Background
Methods
ICD-9-CM codes | |
---|---|
Current smoking | 305.1, V15.82 |
Obesity | 278.xx |
Hypertension | 401, 401.0, 401.1, 401.9 |
Lipid metabolism disorders | 272.4 |
Renal disease | 403.01, 403.11, 403.91, 404.02, 404.03, 404.12, 404.13, 404.92, 404.93, 582.x, 583.0–583.7, 585.x, 586.x, 588.0, V42.0, V45.1, V56.x |
Atrial fibrillation | 427.31 |
Congestive heart failure | 398.91, 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 425.4–425.9, 428.x |
Mechanical ventilation | 96.7, 96.70, 96.71, 96.72 |
Hemodyalisis/peritoneal dialysis | 39.95, 54.98 |
Fibrinolysis | 99.10 |
Coronary artery bypass graft (CABG) | 36.10–36.19 |
Percutaneous coronary intervention (PCI) | 36.04, 36.06, 36.07, 36.09, 0.66 |
Decompressive craniectomy | 01.24 |
Carotid endarterectomy | 38.11, 38.12 |
Carotid angioplasty | 00.61, 00.62, 00.63, 00.64, 00.65 |
Thoracic aorta aneurysm open surgery | 38.35, 38.45 |
Endovascular implantation of graft in thoracic aorta (TEVAR) | 39.73 |
Abdominal aorta aneurysm open surgery | 38.44 |
Endovascular implantation of graft in abdominal aorta (EVAR) | 39.71 |
Minor amputation (any lower extremity amputation distal to the ankle joint) | 84.10–84.12 |
Major amputation (any lower extremity amputation through or proximal to the ankle joint) | 84.13–84.17 |
Lower extremity revascularization | 39.25, 39.29, 38.38, 38.48 |
Lower extremity angioplasty | 00.60, 39.50 |
Statistical analysis
Ethical aspects
Results
Myocardial infarction admissions
2002 | 2006 | 2010 | 2014 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | |
N (%) | 12,217 (100) | 12,217 (100) | NA | 13,013 (100) | 13,013 (100) | NA | 12,739 (100) | 12,739 (100) | NA | 12,458 (100) | 12,458 (100) | NA |
Age adjusted rate per 100.000 inhabitantsa
| 63.69 | NA | NA | 61.97 | NA | NA | 55.86 | NA | NA | 51.07 | NA | NA |
Male sex, n (%)a,b
| 7757 (63.49) | 7757 (63.49) | NA | 8855 (68.05) | 8855 (68.05) | NA | 8892 (69.8) | 8892 (69.8) | NA | 8819 (70.79) | 8819 (70.79) | NA |
Age, mean (SD)a,b
| 71.01 (10.73) | 71.01 (10.73) | NA | 70.87 (11.49) | 70.87 (11.49) | NA | 70.5 (12.05) | 70.5 (12.05) | NA | 70.23 (12.36) | 70.23 (12.36) | NA |
40–59 years, n (%) | 1965 (16.08) | 1965 (16.08) | NA | 2411 (18.53) | 2411 (18.53) | NA | 2642 (20.74) | 2642 (20.74) | NA | 2775 (22.27) | 2775 (22.27) | NA |
60–69 years, n (%) | 2927 (23.96) | 2927 (23.96) | 2845 (21.86) | 2845 (21.86) | 2957 (23.21) | 2957 (23.21) | 3022 (24.26) | 3022 (24.26) | ||||
70–79 years, n (%) | 4559 (37.32) | 4559 (37.32) | 4448 (34.18) | 4448 (34.18) | 3764 (29.55) | 3764 (29.55) | 3217 (25.82) | 3217 (25.82) | ||||
≥ 80 years, n (%) | 2766 (22.64) | 2766 (22.64) | 3309 (25.43) | 3309 (25.43) | 3376 (26.5) | 3376 (26.5) | 3444 (27.64) | 3444 (27.64) | ||||
CCI, mean (SD)a,b
| 2.65 (0.82) | 1.52 (0.74) | < 0.01 | 2.7 (0.88) | 1.56 (0.8) | < 0.01 | 2.76 (0.9) | 1.58 (0.82) | < 0.01 | 2.8 (0.92) | 1.62 (0.85) | < 0.01 |
Smoking, n (%)a,b
| 2938 (24.05) | 3275 (26.81) | < 0.01 | 4116 (31.63) | 4593 (35.3) | < 0.01 | 4566 (35.84) | 5258 (41.27) | < 0.01 | 4773 (38.31) | 5536 (44.44) | < 0.01 |
Obesity, n (%)a,b
| 1019 (8.34) | 565 (4.62) | < 0.01 | 1488 (11.43) | 831 (6.39) | < 0.01 | 1991 (15.63) | 1130 (8.87) | < 0.01 | 2238 (17.96) | 1275 (10.23) | < 0.01 |
Hypertension, n (%)a,b
| 6047 (49.5) | 4687 (38.36) | < 0.01 | 7511 (57.72) | 6038 (46.4) | < 0.01 | 7576 (59.47) | 5954 (46.74) | < 0.01 | 7401 (59.41) | 5938 (47.66) | < 0.01 |
Lipid metabolism disorders, n (%)a,b
| 1518 (12.43) | 1118 (9.15) | < 0.01 | 2940 (22.59) | 2187 (16.81) | < 0.01 | 4794 (37.63) | 3592 (28.2) | < 0.01 | 5715 (45.87) | 4019 (32.26) | < 0.01 |
Renal diseases, n (%)a,b
| 974 (7.97) | 604 (4.94) | < 0.01 | 1355 (10.41) | 853 (6.55) | < 0.01 | 1755 (13.78) | 1031 (8.09) | < 0.01 | 2034 (16.33) | 1287 (10.33) | < 0.01 |
Atrial fibrillation, n (%)a,b
| 1445 (11.83) | 1574 (12.88) | 0.011 | 1592 (12.23) | 1707 (13.12) | 0.029 | 1673 (13.13) | 1689 (13.26) | 0.760 | 1779 (14.28) | 1800 (14.45) | 0.697 |
CHF, n (%)a
| 2842 (23.26) | 2263 (18.52) | < 0.01 | 3125 (24.01) | 2357 (18.11) | < 0.01 | 3175 (24.92) | 2307 (18.11) | < 0.01 | 3171 (25.45) | 2331 (18.71) | < 0.01 |
Mechanical ventilation, n (%)a
| 559 (4.58) | 504 (4.13) | 0.082 | 519 (3.99) | 484 (3.72) | 0.259 | 445 (3.49) | 514 (4.03) | 0.022 | 448 (3.6) | 446 (3.58) | 0.070 |
HD/DP, n (%)a
| 83 (0.68) | 69 (0.56) | 0.257 | 160 (1.23) | 86 (0.66) | < 0.01 | 172 (1.35) | 85 (0.67) | < 0.01 | 182 (1.46) | 95 (0.76) | < 0.01 |
CABG, n (%) | 220 (1.8) | 219 (1.79) | 0.961 | 224 (1.72) | 210 (1.61) | 0.495 | 246 (1.93) | 233 (1.83) | 0.547 | 236 (1.89) | 204 (1.64) | 0.127 |
PCI, n (%)a,b
| 2038 (16.68) | 2357 (19.29) | < 0.01 | 4172 (32.06) | 4586 (35.24) | < 0.01 | 5677 (44.56) | 6097 (47.86) | < 0.01 | 6643 (53.32) | 7096 (56.96) | < 0.01 |
Fibrinolysis, n (%)a,b
| 1613 (13.2) | 1694 (13.87) | 0.109 | 1289 (9.91) | 1451 (11.15) | 0.001 | 906 (7.11) | 1048 (8.23) | 0.001 | 463 (3.72) | 567 (4.55) | 0.001 |
LHS, mean (SD)a,b
| 10.59 (9.14) | 10.08 (9.45) | < 0.01 | 9.62 (8.7) | 8.82 (8.28) | < 0.01 | 8.47 (9.23) | 8.17 (11.51) | 0.021 | 7.58 (7.18) | 7.17 (7.86) | < 0.01 |
In-hospital mortality, n (%)a,b
| 1670 (13.67) | 1418 (11.61) | < 0.01 | 1409 (10.83) | 1234 (9.48) | < 0.01 | 1209 (9.49) | 1097 (8.61) | 0.011 | 991 (7.95) | 899 (7.22) | 0.022 |
Stroke admissions
2002 | 2006 | 2010 | 2014 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | |
N (%)a,b
| 10,794 (100) | 10,794 (100) | NA | 14,600 (100) | 14,600 (100) | NA | 17,283 (100) | 17,283 (100) | NA | 17,559 (100) | 17,559 (100) | NA |
Age adjusted rate per 100.000 inhabitantsa
| 56.27 | NA | NA | 69.53 | NA | NA | 75.79 | NA | NA | 71.98 | NA | NA |
Male sex, n (%) | 5706 (52.86) | 5706 (52.86) | NA | 7795 (53.39) | 7795 (53.39) | NA | 9345 (54.07) | 9345 (54.07) | NA | 9581 (54.56) | 9581 (54.56) | NA |
Age, mean (SD)a,b
| 73.17 (9.75) | 73.17 (9.75) | NA | 74.15 (10.3) | 74.15 (10.3) | NA | 74.84 (10.66) | 74.84 (10.66) | NA | 75.35 (11.06) | 75.35 (11.06) | NA |
40–59 years, n (%) | 1071 (9.92) | 1071 (9.92) | NA | 1467 (10.05) | 1467 (10.05) | NA | 1743 (10.09) | 1743 (10.09) | NA | 1865 (10.62) | 1865 (10.62) | NA |
60–69 years, n (%) | 2386 (22.1) | 2386 (22.1) | 2695 (18.46) | 2695 (18.46) | 3027 (17.51) | 3027 (17.51) | 3046 (17.35) | 3046 (17.35) | ||||
70–79 years, n (%) | 4436 (41.1) | 4436 (41.1) | 5593 (38.31) | 5593 (38.31) | 5923 (34.27) | 5923 (34.27) | 5224 (29.75) | 5224 (29.75) | ||||
≥ 80 years, n (%) | 2901 (26.88) | 2901 (26.88) | 4845 (33.18) | 4845 (33.18) | 6590 (38.13) | 6590 (38.13) | 7424 (42.28) | 7424 (42.28) | ||||
CCI, mean (SD)a,b
| 2.55 (0.74) | 1.51 (0.71) | < 0.01 | 2.64 (0.79) | 1.56 (0.75) | < 0.01 | 2.69 (0.81) | 1.62 (0.78) | < 0.01 | 2.86 (0.87) | 1.8 (0.84) | < 0.01 |
Smoking, n (%)a,b
| 1414 (13.1) | 1566 (14.51) | 0.001 | 2591 (17.75) | 2988 (20.47) | < 0.01 | 3440 (19.9) | 3675 (21.26) | < 0.01 | 3719 (21.18) | 4053 (23.08) | < 0.01 |
Obesity, n (%)a,b
| 617 (5.72) | 339 (3.14) | < 0.01 | 1171 (8.02) | 622 (4.26) | < 0.01 | 1638 (9.48) | 873 (5.05) | < 0.01 | 1985 (11.3) | 1056 (6.01) | < 0.01 |
Hypertension, n (%)a,b
| 6470 (59.94) | 5309 (49.18) | < 0.01 | 9841 (67.4) | 7942 (54.4) | < 0.01 | 11,799 (68.27) | 9688 (56.06) | < 0.01 | 11,818 (67.3) | 9804 (55.83) | < 0.01 |
Lipid metabolism disorders, n (%)a,b
| 770 (7.13) | 488 (4.52) | < 0.01 | 2449 (16.77) | 1614 (11.05) | < 0.01 | 4960 (28.7) | 3402 (19.68) | < 0.01 | 6801 (38.73) | 4481 (25.52) | < 0.01 |
Renal diseases, n (%)a,b
| 511 (4.73) | 376 (3.48) | < 0.01 | 988 (6.77) | 625 (4.28) | < 0.01 | 1634 (9.45) | 1009 (5.84) | < 0.01 | 2233 (12.72) | 1410 (8.03) | < 0.01 |
Atrial fibrillation, n (%)a,b
| 2045 (18.95) | 2275 (21.08) | < 0.01 | 3242 (22.21) | 3360 (23.01) | 0.065 | 4222 (24.43) | 4395 (25.43) | 0.016 | 4698 (26.76) | 4771 (27.17) | 0.314 |
CHF, n (%)a,b
| 503 (4.66) | 486 (4.5) | 0.579 | 902 (6.18) | 707 (4.84) | < 0.01 | 1211 (7.01) | 1065 (6.16) | 0.001 | 1291 (7.35) | 1039 (5.92) | < 0.01 |
Mechanical ventilation, n (%)a,b
| 254 (2.35) | 358 (3.32) | < 0.01 | 404 (2.77) | 472 (3.23) | 0.013 | 523 (3.03) | 604 (3.49) | 0.010 | 567 (3.23) | 727 (4.14) | < 0.01 |
HD/DP, n (%)a
| 32 (0.3) | 18 (0.17) | 0.051 | 58 (0.4) | 31 (0.21) | 0.004 | 73 (0.42) | 51 (0.3) | 0.049 | 99 (0.56) | 47 (0.27) | < 0.01 |
Fibrinolysis, n (%)a,b
| 15 (0.14) | 22 (0.2) | 0.253 | 109 (0.75) | 221 (1.51) | 0.000 | 569 (3.29) | 880 (5.09) | < 0.01 | 812 (4.62) | 1220 (6.95) | < 0.01 |
Decompressive craniectomy, n (%)b
| 31 (0.29) | 31 (0.29) | 0.502 | 29 (0.2) | 35 (0.24) | 0.454 | 47 (0.27) | 70 (0.41) | 0.035 | 53 (0.3) | 81 (0.46) | 0.015 |
Carotid endarterectomy, n (%)a
| 31 (0.29) | 41 (0.38) | 0.227 | 33 (0.23) | 50 (0.34) | 0.064 | 82 (0.47) | 62 (0.36) | 0.088 | 85 (0.48) | 80 (0.46) | 0.694 |
Carotid angioplasty, n (%)a,b
| 0 (0) | 0 (0) | NA | 29 (0.2) | 24 (0.16) | 0.485 | 68 (0.39) | 101 (0.58) | 0.011 | 125 (0.71) | 150 (0.85) | 0.125 |
LHS, mean (SD)a,b
| 12.9 (15.1) | 12.65 (16.45) | 0.254 | 12.14 (14.63) | 11.92 (15.54) | 0.204 | 11.22 (14.56) | 11.22 (15.87) | 0.977 | 9.82 (11.75) | 10.02 (12.18) | 0.119 |
In-hospital mortality, n (%)a,b
| 1616 (14.97) | 1692 (15.68) | 0.135 | 2261 (15.49) | 2258 (15.47) | 0.960 | 2582 (14.94) | 2568 (14.86) | 0.826 | 2506 (14.27) | 2438 (13.88) | 0.272 |
Aortic aneurysm and dissection admissions
2002 | 2006 | 2010 | 2014 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | |
N (%)a,b
| 390 (100) | 390 (100) | NA | 615 (100) | 615 (100) | NA | 753 (100) | 753 (100) | NA | 841 (100) | 841 (100) | NA |
Age adjusted rate per 100.000 inhabitants | 2.03 | NA | NA | 2.93 | NA | NA | 3.3 | NA | NA | 3.45 | NA | NA |
Male sex, n (%) | 364 (93.33) | 364 (93.33) | NA | 591 (96.1) | 591 (96.1) | NA | 710 (94.29) | 710 (94.29) | NA | 802 (95.36) | 802 (95.36) | NA |
Age, mean (SD)a,b
| 69.84 (9.03) | 69.84 (9.03) | NA | 71.06 (8.12) | 71.06 (8.12) | NA | 71.43 (8.08) | 71.43 (8.08) | NA | 72.41 (7.85) | 72.41 (7.85) | NA |
40–59 years, n (%) | 56 (14.36) | 56 (14.36) | NA | 60 (9.76) | 60 (9.76) | NA | 55 (7.3) | 55 (7.3) | NA | 51 (6.06) | 51 (6.06) | NA |
60–69 years, n (%) | 106 (27.18) | 106 (27.18) | 177 (28.78) | 177 (28.78) | 234 (31.08) | 234 (31.08) | 247 (29.37) | 247 (29.37) | ||||
70–79 years, n (%) | 184 (47.18) | 184 (47.18) | 288 (46.83) | 288 (46.83) | 350 (46.48) | 350 (46.48) | 376 (44.71) | 376 (44.71) | ||||
≥ 80 years, n (%) | 44 (11.28) | 44 (11.28) | 90 (14.63) | 90 (14.63) | 114 (15.14) | 114 (15.14) | 167 (19.86) | 167 (19.86) | ||||
CCI, mean (SD)a,b
| 2.48 (0.82) | 1.42 (0.82) | < 0.01 | 2.56 (0.84) | 1.49 (0.79) | < 0.01 | 2.59 (0.76) | 1.53 (0.79) | < 0.01 | 2.7 (0.84) | 1.59 (0.75) | < 0.01 |
Smoking, n (%)a,b
| 139 (35.64) | 136 (34.87) | 0.802 | 238 (38.7) | 214 (34.8) | 0.145 | 323 (42.9) | 316 (41.97) | 0.702 | 363 (43.16) | 360 (42.81) | 0.879 |
Obesity, n (%)a,b
| 19 (4.87) | 11 (2.82) | 0.149 | 32 (5.2) | 20 (3.25) | 0.099 | 79 (10.49) | 28 (3.72) | < 0.01 | 82 (9.75) | 45 (5.35) | 0.001 |
Hypertension, n (%)a,b
| 213 (54.62) | 139 (35.64) | < 0.01 | 367 (59.67) | 269 (43.74) | < 0.01 | 470 (62.42) | 371 (49.27) | < 0.01 | 541 (64.33) | 430 (51.13) | < 0.01 |
Lipid metabolism disorders, n (%)a,b
| 47 (12.05) | 20 (5.13) | 0.001 | 129 (20.98) | 83 (13.5) | 0.001 | 292 (38.78) | 200 (26.56) | < 0.01 | 427 (50.77) | 292 (34.72) | < 0.01 |
Renal diseases, n (%)a,b
| 31 (7.95) | 28 (7.18) | 0.686 | 67 (10.89) | 62 (10.08) | 0.635 | 114 (15.14) | 84 (11.16) | 0.021 | 147 (17.48) | 118 (14.03) | 0.053 |
Atrial fibrillation, n (%)a,b
| 38 (9.74) | 26 (6.67) | 0.112 | 58 (9.43) | 67 (10.89) | 0.376 | 90 (11.95) | 106 (14.08) | 0.212 | 157 (18.67) | 116 (13.79) | 0.007 |
CHF, n (%) | 22 (5.64) | 13 (3.33) | 0.100 | 29 (4.72) | 24 (3.9) | 0.493 | 44 (5.84) | 40 (5.31) | 0.638 | 41 (4.88) | 34 (4.04) | 0.407 |
Mechanical ventilation, n (%) | 36 (9.23) | 32 (8.21) | 0.593 | 55 (8.94) | 48 (7.8) | 0.483 | 36 (4.78) | 60 (7.97) | 0.009 | 61 (7.25) | 62 (7.37) | 0.919 |
HD/DP, n (%) | 7 (1.79) | 5 (1.28) | 0.566 | 18 (2.93) | 14 (2.28) | 0.467 | 16 (2.12) | 23 (3.05) | 0.240 | 25 (2.97) | 24 (2.85) | 0.884 |
Thoracic aorta aneurysm open surgery, n (%)a,b
| 9 (2.31) | 9 (2.31) | 0.903 | 22 (3.58) | 30 (4.88) | 0.198 | 25 (3.32) | 46 (6.11) | 0.005 | 43 (5.11) | 50 (5.95) | 0.379 |
TEVAR, n (%) | 0 (0) | 0 (0) | NA | 0 (0) | 0 (0) | NA | 25 (3.32) | 16 (2.12) | 0.133 | 37 (4.4) | 32 (3.8) | 0.508 |
Abdominal aorta aneurysm open surgery, n (%)a,b
| 86 (22.05) | 94 (24.1) | 0.454 | 111 (18.05) | 112 (18.21) | 0.940 | 100 (13.28) | 128 (17) | 0.038 | 137 (16.29) | 153 (18.19) | 0.281 |
EVAR, n (%)a,b
| 19 (4.87) | 22 (5.64) | 0.640 | 93 (15.12) | 76 (12.36) | 0.139 | 232 (30.81) | 190 (25.23) | 0.013 | 312 (37.1) | 291 (34.6) | 0.250 |
LHS, mean (SD)a,b
| 15.63 (16.07) | 12.88 (12.95) | 0.008 | 11.82 (12.11) | 11.44 (16.71) | 0.644 | 11.28 (18.3) | 10.92 (13.32) | 0.669 | 9.43 (13.33) | 9.63 (13.24) | 0.760 |
In-hospital mortality, n (%)a
| 56 (14.36) | 50 (12.82) | 0.447 | 77 (12.52) | 78 (12.68) | 0.920 | 82 (10.89) | 90 (11.95) | 0.446 | 68 (8.09) | 84 (9.99) | 0.118 |
Acute lower limb ischemia admissions
2002 | 2006 | 2010 | 2014 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | |
N (%)a,b
| 3854 (100) | 3854 (100) | NA | 4024 (100) | 4024 (100) | NA | 4323 (100) | 4323 (100) | NA | 4548 (100) | 4548 (100) | NA |
Age adjusted rate per 100.000 inhabitantsa
| 20.09 | NA | NA | 19.16 | NA | NA | 18.96 | NA | NA | 18.64 | NA | NA |
Male sex, n (%) | 2850 (73.95) | 2850 (73.95) | NA | 3024 (75.15) | 3024 (75.15) | NA | 3221 (74.51) | 3221 (74.51) | NA | 3356 (73.79) | 3356 (73.79) | NA |
Age, mean (SD)a,b
| 72.27 (10.54) | 72.27 (10.54) | NA | 72.49 (10.94) | 72.49 (10.94) | NA | 72.69 (11.69) | 72.69 (11.69) | NA | 73.11 (11.84) | 73.11 (11.84) | NA |
40–59 years, n (%) | 524 (13.6) | 524 (13.6) | NA | 565 (14.04) | 565 (14.04) | NA | 697 (16.12) | 697 (16.12) | NA | 690 (15.17) | 690 (15.17) | NA |
60–69 years, n (%) | 851 (22.08) | 851 (22.08) | 890 (22.12) | 890 (22.12) | 935 (21.63) | 935 (21.63) | 1044 (22.96) | 1044 (22.96) | ||||
70–79 years, n (%) | 1470 (38.14) | 1470 (38.14) | 1409 (35.01) | 1409 (35.01) | 1291 (29.86) | 1291 (29.86) | 1205 (26.5) | 1205 (26.5) | ||||
≥ 80 years, n (%) | 1009 (26.18) | 1009 (26.18) | 1160 (28.83) | 1160 (28.83) | 1400 (32.38) | 1400 (32.38) | 1609 (35.38) | 1609 (35.38) | ||||
CCI, mean (SD)a,b
| 2.33 (0.82) | 1.34 (0.83) | < 0.01 | 2.42 (0.85) | 1.38 (0.89) | < 0.01 | 2.46 (0.9) | 1.43 (0.92) | < 0.01 | 2.51 (0.86) | 1.49 (0.89) | < 0.01 |
Smoking, n (%)a,b
| 902 (23.4) | 1037 (26.91) | < 0.01 | 1156 (28.73) | 1334 (33.15) | < 0.01 | 1439 (33.29) | 1645 (38.05) | 0.000 | 1625 (35.73) | 1908 (41.95) | < 0.01 |
Obesity, n (%)a,b
| 82 (2.13) | 49 (1.27) | 0.004 | 161 (4) | 79 (1.96) | < 0.01 | 225 (5.2) | 126 (2.91) | < 0.01 | 346 (7.61) | 175 (3.85) | < 0.01 |
Hypertension, n (%)a,b
| 1719 (44.6) | 1293 (33.55) | < 0.01 | 2286 (56.81) | 1595 (39.64) | < 0.01 | 2626 (60.74) | 1950 (45.11) | < 0.01 | 2763 (60.75) | 2172 (47.76) | < 0.01 |
Lipid metabolism disorders, n (%)a,b
| 239 (6.2) | 114 (2.96) | < 0.01 | 658 (16.35) | 354 (8.8) | < 0.01 | 1415 (32.73) | 818 (18.92) | < 0.01 | 1875 (41.23) | 1218 (26.78) | < 0.01 |
Renal diseases, n (%)a,b
| 356 (9.24) | 264 (6.85) | < 0.01 | 514 (12.77) | 359 (8.92) | < 0.01 | 747 (17.28) | 514 (11.89) | < 0.01 | 870 (19.13) | 612 (13.46) | < 0.01 |
Atrial fibrillation, n (%)a,b
| 474 (12.3) | 589 (15.28) | < 0.01 | 591 (14.69) | 615 (15.28) | 0.417 | 722 (16.7) | 768 (17.77) | 0.160 | 792 (17.41) | 901 (19.81) | 0.002 |
CHF, n (%)a,b
| 238 (6.18) | 223 (5.79) | 0.467 | 291 (7.23) | 235 (5.84) | 0.011 | 362 (8.37) | 351 (8.12) | 0.662 | 368 (8.09) | 355 (7.81) | 0.610 |
Mechanical ventilation, n (%) | 23 (0.6) | 29 (0.75) | 0.406 | 36 (0.89) | 57 (1.42) | 0.029 | 21 (0.49) | 49 (1.13) | 0.001 | 29 (0.64) | 35 (0.77) | 0.447 |
HD/DP, n (%)a,b
| 59 (1.53) | 48 (1.25) | 0.288 | 50 (1.24) | 59 (1.47) | 0.389 | 67 (1.55) | 85 (1.97) | 0.135 | 93 (2.04) | 83 (1.82) | 0.443 |
Minor amputation, n (%) | 577 (14.97) | 353 (9.16) | < 0.01 | 620 (15.41) | 333 (8.28) | < 0.01 | 633 (14.64) | 341 (7.89) | < 0.01 | 645 (14.18) | 382 (8.4) | < 0.01 |
Major amputation, n (%)a,b
| 584 (15.15) | 621 (16.11) | 0.217 | 611 (15.18) | 596 (14.81) | 0.608 | 558 (12.91) | 538 (12.45) | 0.494 | 489 (10.75) | 537 (11.81) | 0.090 |
Lower extremity revascularization, n (%)a,b
| 910 (23.61) | 856 (22.21) | 0.130 | 933 (23.19) | 894 (22.22) | 0.301 | 825 (19.08) | 900 (20.82) | 0.038 | 749 (16.47) | 892 (19.61) | < 0.01 |
Lower extremity angioplasty, n (%)a,b
| 347 (9) | 319 (8.28) | 0.247 | 570 (14.17) | 473 (11.75) | 0.001 | 1034 (23.92) | 814 (18.83) | < 0.01 | 1415 (31.11) | 1103 (24.25) | < 0.01 |
LHS, mean (SD)a,b
| 16.48 (16.97) | 15.24 (15.36) | < 0.01 | 15.24 (16.38) | 13.63 (15.26) | < 0.01 | 13 (15.57) | 12.18 (14.39) | 0.008 | 10.39 (12.03) | 10.61 (13.08) | 0.384 |
In-hospital mortality, n (%)b
| 213 (5.53) | 304 (7.89) | < 0.01 | 255 (6.34) | 339 (8.42) | < 0.01 | 261 (6.04) | 311 (7.19) | 0.025 | 249 (5.47) | 307 (6.75) | 0.010 |
All cardiovascular events combined admissions
2002 | 2006 | 2010 | 2014 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | T2DM | No T2DM | p value | |
N (%)a,b
| 27,255 (100) | 27,255 (100) | NA | 32,252 (100) | 32,252 (100) | NA | 35,098 (100) | 35,098 (100) | NA | 35,406 (100) | 35,406 (100) | NA |
Age adjusted rate per 100.000 inhabitantsa
| 142.1 | NA | NA | 153.6 | NA | NA | 153.91 | NA | NA | 145.13 | NA | NA |
Male sex, n (%)a,b
| 16,677 (61.19) | 16,677 (61.19) | NA | 20,265 (62.83) | 20,265 (62.83) | NA | 22,168 (63.16) | 22,168 (63.16) | NA | 22,558 (63.71) | 22,558 (63.71) | NA |
Age, mean (SD)a,b
| 72.03 (10.35) | 72.03 (10.35) | NA | 72.56 (10.95) | 72.56 (10.95) | NA | 72.93 (11.44) | 72.93 (11.44) | NA | 73.19 (11.8) | 73.19 (11.8) | NA |
40–59 years, n (%) | 3616 (13.27) | 3616 (13.27) | NA | 4503 (13.96) | 4503 (13.96) | NA | 5137 (14.64) | 5137 (14.64) | NA | 5381 (15.2) | 5381 (15.2) | NA |
60–69 years, n (%) | 6270 (23) | 6270 (23) | 6607 (20.49) | 6607 (20.49) | 7153 (20.38) | 7153 (20.38) | 7359 (20.78) | 7359 (20.78) | ||||
70–79 years, n (%) | 10,649 (39.07) | 10,649 (39.07) | 11,738 (36.39) | 11,738 (36.39) | 11,328 (32.28) | 11,328 (32.28) | 10,022 (28.31) | 10,022 (28.31) | ||||
≥ 80 years, n (%) | 6720 (24.66) | 6720 (24.66) | 9404 (29.16) | 9404 (29.16) | 11,480 (32.71) | 11,480 (32.71) | 12,644 (35.71) | 12,644 (35.71) | ||||
CCI, mean (SD)a,b
| 2.56 (0.79) | 1.49 (0.74) | < 0.01 | 2.64 (0.84) | 1.54 (0.79) | < 0.01 | 2.68 (0.86) | 1.58 (0.82) | < 0.01 | 2.79 (0.9) | 1.69 (0.86) | < 0.01 |
Smoking, n (%)a,b
| 5393 (19.79) | 6014 (22.07) | < 0.01 | 8101 (25.12) | 9129 (28.31) | < 0.01 | 9768 (27.83) | 10,894 (31.04) | < 0.01 | 10,480 (29.6) | 11,857 (33.49) | < 0.01 |
Obesity, n (%)a,b
| 1737 (6.37) | 964 (3.54) | < 0.01 | 2852 (8.84) | 1552 (4.81) | < 0.01 | 3933 (11.21) | 2157 (6.15) | < 0.01 | 4651 (13.14) | 2551 (7.2) | < 0.01 |
Hypertension, n (%)a,b
| 14,449 (53.01) | 11,428 (41.93) | < 0.01 | 20,005 (62.03) | 15,844 (49.13) | < 0.01 | 22,471 (64.02) | 17,963 (51.18) | < 0.01 | 22,523 (63.61) | 18,344 (51.81) | < 0.01 |
Lipid metabolism disorders, n (%)a,b
| 2574 (9.44) | 1740 (6.38) | < 0.01 | 6176 (19.15) | 4238 (13.14) | < 0.01 | 11,461 (32.65) | 8012 (22.83) | < 0.01 | 14,818 (41.85) | 10,010 (28.27) | < 0.01 |
Renal diseases, n (%)a,b
| 1872 (6.87) | 1272 (4.67) | < 0.01 | 2924 (9.07) | 1899 (5.89) | < 0.01 | 4250 (12.11) | 2638 (7.52) | < 0.01 | 5284 (14.92) | 3427 (9.68) | < 0.01 |
Atrial fibrillation, n (%)a,b
| 4002 (14.68) | 4464 (16.38) | < 0.01 | 5483 (17) | 5749 (17.83) | 0.003 | 6707 (19.11) | 6958 (19.82) | 0.009 | 7426 (20.97) | 7588 (21.43) | 0.098 |
CHF, n (%) | 3605 (13.23) | 2985 (10.95) | < 0.01 | 4347 (13.48) | 3323 (10.3) | < 0.01 | 4792 (13.65) | 3763 (10.72) | < 0.01 | 4871 (13.76) | 3759 (10.62) | < 0.01 |
Mechanical ventilation, n (%) | 872 (3.2) | 923 (3.39) | 0.209 | 1014 (3.14) | 1061 (3.29) | 0.281 | 1025 (2.92) | 1227 (3.5) | < 0.01 | 1105 (3.12) | 1270 (3.59) | < 0.01 |
HD/DP, n (%)a,b
| 181 (0.66) | 140 (0.51) | 0.022 | 286 (0.89) | 190 (0.59) | < 0.01 | 328 (0.93) | 244 (0.70) | < 0.01 | 399 (1.13) | 249 (0.70) | < 0.01 |
CABG, n (%)b
| 222 (0.81) | 222 (0.81) | 0.905 | 229 (0.71) | 213 (0.66) | 0.439 | 249 (0.71) | 241 (0.69) | 0.714 | 242 (0.68) | 214 (0.6) | 0.188 |
PCI, n (%)a,b
| 2046 (7.51) | 2361 (8.66) | < 0.01 | 4184 (12.97) | 4597 (14.25) | < 0.01 | 5715 (16.28) | 6118 (17.43) | < 0.01 | 6679 (18.86) | 7130 (20.14) | < 0.01 |
Fibrinolysis, n (%)a,b
| 1659 (6.09) | 1762 (6.46) | 0.046 | 1432 (4.44) | 1727 (5.35) | < 0.01 | 1554 (4.43) | 2027 (5.78) | < 0.01 | 1350 (3.81) | 1869 (5.28) | < 0.01 |
Decompressive craniectomy, n (%)a,b
| 32 (0.12) | 32 (0.12) | 0.603 | 29 (0.09) | 37 (0.11) | 0.326 | 47 (0.13) | 71 (0.2) | 0.028 | 56 (0.16) | 84 (0.24) | 0.017 |
Carotid endarterectomy, n (%)a,b
| 38 (0.14) | 47 (0.17) | 0.318 | 37 (0.11) | 59 (0.18) | 0.026 | 94 (0.27) | 77 (0.22) | 0.184 | 93 (0.26) | 83 (0.23) | 0.446 |
Carotid angioplasty, n (%)a,b
| 0 (0) | 0 (0) | NA | 31 (0.1) | 26 (0.08) | 0.501 | 68 (0.19) | 105 (0.3) | 0.005 | 129 (0.36) | 154 (0.43) | 0.131 |
Thoracic aorta aneurysm open surgery, n (%)a,b
| 9 (0.03) | 9 (0.03) | 0.913 | 23 (0.07) | 33 (0.1) | 0.127 | 25 (0.07) | 50 (0.14) | 0.001 | 45 (0.13) | 51 (0.14) | 0.460 |
TEVAR, n (%)b
| 0 (0) | 0 (0) | NA | 0 (0) | 0 (0) | NA | 25 (0.07) | 16 (0.05) | 0.133 | 37 (0.1) | 33 (0.09) | 0.600 |
Abdominal aorta aneurysm open surgery, n (%) | 87 (0.32) | 96 (0.35) | 0.406 | 112 (0.35) | 114 (0.35) | 0.881 | 100 (0.28) | 135 (0.38) | 0.011 | 137 (0.39) | 156 (0.44) | 0.204 |
EVAR, n (%)a,b
| 20 (0.07) | 22 (0.08) | 0.758 | 95 (0.29) | 78 (0.24) | 0.145 | 234 (0.67) | 194 (0.55) | 0.019 | 314 (0.89) | 293 (0.83) | 0.253 |
Minor amputation, n (%)a,b
| 585 (2.15) | 356 (1.31) | < 0.01 | 626 (1.94) | 333 (1.03) | < 0.01 | 646 (1.84) | 345 (0.98) | < 0.01 | 652 (1.84) | 383 (1.08) | < 0.01 |
Major amputation, n (%)a,b
| 594 (2.18) | 623 (2.29) | 0.337 | 624 (1.93) | 599 (1.86) | 0.396 | 568 (1.62) | 544 (1.55) | 0.416 | 500 (1.41) | 538 (1.52) | 0.183 |
Lower extremity revascularization, n (%)a,b
| 1016 (3.73) | 950 (3.49) | 0.076 | 1064 (3.3) | 1014 (3.14) | 0.209 | 952 (2.71) | 1032 (2.94) | 0.038 | 852 (2.41) | 990 (2.8) | < 0.01 |
Lower extremity angioplasty, n (%)a,b
| 378 (1.39) | 351 (1.29) | 0.289 | 624 (1.93) | 507 (1.57) | < 0.01 | 1077 (3.07) | 840 (2.39) | < 0.01 | 1456 (4.11) | 1144 (3.23) | < 0.01 |
LHS, mean (SD)a,b
| 12.41 (13.28) | 11.87 (13.65) | < 0.01 | 11.51 (12.92) | 10.87 (13.21) | < 0.01 | 10.44 (13.22) | 10.22 (14.28) | 0.030 | 9.1 (10.52) | 9.08 (11.11) | 0.837 |
In-hospital mortality, n (%)a,b
| 3555 (13.04) | 3464 (12.71) | 0.226 | 4002 (12.41) | 3909 (12.12) | 0.242 | 4134 (11.78) | 4066 (11.58) | 0.402 | 3814 (10.77) | 3728 (10.53) | 0.269 |