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

Berhanu Elfu Feleke; Jedidiah Morton; Dianna Magliano; Jonathan E Shaw
Abstract
To describe trends in hospitalisation for subtypes of cardiovascular diseases among people with diabetes.The data sources included the Australian diabetes registry, admitted hospitalisation datasets, and death registry from 2011 to 2019. The outcomes comprised hospital admissions for: all CVD; all cerebrovascular diseases, ischaemic and haemorrhagic stroke; angina and ischaemic heart disease (AIHD); non-ST elevation myocardial infarction (NSTEMI), ST-elevation myocardial infarction (STEMI); atrial fibrillation and flutter (AFF). Data were analysed using Stata and Joinpoint regression software.Rates were standardised for age and sex. Annual percentage change (APC) was reported.In type 1 diabetes, there were increases in hospitalisation for all cerebrovascular diseases (APC 4.5, 95 % CI: 1.2, 7.9) and ischaemic stroke (2.3, 95 % CI: 1.6, 3.0). There were declines in STEMI (-2.6, 95 % CI: -5.0, -0.1) and AIHD (-3.1, 95 % CI: -5.5, -0.7). In type 2 diabetes, hospitalisation for all CVD declined (-0.9, 95 % CI: -1.4, -0.3). Hospitalisation rates for ischaemic stroke increased (4.1, 95 % CI: 3.1, 5.1). There were declines in NSTEMI (-2.5, 95 % CI: -3.2, -1.8) and AIHD (-4.2, 95 % CI: -4.8, -3.5).In type 1 and 2 diabetes, hospitalisation for ischaemic stroke increased while coronary diagnoses declined.
Journal DIABETES RESEARCH AND CLINICAL PRACTICE
ISSN 1872-8227
Published 25 Oct 2023
Volume 205
Issue
Pages 110973 110973
DOI 10.1016/j.diabres.2023.110973
Type Journal Article
Sponsorship Baker Heart and Diabetes Institute: BF17010