摘要
目的了解金昌队列人群糖尿病经济负担,揭示其变化趋势,为糖尿病的干预效果评价提供基础数据。方法采用历史队列研究方法,收集金昌队列人群2001-2010年住院患者及2001-2013年糖尿病死因资料,应用死亡率、潜在减寿年数(PYLL)、人均潜在减寿年数(APYLL)、潜在工作损失年数(WPYLL)、人均潜在工作损失年数(AWPYLL)和直接经济负担分析糖尿病造成的疾病负担。结果 2001-2013年金昌队列人群糖尿病标化死亡率为24.00/10万,女性(58.74/10万)为男性(20.97/10万)的2.80倍,死亡率与年份不相关(P>0.05)。70岁及以上年龄段糖尿病死亡率最高(143.48/10万)。糖尿病造成的PYLL为1 079.42年、APYLL为10.90年/人、WPYLL为489.00年、AWPYLL为4.94年/人。2001-2010年该队列人群糖尿病住院患者平均住院日为18.69 d,人均直接经济负担为3 236.61元,平均住院日和人均直接经济负担分别以2.39%、0.89%的速度下降。日均直接经济负担为173.22元/天。结论金昌队列人群糖尿病死亡率高于一般人群,疾病负担较重,应采取针对性措施减轻其疾病负担。
Objective To understand the economic burden of diabetes and to reveal its changing trend in the Jinchang Cohort, to provide data for the intervention effect evaluation of diabetes. Methods Health records for diabetes inpatients from 2001 to 2010 and mortality data for diabetes from 2001 to 2013 were collected in this retrospective historical cohort study. Diabetes burden was analyzed using mortality rate, potential years of life lost （PYLL）, average potential years of life lost （APYLL）, work potential years of life lost （WPYLL）, average work potential years of life lost （AWPYLL） and direct economic burden. Results In the Jinchang Cohort from 2001 to 2013, the standard mortality rate of diabetes was 24.00 deaths per population, the females （58.74/100 000） was 2.80 times of the males （20.97 / 100 000）, and the mortality was not associated with the year （P 〉 0.05）. The mortality rate was highest among people at the aged of 70 years or older age （143.48 / 100 000）. The PYLL, APYLL, WPYLL and AWPYLL were 1079.42, 10.90, 489.00, and 4.94,respectively. From 2001 to 2010, the average length of hospital stay for patients with diabetes was 18.69 days, and the average total cost was 3 236.61 yuan, which decreased by 2.39% and 0.89%, respectively. The average daily cost of.hospitalization was 173.22 yuan. Conclusion The mortality of diabetes in the Jinchang Cohort is higher than that of the general population, and the burden of disease is heavy. Pertinent measures should be taken to reduce that disease burden.
出处
《兰州大学学报（医学版）》
CAS
2015年第6期44-48,共5页
Journal of Lanzhou University（Medical Sciences）
基金
国家医改重大专项
国家重大公共卫生服务项目(财社[2012]64号)
金川集团公司与兰州大学合作项目(金科综2012-13)
关键词
金昌队列
糖尿病
死亡率
直接经济负担
潜在减寿年数
潜在工作损失年数
Jinchang Cohort
diabetes
mortality rate
disease burden
potential years of life lost
work potential years of life lost
