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Báo cáo y học: "The impact of socio-economic disadvantage on rates of hospital separations for diabetes-related foot disease in Victoria, Australia"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The impact of socio-economic disadvantage on rates of hospital separations for diabetes-related foot disease in Victoria, Australia. | JOURNAL OF FOOT AND ANKLE RESEARCH The impact of socio-economic disadvantage on rates of hospital separations for diabetes-related foot disease in Victoria Australia Bergin et al. Bergin et al. Journal of Foot and Ankle Research 2011 4 17 http www.jfootankleres.com content 4 1 17 20 June 2011 BioMed Central Bergin et al. Journal of Foot and Ankle Research 2011 4 17 http www.jfootankleres.eom content 4 1 17 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access The impact of socio-economic disadvantage on rates of hospital separations for diabetes-related foot disease in Victoria Australia Shan M Bergin1 Caroline A Brand2 Peter G Colman3 and Don A Campbell4 Abstract Background Information describing variation in health outcomes for individuals with diabetes related foot disease across socioeconomic strata is lacking. The aim of this study was to investigate variation in rates of hospital separations for diabetes related foot disease and the relationship with levels of social advantage and disadvantage. Methods Using the Index of Relative Socioeconomic Disadvantage IRSD each local government area LGA across Victoria was ranked from most to least disadvantaged. Those LGAs ranked at the lowest end of the scale and therefore at greater disadvantage Group D were compared with those at the highest end of the scale Group A in terms of total and per capita hospital separations for peripheral neuropathy peripheral vascular disease foot ulceration cellulitis and osteomyelitis and amputation. Hospital separations data were compiled from the Victorian Admitted Episodes Database. Results Total and per capita separations were 2 268 75.3 1 000 with diabetes and 2 734 62.3 1 000 with diabetes for Group D and Group A respectively. Most notable variation was for foot ulceration Group D 18.1 1 000 versus Group A 12.7 1 000 rate ratio 1.4 95 CI 1.3 1.6 and below knee amputation Group D 7.4 1 000 versus Group A 4.1 1 000 rate ratio 1.8 95 CI 1.5 2.2 . Males recorded a greater overall .