New data reveals heart failure risk faced by diabetics

by Barbara Hewitt on December 3, 2013

People with diabetes are 38% more likely to die prematurely and have a 74% greater risk of being admitted to hospital with heart failure, a new national audit covering England and Wales shows.

The data from the National Diabetes Audit using information from over two million diabetes patients also says that patients with diabetes who were admitted to hospital for heart failure had more than quadruple the odds of dying in the following year.

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The data from the National Diabetes Audit uses information from over two million diabetes patients in England and Wales.

This means that one in four hospital admissions for heart failure are diabetics, amounting to 28% or 198,200 of 717,100 admissions during 2010 to 2012.

The audit, which is the largest of its kind in the world, examined health complications associated with the highest risks of death in patients with diabetes and measured death rates from all causes among people with diabetes, compared to the general population.

Other key findings including data showing that of the 198,100 people in the audit with type 1 diabetes in England and Wales in 2012, some 3,300 died during the year, whereas 1,440 would have been expected among the same number of the general population, giving a 130% increased risk of death for people with this form of diabetes.

Of the 1.9 million people in the audit with type 2 diabetes in England and Wales in 2012, 70,900 died during the year, whereas 52,800 would have been expected among the same number of the general population, giving a 35% increased risk of death for people with this form of diabetes.

The risk of premature death for people with diabetes compared to their peers in the general population (relative risk) is greatest for women and younger people, it also found.

The inflated death rate for people with diabetes in 2012 at 38% is lower than observed in 2011 when it was 41%, but research team leader Dr Bob Young said that it is too soon to know whether this is a trend.

‘This audit is a wakeup call. Heart failure is preventable and treatable. Every health professional should take note of how much more common heart failure is among patients with diabetes and how high the short term risk of death is,’ he explained.

The audit is managed by the Health and Social Care Information Centre (HSCIC) in partnership with Diabetes UK and is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical and Patient Outcomes Programme (NCAPOP.)

 


The opinions expressed in this article do not necessarily reflect the views of the DiabetesForum.com Community and should not be interpreted as medical advice. Please see your doctor before making any changes to your diabetes management plan.

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