Trends in cardiovascular admissions and procedures for people with and without diabetes in England, 1996–2005

Abstract

Aims/hypothesis The aim of this study was to compare 10-year trends in admissions, with and without diabetes recorded, for myocardial infarction, angina, stroke, percutaneous coronary interventions (PCI) and coronary artery bypass graft (CABG). Methods We used national hospital-activity data in England collected between 1996 and 2005 and compared trends in admissions, after adjusting for age, sex and area-level deprivation. Results Overall, there was a modest fall in the number of admissions for angina and little change in the numbers of admissions for myocardial infarction (MI) and stroke. From 1996From /1997From to 2005From /2006, the numbers of admissions with diabetes recorded rose for each of MI, angina and stroke; the proportion of admissions with type 2 diabetes recorded rose from 7.2% to 13.9% for MI, from 6.7% to 15.3% for angina and from 6.2% to 11.3% for stroke. Over the 10-year period, after adjusting for age, sex and deprivation, the number of admissions for CABG rose about threefold; for PCI, the number of admissions with diabetes recorded rose 15-fold, compared with a fourfold increase in the number of admissions with diabetes not recorded. Conclusions/interpretation We found significant increases in the numbers of admissions with type 2 diabetes recorded for major cardiovascular events and procedures, which has important financial and public-health implications. Better prevention of type 2 diabetes in at-risk patients and aggressive cardiovascular risk-factor management in current patients with diabetes is needed.

National Trends over One Decade in Hospitalization for Acute Myocardial Infarction among Spanish Adults with Type 2 Diabetes: Cumulative Incidence, Outcomes and Use of Percutaneous Coronary Intervention

“…This result is consistent with those of other studies [9], [20], [29], in which PCI rates increased significantly owing to marked advances in stent technology and adjunctive pharmacology. One report documented the rapid progress in PCI treatment options for patients with diabetes and indicated that PCI devices (drug-eluting stents) were used more often in patients with severe comorbidities and multivessel disease and were associated with more frequent prescription of recommended cardiac medications at discharge [30].…”

Nationwide Study on Trends in Hospital Admissions for Major Cardiovascular Events and Procedures Among People With and Without Diabetes in England, 2004–2009

“…Although it is important to understand whether people with and without diabetes are affected differently by CVD, there is little information on recent trends in CVD rates in people with and without diabetes in England. The majority of previous studies have not reported diabetes-specific CVD outcome rates because of the lack of accurate information on diabetes prevalence (11,19,20). The results of cohort or local studies also might not reflect national trends (6,21).…”

“…Although concerns about the accuracy of routinely collected datasets have been raised, these data are continuously audited, and the quality and validity of this dataset has been assessed and proved useful for health research (19,36,37). A systematic review of discharge coding evaluated it as high, especially for operations and procedures (36).…”

Type 2 Diabetes and its Implications in Cerebrovascular Disease

“…Type 2 diabetes mellitus (T2DM) is known as an independent risk factor for stroke. The number of diabetic patients with stroke increased substantially from 6.2% to 11.3% in the period 1996-2006 [1]. The risk of stroke is 2-3 times higher among diabetic patients comparing with those without diabetes.…”