OBJECTIVE To estimate the relative risk (RR) and excess hospitalization rate for injury in individuals with diabetes compared with the general population. RESEARCH DESIGN AND METHODS Data were obtained from the Australian National Diabetes Services Scheme, hospitalization data sets, the Australian Pharmaceutical Benefits Scheme, the National Death Index, and the census spanning from 2011 to 2017. Hospitalizations for injury were coded as head and neck, lower-extremity, upper-extremity, or abdominal and thoracic injury; burns; or other injury. Poisson regression was used to estimate the age- and sex-adjusted RR of hospitalization for injury. RESULTS The total number of hospitalizations for any injury was 117,705 in people with diabetes and 3,463,173 in the general population. Compared with that in the general population, an elevated adjusted risk of admission was observed for any injury (RR 1.22; 95% CI 1.21, 1.22), head and neck (1.28; 1.26, 1.30), lower extremity (1.24; 1.23, 1.26), abdominal and thoracic (1.29; 1.27, 1.30), upper extremity (1.03; 1.02, 1.05), burns (1.52; 1.44, 1.61), and other injury (1.37; 1.33, 1.40). The adjusted RR of any injury was 1.62 (1.58, 1.66) in individuals with type 1 diabetes, 1.65 (1.63, 1.66) in those with type 2 diabetes who were taking insulin, and 1.07 (1.06, 1.08) in individuals with type 2 diabetes not using insulin. Falls were the primary cause of injury in individuals with diabetes. CONCLUSIONS Individuals with diabetes, especially those using insulin, had a higher risk of hospitalization for injury compared with the general population.

中文翻译：

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与一般人群相比，1 型或 2 型糖尿病患者受伤的风险过高


目的 评估糖尿病患者与普通人群相比的损伤相对风险 (RR) 和超额住院率。研究设计和方法 数据来自澳大利亚国家糖尿病服务计划、住院数据集、澳大利亚药品福利计划、国家死亡指数以及 2011 年至 2017 年的人口普查。受伤住院情况编码为头颈、下肢-四肢、上肢或腹部和胸部损伤；烧伤；或其他伤害。泊松回归用于估计年龄和性别调整后的受伤住院 RR。结果 糖尿病患者因伤害住院的总人数为 117,705 人，普通人群为 3,463,173 人。与一般人群相比，任何损伤（RR 1.22；95% CI 1.21，1.22）、头颈部（1.28；1.26，1.30）、下肢（1.24；1.23，1.26）的入院调整风险均升高）、腹部和胸部（1.29；1.27、1.30）、上肢（1.03；1.02、1.05）、烧伤（1.52；1.44、1.61）和其他损伤（1.37；1.33、1.40）。 1 型糖尿病患者中任何损伤的调整后 RR 为 1.62 (1.58, 1.66)，服用胰岛素的 2 型糖尿病患者中为 1.65 (1.63, 1.66)，2 型糖尿病患者中为 1.07 (1.06, 1.08)不使用胰岛素。跌倒是糖尿病患者受伤的主要原因。结论 与普通人群相比，糖尿病患者，尤其是使用胰岛素的患者，因受伤住院的风险更高。