| Objective:To evaluate the demographic characteristics,the management of blood glucose,blood pressure,and blood lipids profile,and diabetic complications management and hospitalization costs of hospitalized patients with type 2 diabetes mellitus enrolled in MMC in Jilin province,and to investigate the influencing factors influencing the hospitalization costs.Methods:The clinical data of hospitalized patients with type 2 diabetes mellitus admitted to the national metabolic management center MMC at the First Hospital of Jilin University from 2017 to 2019 were collected through the Hospital Information System(HIS).General information,control rate of hemoglobin A1c(HbA1c),blood pressure and low-density lipoprotein-cholesterol(LDL-c),diabetes-related complications,and hospitalization costs were analyzed.Results:(1)A total of 1136 hospitalized patients with type 2 diabetes mellitus(median age of 54.0 years,67.2%male)were included in the study,with an average BMI of 26.4 kg/m~2.The median duration of diabetes was 7.3 years,the median HbA1c level was 8.6%.The rate of overweight was 46.8%,and of obesity was 29.4%.(2)In addition,17.8%,39.6%and 11.5%,respectively,of patients achieved the individual targets for blood glucose,blood pressure and blood lipids control,only 1.7%achieved all 3 target goals.Since the study population was assigned into groups by age(<40 years old,40-59 years old,and≥60 years old),and the blood glucose,blood pressure and blood lipids profile of each group were compared.Results showed that the younger the age,the higher the fasting blood glucose,HbA1c,TG and TC levels,the higher the prevalence of dyslipidemia,hyperuricemia,and the lower control rate of the blood glucose(P<0.05).(3)There were 73.8%of the population had at least one diabetic complication.Patients with 1,2,3,or more than 4 diabetic complications accounted for 38.8%,22.4%,10.2%,and 2.5%of the total population,respectively.The most common diabetic complication was diabetic peripheral neuropathy(DPN)(57.2%),followed by diabetic retinopathy(DR)(31.9%)and diabetic lower extremity atherosclerotic disease(11.1%).(4)The median length of hospital stay of diabetic patients was 9.0days,and the median hospitalization cost was 8120 RMB.Pharmaceutical costs accounted for the largest proportion of total costs(29.7%),followed by examination fees(18.5%),laboratory fees(15.8%)and treatment costs(13.3%).(5)The median cost of hospitalization increased with the number of diabetic complications using a univariate analysis of hospitalization costs(P<0.001).The hospitalization costs of patients with certain diabetic complication were higher than that of patients without such complication(P<0.05 except for stroke).Patients with diabetic foot had the highest hospitalization costs(14965 RMB),which was 1.85 times of those without the complication.(6)In the multivariate linear regression analysis of hospitalization costs,the independent factors that influenced hospitalization costs were the length of hospital stay,the number of diabetic complications,the fasting blood glucose and single use of hypoglycemic medication.Conclusions:(1)17.8%,39.6%and 11.5%,respectively,of patients achieved the individual targets for blood glucose,blood pressure and blood lipids control,only 1.7%achieved all 3 target goals.Current management of cardiovascular risk factors in patients with type 2 diabetes mellitus admitted to MMC in Jilin Province is not optimistic.More effective and feasible measures are needed to manage chronic diseases such as diabetes and hypertension.(2)There were 73.8%of the population had at least one diabetic complication,and the median cost of hospitalization increased with the number of diabetic complications.Early screening and prevention of diabetic complications are needed to prevent the progression of the diseases and to reduce the economic burden. |
