A POPULATION-BASED STUDY OF THE INCIDENCE OF COMPLICATIONS ASSOCIATED WITH TYPE-2 DIABETES IN THE ELDERLY

被引：30

作者：

COHEN, DL

NEIL, HAW

THOROGOOD, M

MANN, JI

机构：

[1] Department of Clinical Geratology, Radcliffe infirmary, Oxford

[2] Department of Public Health and Primary Care, University of Oxford

[3] Department of Human Nutrition, University of Otago

来源：

DIABETIC MEDICINE | 1991年 / 8卷 / 10期

关键词：

TYPE-2; DIABETES-MELLITUS; EPIDEMIOLOGY; INCIDENCE; ELDERLY; RETINOPATHY; MACROVASCULAR DISEASE;

D O I：

10.1111/j.1464-5491.1991.tb01532.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

One hundred and eighty-eight known Type 2 diabetic patients aged over 60 years identified by a geographically based survey of a population of 40 076 were followed for a median of 6 years to determine the incidence of various complications. There were 63 deaths and two patients were lost to follow-up. The presence of complications was determined using a structured questionnaire and clinical examination. Incidence rates of ischaemic heart disease, stroke, and peripheral vascular disease (PVD) were 56 (95 % CI 41-75), 22 (13-35), and 146 (117-174) 1000-person-years-1 of follow-up, respectively. Rates of stroke and PVD rose significantly with age. Retinopathy occurred at a rate of 60 (42-83) 1000-person-years-1 and cataract at 29 (17-46) 1000-person-years-1 although visual acuity in survivors did not deteriorate overall, probably reflecting the high mortality associated with cataract. The rate of proteinuria (albumin concentration > 300 mg l-1) was 19 (9-34) 1000-person-years-1. Incidence rates were unrelated to sex or duration of diabetes. Diabetes is associated with a continuing incidence of complications into old age. Adequate facilities are required to assess and treat the resulting morbidity in a population with an increasing proportion of elderly people.

引用

页码：928 / 933

页数：6

共 32 条

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