Socio-demographic and clinical characteristics of type 1 diabetes patients associated with emergency room visits and hospitalizations in Mexico
| العنوان: | Socio-demographic and clinical characteristics of type 1 diabetes patients associated with emergency room visits and hospitalizations in Mexico |
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| المؤلفون: | Casper Barsoe, Aldo Ferreira-Hermosillo, J.E. Valencia, Ricardo Pérez-Cuevas, Erick Gryzbowski-Gainza, Svetlana V. Doubova |
| المصدر: | BMC Health Services Research BMC Health Services Research, Vol 18, Iss 1, Pp 1-11 (2018) |
| بيانات النشر: | BioMed Central, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Cross-sectional study, Psychological intervention, 030209 endocrinology & metabolism, Social Security, Health administration, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Sex Factors, Risk Factors, Health care, medicine, Humans, 030212 general & internal medicine, Age of Onset, Mexico, Glycated Hemoglobin, Type 1 diabetes, business.industry, Health Policy, Public health, lcsh:Public aspects of medicine, Secondary data, lcsh:RA1-1270, Middle Aged, Patient Acceptance of Health Care, medicine.disease, Hospitalization, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Emergency medicine, Female, Age of onset, business, Emergency Service, Hospital, Research Article |
| الوصف: | Background To describe the demographic and clinical characteristics of Type 1 diabetes (T1D) patients affiliated with the Mexican Institute of Social Security (IMSS) and ascertain the socio-demographic and clinical risk factors associated with emergency room (ER) visits and diabetes-related hospitalizations. Methods We conducted secondary data analysis of a cross-sectional study. The study included T1D patients 18 years of age and older who in 2016 attended follow-up visits at the endocrinology department of two IMSS tertiary care hospitals in Mexico City. The study variables included demographics, acute and chronic complications, and healthcare services utilization. Multiple Poisson and negative binomial regressions served to determine the association between the study covariates and the dependent variables: ER visits and diabetes-related hospitalizations. Results The study included 192 patients, of which 29.2% were men; average age was 32.3 years, with only 13.6% controlled (glycosylated hemoglobin (HbA1C) 10 years and HbA1c > 9.0% were additional risk factors for hospitalization. Conclusion The poor clinical conditions of T1D patients contribute to explain the escalating demand for health services for diabetes patients at the IMSS. The identification of risk factors enables focalizing interventions to improve the health outcomes of T1D patients and reduce the proportion of ER visits and hospital admissions. |
| اللغة: | English |
| تدمد: | 1472-6963 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ee483093bdc50396949ef48237de5fa8Test http://europepmc.org/articles/PMC6091092Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ee483093bdc50396949ef48237de5fa8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14726963 |
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