Cardiovascular event rates and healthcare resource utilisation among high‐risk adults with type 2 diabetes mellitus in a large population‐based study. Issue 2 (February 2015)

• Record Type: Journal Article
• Authors: Fox, K. M.; Wu, Y.; Kim, J.; Grandy, S.
• Is Part Of: International journal of clinical practice. Volume 69:Issue 2(2015)
• Page Start: 218
• Page End: 227
• Publication Date: 2015-02
• Subjects: Clinical medicine -- Periodicals; Medicine -- Periodicals; 610.5
• DOI: 10.1111/ijcp.12530
• Languages: English
• ISSNs: 1368-5031

Abstract

<abstract abstract-type="main" id="ijcp12530-abs-0001"> <title>Summary</title> <sec id="ijcp12530-sec-0001" sec-type="section"> <title>Objective</title> <p>This study ascertained the incidence and resource utilisation of non‐fatal myocardial infarction (MI), stroke, coronary bypass surgery or angioplasty among adults with type 2 diabetes mellitus (T2DM) at high risk for cardiovascular disease (CVD) over 3 and 5 years.</p> </sec> <sec id="ijcp12530-sec-0002" sec-type="section"> <title>Methods</title> <p>Respondents from the US, population‐based SHIELD study with T2DM and at cardiovascular risk were stratified into an established CVD cohort and a risk factors cohort. Proportion of respondents self‐reporting a new MI, stroke or revascularisation was calculated. Multivariate discrete logistic hazards models were utilised.</p> </sec> <sec id="ijcp12530-sec-0003" sec-type="section"> <title>Results</title> <p>Incidence rate in the established CVD cohort (<italic>n</italic> = 1198) was 26.3% over 3 years (31.2%, 5 years) and in the risk factors cohort (<italic>n</italic> = 924) 18.8% over 3 years (26.0%, 5 years). Healthcare resource use was significantly greater among respondents who had a new CV event than among those not experiencing an event (p < 0.001).</p> </sec> <sec id="ijcp12530-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Individuals with T2DM at risk for CVD had a high incidence of CV events in this large US study, which represents a significant burden on the healthcare system.</p> </sec> </abstract>