-extremity amputations) were examined. Annual rates adjusted for age and sex were analyzed and trends were calculated. Over 19-years-period, 424,874 diabetes-related potentially preventable hospitalizations were recorded. Overall diabetes-related potentially preventable hospitalizations decreased significantly, with an average annual percentage change of 5.1 (95%CI: −5.6—(−4.7%); ptrend < 0.001). Among preventable conditions, the greatest decrease was observed in uncontrolled diabetes (−5.6%; 95%CI: −6.7—(−4.7%); ptrend < 0.001), followed by short-term complications (−5.4%; 95%CI: −6.1—(−4.9%); ptrend < 0.001), long-term complications (−4.6%; 95%CI: −5.1—(−3.9%); ptrend < 0.001), and lower-extremity amputations (−1.9%; 95%CI: −3.0—(−1.3%); ptrend < 0.001). These reductions were observed in all age strata for overall DM-related PPH and by preventable condition but lower-extremity amputations for those <65 years old. There was a greater reduction in overall DM-related PPH, uncontrolled DM, long-term-complications, and lower extremity amputations in females than in males (all p < 0.01). No significant difference was shown for short-term complications (p = 0.101). Our study shows a significant reduction in national trends for diabetes-related potentially preventable hospitalizations in Spain. These findings could suggest a sustained improvement in diabetes care in Spain, despite the burden of these diabetes-related complications and the increase in the diabetes mellitus prevalence. View Full-Text
Keywords: diabetes complications; diabetes care; diabetes mellitus; potentially preventable hospitalizations diabetes complications; diabetes care; diabetes mellitus; potentially preventable hospitalizations
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Gómez-Huelgas, R.; Lara-Rojas, C.M.; López-Carmona, M.D.; Jansen-Chaparro, S.; Barba, R.; Zapatero, A.; Guijarro-Merino, R.; Tinahones, F.J.; Pérez-Belmonte, L.M.; Bernal-López, M.R. Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997–2015: A Nation-Wide Population-Based Study. J. Clin. Med. 2019, 8, 492.

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