Diabetes complications

Trends of hospitalisation for cardiovascular diseases among people with diabetes in Australia

Diabetes Res Clin PractPublished Registry-based population study of trends

Authors' conclusion

In type 1 and 2 diabetes, hospitalisation for ischaemic stroke increased while coronary diagnoses declined.

Study context

Population
People with diabetes in the Australian diabetes registry, 2011 to 2019
Exposure
T1D vs T2D
Outcome
Hospital admissions for CVD subtypes: all CVD; all cerebrovascular diseases, ischaemic and haemorrhagic stroke; AIHD; NSTEMI, STEMI; AF and flutter (APC)
Follow-up
2011 to 2019
Methodological detailsdata linkage (diabetes registry, hospitalisation datasets, death registry), Joinpoint regression, age- and sex-standardised rates
  • Data linkage (diabetes registry, hospitalisation datasets, death registry)
  • Joinpoint regression
  • Age- and sex-standardised rates

Main finding

As reported in the abstract

APC in age- and sex-standardised hospitalisation rates
T1D: all cerebrovascular diseases, annual percentage change (APC)
4.5 (95% CI 1.2, 7.9)
T1D: ischaemic stroke, APC
2.3 (95% CI 1.6, 3.0)
T1D: ST-elevation myocardial infarction (STEMI), APC
−2.6 (95% CI −5.0, −0.1)
T1D: And ischaemic heart disease (AIHD), APC
−3.1 (95% CI −5.5, −0.7)
T2D: all CVD, APC
−0.9 (95% CI −1.4, −0.3)
T2D: ischaemic stroke, APC
4.1 (95% CI 3.1, 5.1)
T2D: Non-ST elevation myocardial infarction (NSTEMI), APC
−2.5 (95% CI −3.2, −1.8)
T2D: AIHD, APC
−4.2 (95% CI −4.8, −3.5)

Observational data: associations, not effects.

Original publication

Trends of hospitalisation for cardiovascular diseases among people with diabetes in Australia. Diabetes Res Clin Pract. Published 25 October 2023. doi:10.1016/j.diabres.2023.110973

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