Hospitalizations for myocardial infarction or stroke among people with diabetes receiving medication in France in 2013.

Objective: To assess hospitalizations for myocardial infarction or stroke among people with diabetes receiving pharmacological treatment in France in 2013. Methods: Data were extracted from the National Inter-Regime Health Insurance Information System (Sniiram), linked to the Health Information Systems Medicalization Program (PMSI). People with diabetes receiving pharmacological treatment were identified based on reimbursements for antidiabetic treatments. Hospitalizations for myocardial infarction (MI) and stroke were selected based on the primary diagnosis. Rates standardized to the 2010 European population age structure were broken down by sex, socioeconomic status, and region among individuals aged 45 and older. Results: In 2013, in France, the rate of people with diabetes hospitalized for MI was 382 per 100,000 people with diabetes, and the rate for stroke was 559 per 100,000. Adjusting for age structure, the rate of men with diabetes hospitalized for MI was nearly twice as high as that of women, and the rate of stroke was 1.3 times higher among men. The rates were 1.3 and 1.6 times higher, respectively, among people with diabetes under 60 years of age who were beneficiaries of the Universal Health Coverage Supplement compared to non-beneficiaries. These disparities were smaller according to a territorial index of social disadvantage. Certain regions, such as Limousin, had very high rates of people hospitalized for MI compared to the national rate. Conversely, the overseas departments (with the exception of Guadeloupe) were characterized by lower rates of MI but higher rates of stroke. Conclusion: Cardiovascular complications remain very common among the diabetic population in 2013. Socioeconomic and regional disparities persist, highlighting the importance of tertiary prevention.

Author(s): Fosse Edorh S, Mandereau Bruno L, Olie V

Publishing year: 2015

Pages: 625-31

Weekly Epidemiological Bulletin, 2015, n° 34-35, p. 625-31

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