TYPE 2 DIABETES. PREVALENCE OF HYPOGLYCEMIA IN PUBLIC VERSUS PRIVATE HEALTH CARE SYSTEM.
Social vulnerability has proved to be an independent risk factor for hypoglycemia in patients with diabetes. In some countries, patients who are in a vulnerable situation are assisted in the public health system which provides free medical care. This study compares the prevalence of hypoglycemia amo...
| Publicado en: | Medicina (Buenos Aires) Vol. 80; no. 3; pp. 203 - 211 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Medicina (Buenos Aires)
may/jun2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=143379578&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 143379578 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 00257680 50C2 jtl: Medicina (Buenos Aires) issn: 00257680 maglogo: N pubinfo: dt: may/jun2020 vid: 80 iid: 3 pid: 39353 pub: Medicina (Buenos Aires) artinfo: ui: 143379578 ppf: 203 ppct: 8 formats: fmt: @attributes: type: P size: 782KB tig: atl: TYPE 2 DIABETES. PREVALENCE OF HYPOGLYCEMIA IN PUBLIC VERSUS PRIVATE HEALTH CARE SYSTEM. aug: au: CAEIRO, GABRIELA ROMERO, SILVANA A. SOLIS, SILVANA E. POZZI, JOSÉ M. LOZANO, MARÍA E. WAITMAN, JORGE N. affil: Departamento de Medicina Interna, Servicio de Diabetes, Hospital Córdoba, Córdoba, Argentina su: Hypoglycemia Type 2 diabetes Public health Disease prevalence Psychological vulnerability sug: subj: Hypoglycemia Type 2 diabetes Public health Disease prevalence Psychological vulnerability keyword: diabetes diabetes tipo 2 hipoglucemia hypoglycemia poblaciones vulnerables type 2 diabetes vulnerable populations diabetes tipo 2 hipoglucemia poblaciones vulnerables ab: Social vulnerability has proved to be an independent risk factor for hypoglycemia in patients with diabetes. In some countries, patients who are in a vulnerable situation are assisted in the public health system which provides free medical care. This study compares the prevalence of hypoglycemia among patients with type 2 diabetes (T2D), in public versus private sector and its relationship with social vulnerability. This multicentric descriptive study included 600 patients with T2D from public and private care institutions of Argentina. Socioeconomic level (SEL) was evaluated through the Marketing Argentinean Association survey. Number of severe, documented symptomatic and asymptomatic hypoglycemias were registered. Among the patients included, 66% were assisted in the public sector. The 41% of patients (n = 246) registered at least 1 episode of any hypoglycemia event being more prevalent in the public sector compared to the private sector (50% vs. 22%). In the adjusted analysis it was observed a greater risk of hypoglycemia in public sector (OR 4, 95% CI 2.65-6.04) and in patients that did not have diabetological education (OR 2.28 95% CI 1.35-3.84). Similarly, unemployment (OR 5.04 95% CI 2.69-9.46), and marginal SEL (OR 60.79 95% CI 14.89-248.13) increased the risk of hypoglycemia. Several factors related to social vulnerability as unemployment, marginal SEL and poor sanitary education showed a significant increase in the hypoglycemia risk. Professionals working with people with diabetes must take into account these factors for a safe treatment of the disease. La vulnerabilidad social ha demostrado ser un factor de riesgo independiente de hipoglucemia en pacientes con diabetes. Los pacientes que se encuentran en situación de vulnerabilidad social reciben asistencia en el sistema de salud pública que brinda atención médica gratuita. Este estudio compara la prevalencia de hipoglucemia en pacientes con diabetes tipo 2 en el sector público frente al privado y su relación con la vulnerabilidad social. Se realizó un estudio multicéntrico descriptivo que incluyó 600 pacientes con diabetes tipo 2 de instituciones de atención pública y privada de Córdoba. El nivel socioeconómico se evaluó a través de la encuesta de la Asociación Argentina de Marketing que evalúa la dimensión social, educativa y económica para estratificar el nivel socioeconómico. Se registró el número de hipoglucemias graves, documentadas sintomáticas y asintomáticas. El 66% de los pacientes pertenecían al sector público. El 41% de los pacientes (n = 246) registró al menos 1 episodio de cualquier evento de hipoglucemia. En el análisis ajustado, se observó un mayor riesgo de hipoglucemia en el sector público (OR 4, 95% CI 2.65-6.04), en pacientes que no tenían educación diabetológica previa (OR 2.28, 95% CI 1.35-3.84), en desempleados (OR 5.04, 95% CI 2.69-9.46) y en aquellos con nivel socioeconómico marginal (OR 60.79 95% CI 14.89-248.13). Factores relacionados con la vulnerabilidad social como el desempleo, el nivel socioeconómico marginal y educación sanitaria deficiente mostraron un aumento en el riesgo de hipoglucemia. Los profesionales que trabajan con personas con diabetes deben tener en cuenta estos factores para un tratamiento seguro de la enfermedad. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Medicina (Buenos Aires) holder: Medicina (Buenos Aires) dt: @attributes: year: 2020 holdings: @attributes: islocal: N |
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