Diabetes complications

Excess Risk of Injury in Individuals With Type 1 or Type 2 Diabetes Compared With the General Population

Diabetes CarePublished Population-based cohort study

Main finding · Hospitalization for any injuryResult — go to the resultAdjusted relative risk 1.22 95% CI 1.21–1.22

Authors' conclusion

Individuals with diabetes, especially those using insulin, had a higher risk of hospitalization for injury compared with the general population.

Study context

Population
Individuals with diabetes in the Australian National Diabetes Services Scheme vs the Australian general population, 2011–2017
Exposure
People with diabetes vs general population
Outcome
Hospitalization for any injury (head and neck, lower-extremity, upper-extremity, abdominal and thoracic, burns, other)
Methodological detailslinked national administrative data, Poisson regression, age- and sex-adjusted
  • Linked national administrative data
  • Poisson regression
  • Age- and sex-adjusted

Main finding

Hospitalization for any injury

Adjusted relative risk

1.22

95% CI 1.21–1.22

Events by group

Diabetes

117,705

events

General population

3,463,173

events

Diabetesvs General population
adjusted RR 1.22 (95% CI 1.21–1.22)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Hospitalization by injury typeDiabetesvs General populationadjusted RR, head and neck 1.28 (95% CI 1.26–1.30)
Hospitalization by injury typeDiabetesvs General populationadjusted RR, lower extremity 1.24 (95% CI 1.23–1.26)
Hospitalization by injury typeDiabetesvs General populationadjusted RR, abdominal and thoracic 1.29 (95% CI 1.27–1.30)
Hospitalization by injury typeDiabetesvs General populationadjusted RR, upper extremity 1.03 (95% CI 1.02–1.05)
Hospitalization by injury typeDiabetesvs General populationadjusted RR, burns 1.52 (95% CI 1.44–1.61)
Hospitalization by injury typeDiabetesvs General populationadjusted RR, other injury 1.37 (95% CI 1.33–1.40)
Any injury by diabetes type and insulin useT1Dvs General populationadjusted RR 1.62 (CI 1.58–1.66)
Any injury by diabetes type and insulin useT2D taking insulinvs General populationadjusted RR 1.65 (CI 1.63–1.66)
Any injury by diabetes type and insulin useT2D not using insulinvs General populationadjusted RR 1.07 (CI 1.06–1.08)

Cause of injury

Falls were the primary cause of injury in individuals with diabetes

Original publication

Excess Risk of Injury in Individuals With Type 1 or Type 2 Diabetes Compared With the General Population. Diabetes Care. Published 25 June 2024. doi:10.2337/dc24-0469

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