Factors influencing hospitalization or emergency department visits and mortality in type 2 diabetes following the onset of new cardiovascular diagnoses in a population-based study
Authors' conclusion
T2D individuals who had a new diagnosis of CVD were predominantly diagnosed when hospitalized, while follow-up typically occurred in primary care. Identifying factors that predict risks of mortality and hospitalization should be a focus of follow-up care, underscoring the critical role of primary care in the effective management of T2D and CVD.
Study context
- Population
- Individuals aged >40 years with T2D diagnosed 2011–2019 and a new cardiovascular disease (CVD) diagnosis 2016–2019, Region Halland; followed 1 year from CVD diagnosis
- Participants
- 1,759 individuals
- Outcome
- ED visits/hospitalization and mortality
- Follow-up
- One year from CVD diagnosis
Methodological detailspopulation-based, observational
- Population-based
- Observational
Main finding
As reported in the abstract
- ED visits/hospitalization: CVD diagnosed in primary care, HR
- 0.52 (0.35-0.77) (CI)
- ED visits/hospitalization: age, HR
- 1.02 (1.00-1.03) (CI)
- Mortality: age, HR
- 1.05 (1.03-1.08) (CI)
- Mortality: eGFR < 30 ml/min, HR
- 1.46 (1.01-2.11) (CI)
- Mortality: metformin, HR
- 0.41 (0.28-0.62) (CI)
- Mortality: statins, HR
- 0.39 (0.27-0.57) (CI)
- Mortality: primary care follow-up < 30 days, HR
- 0.53 (0.37-0.77) (CI)
Observational data: associations, not effects.
Further findings
Care setting and healthcare utilization
- Diagnosed during inpatient care
- 67%
- Average hospitalization stay
- 6.5 days
- Primary care follow-up, average visits
- 10.1
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Factors influencing hospitalization or emergency department visits and mortality in type 2 diabetes following the onset of new cardiovascular diagnoses in a population-based study. Cardiovasc Diabetol. Published 10 April 2024. doi:10.
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