PMID- 35545316
OWN - NLM
STAT- MEDLINE
DCOM- 20220517
LR  - 20220716
IS  - 2052-4897 (Electronic)
IS  - 2052-4897 (Linking)
VI  - 10
IP  - 3
DP  - 2022 May
TI  - Prevalence of long-term complications in inpatients with diabetes mellitus in 
      China: a nationwide tertiary hospital-based study.
LID - 10.1136/bmjdrc-2021-002720 [doi]
LID - e002720
AB  - INTRODUCTION: There is absence of national data to estimate the prevalence of 
      long-term diabetic complications among inpatients with diabetes in tertiary 
      hospitals in China. RESEARCH DESIGN AND METHODS: Using the national Hospital 
      Quality Monitoring System database, inpatients with type 1 diabetes mellitus 
      (T1DM) and type 2 diabetes mellitus (T2DM) were identified by the International 
      Classification of Diseases-10 code, and the temporal trends of microvascular and 
      macrovascular complications 2013-2017 were calculated, and then the risk factors 
      were analysed by multivariate regression analysis. RESULTS: A total of 92 413 
      inpatients with T1DM and 6 094 038 inpatients with T2DM were identified in 
      2013-2017. The proportions of inpatients with microvascular complications in 
      inpatients with T1DM and T2DM increased from 29.9% and 19.0% in 2013 to 31.6% and 
      21.0% in 2017, respectively. The proportions of inpatients with macrovascular 
      complications in inpatients with T1DM and T2DM increased from 7.3% and 14.5% in 
      2013 to 13.2% and 18.4% in 2017, respectively. Hypertension and hyperlipidemia 
      were risk factors for both microvascular and macrovascular complications. Among 
      inpatients with T1DM, the adjusted ORs of microvascular complications increased 
      in 40-49 age group and Northeast region, while older age, male and North region 
      were risks factor for macrovascular complications. Among inpatients with T2DM, 
      the ORs of microvascular complications increased in 40-49 age group, female, 
      urban and North region, while older age, male, urban and Southwest region were 
      risks factor for macrovascular complications. CONCLUSIONS: The proportions of 
      long-term complications of inpatients with diabetes in China increased in 
      2013-2017. Efforts are needed to improve the management of patients with diabetes 
      in China.
CI  - (c) Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Liu, Yihao
AU  - Liu Y
AUID- ORCID: 0000-0003-3270-9797
AD  - Clinical Trials Unit, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China.
AD  - Department of Endocrinology, The First Affiliated Hospital, Sun Yat-sen 
      University, Guangzhou, China.
FAU - Ning, Xin
AU  - Ning X
AD  - Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China.
AD  - NHC Key Laboratory of Clinical Nephrology (Sun Yat-sen University) and Guangdong 
      Provincial Key Laboratory of Nephrology, Guangzhou, China.
FAU - Zhang, Luyao
AU  - Zhang L
AD  - Department of Endocrinology, The First Affiliated Hospital, Sun Yat-sen 
      University, Guangzhou, China.
FAU - Long, Jianyan
AU  - Long J
AD  - Clinical Trials Unit, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China.
FAU - Liang, Ruiming
AU  - Liang R
AD  - Clinical Trials Unit, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China.
FAU - Peng, Sui
AU  - Peng S
AD  - Clinical Trials Unit, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China.
FAU - Wang, Haibo
AU  - Wang H
AD  - Clinical Trials Unit, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China.
FAU - Li, Yanbing
AU  - Li Y
AUID- ORCID: 0000-0001-7242-760X
AD  - Department of Endocrinology, The First Affiliated Hospital, Sun Yat-sen 
      University, Guangzhou, China.
FAU - Chen, Wei
AU  - Chen W
AD  - Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, 
      Guangzhou, China xiaohp@mail.sysu.edu.cn chenwei99@mail.sysu.edu.cn.
AD  - NHC Key Laboratory of Clinical Nephrology (Sun Yat-sen University) and Guangdong 
      Provincial Key Laboratory of Nephrology, Guangzhou, China.
FAU - Xiao, Haipeng
AU  - Xiao H
AUID- ORCID: 0000-0002-4188-336X
AD  - Department of Endocrinology, The First Affiliated Hospital, Sun Yat-sen 
      University, Guangzhou, China xiaohp@mail.sysu.edu.cn chenwei99@mail.sysu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - BMJ Open Diabetes Res Care
JT  - BMJ open diabetes research & care
JID - 101641391
SB  - IM
MH  - China/epidemiology
MH  - *Diabetes Mellitus, Type 1/complications/epidemiology
MH  - *Diabetes Mellitus, Type 2/complications/epidemiology
MH  - Female
MH  - Humans
MH  - Inpatients
MH  - Male
MH  - Prevalence
MH  - Tertiary Care Centers
PMC - PMC9096476
OTO - NOTNLM
OT  - China
OT  - diabetes complications
OT  - risk factors
COIS- Competing interests: None declared.
EDAT- 2022/05/12 06:00
MHDA- 2022/05/18 06:00
PMCR- 2022/05/11
CRDT- 2022/05/11 21:03
PHST- 2021/12/08 00:00 [received]
PHST- 2022/04/12 00:00 [accepted]
PHST- 2022/05/11 21:03 [entrez]
PHST- 2022/05/12 06:00 [pubmed]
PHST- 2022/05/18 06:00 [medline]
PHST- 2022/05/11 00:00 [pmc-release]
AID - 10/3/e002720 [pii]
AID - bmjdrc-2021-002720 [pii]
AID - 10.1136/bmjdrc-2021-002720 [doi]
PST - ppublish
SO  - BMJ Open Diabetes Res Care. 2022 May;10(3):e002720. doi: 
      10.1136/bmjdrc-2021-002720.