Circulation:糖尿病患者心力衰竭住院治疗的重要性

2018-07-05 国际循环编辑部 国际循环

新型降糖治疗的最新临床试验已引起人们对作为糖尿病并发症的心力衰竭住院治疗重要性的关注,但流行病学证据尚未明确,特别是1型糖尿病。发表于Circulation杂志的一项最新研究,研究者调查了2004年~2013年苏格兰30岁以上居民因心力衰竭住院的发病率和病死率。

新型降糖治疗的最新临床试验已引起人们对作为糖尿病并发症的心力衰竭住院治疗重要性的关注,但流行病学证据尚未明确,特别是1型糖尿病。发表于Circulation杂志的一项最新研究,研究者调查了2004年~2013年苏格兰30岁以上居民因心力衰竭住院的发病率和病死率。

研究纳入的受试对象的糖尿病诊断日期和类型与心力衰竭住院和死亡相关,运用回归模型计算发病率和病死率(分别为泊松和逻辑回归)。校正年龄、性别、社会经济状况和年度因素。

结果,在这项研究的10年期间,325万人中,无糖尿病,2型糖尿病和1型糖尿病分别有91 429例,22 959例和1313例患者发生心力衰竭事件。因此,三组患者的心力衰竭住院率粗略估算分别为2.4,12.4和5.6/1000人年。无论何种类型,糖尿病患者的心力衰竭住院率均高于无糖尿病患者。老年男性的相对差异最小,但差异仍很大(80岁男性,RR=1.78;95%CI:1.45~2.19)。2型糖尿病患者和无糖尿病患者中,RR下降类似,为0.2%/年。然而,1型糖尿病患者的死亡率下降速度更快(2.2%/年,1型/年度相互作用RR=0.978;95%CI:0.959~0.998)。2型糖尿病/无糖尿病患者的病死率相似,但1型糖尿病患者的病死率男性(OR=0.96;95%CI:0.95~0.96)高于女性(OR=0.98;95%CI:0.97~0.98)。所有组的病死率均下降(3.3%/年,或OR为0.967/年;95%CI:0.961~0.973)。

研究提示,尽管糖尿病患者的病死率下降,特别是1型糖尿病,但心力衰竭发病率仍高于非糖尿病患者(2倍左右),其中,以1型糖尿病患者病死率更高。心力衰竭是糖尿病中认识不足的重要并发症,尤其是1型糖尿病需特别关注。

原始出处:
David A. McAllister, Stephanie Read, Jan Kerssens, et al. Incidence of Hospitalisation for Heart Failure and Case-Fatality Among 3.25 Million People with and without Diabetes. Circulation. June 2018.

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    2018-07-07 mgqwxj
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    2018-07-14 jyzxjiangqin

    糖尿病患者心力衰竭.

    0

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    2018-07-07 jyzxjiangqin

    糖尿病患者的治疗.

    0

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