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Vol. 213. Issue 8.
Pages 370-376 (November 2013)
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Vol. 213. Issue 8.
Pages 370-376 (November 2013)
Original article
Hospitalizations due to severe hypoglycemia in patients with diabetes mellitus in Spain
Hospitalizaciones por hipoglucemia grave en pacientes con diabetes mellitus en España
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L. Lindnera, R. García-Sánchezb, C. Alvarezc, L. Betegónd, X. Badiaa,
Corresponding author
xbadia@es.imshealth.com

Corresponding author.
a HEOR-IMS Health, Barcelona, Spain
b Cardiovascular y Metabolismo, Bristol-Myers Squibb, Madrid, Spain
c Farmacoeconomía, AstraZeneca, Madrid, Spain
d Economía de la Salud, Bristol-Myers Squibb, Madrid, Spain
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Tables (2)
Table 1. The number of hospitalizations where severe hypoglycemia was the primary or secondary diagnosis in the National Health System (NHS) of Spain during 2007.
Table 2. Hospitalizations with severe hypoglycemia as the primary or secondary diagnosis in patients with diabetes by AC.
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Abstract
Background and objectives

One of the most important therapeutic complications in patients with diabetes mellitus (DM) is hypoglycemia. This study has estimated the number of hospitalizations due to severe hypoglycemia in patients with type DM1 and DM2.

Patients and methods

The study hospital population was defined using the National Catalog of Hospitals (CNH) 2007 (last available data), and has included 260 general hospitals of the National Health System. The number of hospitalizations due to severe hypoglycemia was obtained from the Basic Minimum Data Set (BMDS) for the 183 hospitals. For the remaining 77 hospitals, this number was estimated based on the available information.

Results

In 2007, there were 26,701 (0.82%) hospitalizations with hypoglycemia. In DM2 patients, 8242 (0.25%) episodes were reported as primary diagnosis and 16,649 (0.51%) as secondary. In DM1 patients, 1157 (0.04%) and 653 (0.02%) episodes were reported as primary and secondary diagnosis, respectively. Overall incidence in DM2 was 1.82 episodes/10,000 inhabitants-year, this ranging between 1.10 episodes/10,000 inhabitants-year in the Islas Canarias to 3.37 in Castilla y León.

Conclusions

Severe hypoglycemia is an important reason for hospitalization of patients with DM in Spain, there being great variability according to the Autonomous Regions.

Keywords:
Hypoglycemia
Diabetes mellitus
National Health System
Hospitalizations
Resumen
Antecedentes y objetivo

Una de las complicaciones terapéuticas más importantes en los pacientes con diabetes mellitus (DM) es la hipoglucemia. Hemos estimado el número de hospitalizaciones por hipoglucemia grave en los pacientes con DM tipo 1 (DM1) y tipo 2 (DM2).

Pacientes y métodos

El universo hospitalario se definió a partir del Catálogo Nacional de Hospitales (CNH) de 2007 (últimos datos disponibles), y se incluyeron 260 hospitales generales del Sistema Nacional de Salud. El número de hospitalizaciones por hipoglucemia grave fue extraído del Conjunto Mínimo Básico de Datos (CMBD) para 183 hospitales. Para los 77 restantes se estimó a partir de la información disponible.

Resultados

En el año 2007 se produjeron un total de 26.701 (0,82%) hospitalizaciones con hipoglucemia. En los enfermos con DM2 se reportaron 8.242 (0,25%) ingresos como diagnóstico principal y 16.649 (0,51%) como secundario. En los pacientes con DM1 se reportaron 1.157 (0,04%) y 653 (0,02%) ingresos como diagnóstico principal y secundario, respectivamente. La incidencia global en DM2 fue de 1,82 episodios/10.000 habitantes/año, y osciló entre los 1,10 episodios/10.000 habitantes/año en Canarias y los 3,37 episodios en Castilla y León.

Conclusiones

La hipoglucemia grave es una causa importante de hospitalización en los pacientes con DM en España, con una gran variabilidad entre CCAA.

Palabras clave:
Hipoglucemia
Diabetes mellitus
Sistema Nacional de Salud
Hospitalizaciones

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