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The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes

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The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes. / Govan, L.; Maietti, E.; Torsney, B.; Wu, O.; Briggs, A.; Colhoun, H.M.; Fischbacher, C.M.; Leese, G.P.; McKnight, J.A.; Morris, A.D.; Sattar, N.; Wild, S.H.; Lindsay, R.S.

In: Diabetologia, 01.01.2012, p. 1-5.

Research output: Contribution to journalArticle

Harvard

Govan, L, Maietti, E, Torsney, B, Wu, O, Briggs, A, Colhoun, HM, Fischbacher, CM, Leese, GP, McKnight, JA, Morris, AD, Sattar, N, Wild, SH & Lindsay, RS 2012, 'The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes' Diabetologia, pp. 1-5.

APA

Govan, L., Maietti, E., Torsney, B., Wu, O., Briggs, A., Colhoun, H. M., Fischbacher, C. M., Leese, G. P., McKnight, J. A., Morris, A. D., Sattar, N., Wild, S. H., & Lindsay, R. S. (2012). The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes. Diabetologia, 1-5doi: 10.1007/s00125-012-2601-6

Vancouver

Govan L, Maietti E, Torsney B, Wu O, Briggs A, Colhoun HM et al. The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes. Diabetologia. 2012 Jan 1;1-5.

Author

Govan, L.; Maietti, E.; Torsney, B.; Wu, O.; Briggs, A.; Colhoun, H.M.; Fischbacher, C.M.; Leese, G.P.; McKnight, J.A.; Morris, A.D.; Sattar, N.; Wild, S.H.; Lindsay, R.S. / The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes.

In: Diabetologia, 01.01.2012, p. 1-5.

Research output: Contribution to journalArticle

Bibtex - Download

@article{d030061897e944879a3cb00e82d85b9c,
title = "The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes",
author = "L. Govan and E. Maietti and B. Torsney and O. Wu and A. Briggs and H.M. Colhoun and C.M. Fischbacher and G.P. Leese and J.A. McKnight and A.D. Morris and N. Sattar and S.H. Wild and R.S. Lindsay",
year = "2012",
pages = "1--5",
journal = "Diabetologia",
issn = "0012-186X",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - The effect of deprivation and HbA1c on admission to hospital for diabetic ketoacidosis in type 1 diabetes

A1 - Govan,L.

A1 - Maietti,E.

A1 - Torsney,B.

A1 - Wu,O.

A1 - Briggs,A.

A1 - Colhoun,H.M.

A1 - Fischbacher,C.M.

A1 - Leese,G.P.

A1 - McKnight,J.A.

A1 - Morris,A.D.

A1 - Sattar,N.

A1 - Wild,S.H.

A1 - Lindsay,R.S.

AU - Govan,L.

AU - Maietti,E.

AU - Torsney,B.

AU - Wu,O.

AU - Briggs,A.

AU - Colhoun,H.M.

AU - Fischbacher,C.M.

AU - Leese,G.P.

AU - McKnight,J.A.

AU - Morris,A.D.

AU - Sattar,N.

AU - Wild,S.H.

AU - Lindsay,R.S.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Aims/hypothesis: Diabetic ketoacidosis is a potentially life-threatening complication of diabetes and has a strong relationship with HbA . We examined how socioeconomic group affects the likelihood of admission to hospital for diabetic ketoacidosis. Methods: The Scottish Care Information - Diabetes Collaboration (SCI-DC), a dynamic national register of all cases of diagnosed diabetes in Scotland, was linked to national data on hospital admissions. We identified 24,750 people with type 1 diabetes between January 2005 and December 2007. We assessed the relationship between HbA and quintiles of deprivation with hospital admissions for diabetic ketoacidosis in people with type 1 diabetes adjusting for patient characteristics. Results: We identified 23,479 people with type 1 diabetes who had complete recording of covariates. Deprivation had a substantial effect on odds of admission to hospital for diabetic ketoacidosis (OR 4.51, 95% CI 3.73, 5.46 in the most deprived quintile compared with the least deprived). This effect persisted after the inclusion of HbA and other risk factors (OR 2.81, 95% CI 2.32, 3.39). Men had a reduced risk of admission to hospital for diabetic ketoacidosis (OR 0.71, 95% CI 0.63, 0.79) and those with a history of smoking had increased odds of admission to hospital for diabetic ketoacidosis by a factor of 1.55 (95% CI 1.36, 1.78). Conclusions/interpretation: Women, smokers, those with high HbA and those living in more deprived areas have an increased risk of admission to hospital for diabetic ketoacidosis. The effect of deprivation was present even after inclusion of other risk factors. This work highlights that those in poorer areas of the community with high HbA represent a group who might be usefully supported to try to reduce hospital admissions. © 2012 Springer-Verlag.

AB - Aims/hypothesis: Diabetic ketoacidosis is a potentially life-threatening complication of diabetes and has a strong relationship with HbA . We examined how socioeconomic group affects the likelihood of admission to hospital for diabetic ketoacidosis. Methods: The Scottish Care Information - Diabetes Collaboration (SCI-DC), a dynamic national register of all cases of diagnosed diabetes in Scotland, was linked to national data on hospital admissions. We identified 24,750 people with type 1 diabetes between January 2005 and December 2007. We assessed the relationship between HbA and quintiles of deprivation with hospital admissions for diabetic ketoacidosis in people with type 1 diabetes adjusting for patient characteristics. Results: We identified 23,479 people with type 1 diabetes who had complete recording of covariates. Deprivation had a substantial effect on odds of admission to hospital for diabetic ketoacidosis (OR 4.51, 95% CI 3.73, 5.46 in the most deprived quintile compared with the least deprived). This effect persisted after the inclusion of HbA and other risk factors (OR 2.81, 95% CI 2.32, 3.39). Men had a reduced risk of admission to hospital for diabetic ketoacidosis (OR 0.71, 95% CI 0.63, 0.79) and those with a history of smoking had increased odds of admission to hospital for diabetic ketoacidosis by a factor of 1.55 (95% CI 1.36, 1.78). Conclusions/interpretation: Women, smokers, those with high HbA and those living in more deprived areas have an increased risk of admission to hospital for diabetic ketoacidosis. The effect of deprivation was present even after inclusion of other risk factors. This work highlights that those in poorer areas of the community with high HbA represent a group who might be usefully supported to try to reduce hospital admissions. © 2012 Springer-Verlag.

UR - http://www.scopus.com/inward/record.url?partnerID=yv4JPVwI&eid=2-s2.0-84862550056&md5=1db8afa43993a35c77f877430bfec0ae

U2 - 10.1007/s00125-012-2601-6

DO - 10.1007/s00125-012-2601-6

M1 - Article

JO - Diabetologia

JF - Diabetologia

SN - 0012-186X

SP - 1

EP - 5

ER -

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