지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Background/Aims: As an underprivileged population, homeless people have a higher incidence of morbidity and mortality than donon-homeless people. Diabetes mellitus is a chronic disease associated with high complication rates; its incidence is increasingrapidly and it requires prompt, adequate treatment and care. Therefore, we investigated the quality of medical care provided tohomeless diabetics in a general hospital and comorbidities associated with diabetes.
Methods: Between March 25, 2011 and December 31, 2012, we retrospectively investigated the medical records of the diabetespatients at a general hospital in Seoul. We assigned the patients into two groups: homeless (n = 82) and non-homeless (n = 242)patients. We subsequently compared the clinical and laboratory findings, comorbidities, and complications between the two groups.
Results: The homeless diabetics received treatment less regularly than the non-homeless patients and were diagnosed with diabeteswhile visiting the hospital for the treatment of other diseases. The homeless patients had higher glycated hemoglobin A1c levelsthan the non-homeless patients. The homeless patients had a higher rate of other diseases, such as peripheral artery disease, acuteinfectious disease, intracranial hemorrhage, and pulmonary tuberculosis; a higher incidence of acute infectious disease (odds ratio[OR], 15.671; 95% confidence interval [CI], 5.115-48.070); and a higher prevalence of pulmonary tuberculosis (OR , 6.423; 95%CI, 1.785-23.116) than the non-homeless patients, as determined by multivariate analysis.
Conclusions: Comorbid acute infectious disease and pulmonary tuberculosis were found more frequently in homeless diabetespatients presenting to the hospital than in non-homeless diabetes patients. Therefore, attention should be paid to this differentiatingfactor.
목차
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참고문헌 (32)
참고문헌 신청
Restrepo BI / 2007 / Type 2 diabetes and tuberculosis in a dynamic bi-national border population / Epidemiol Infect 135:483~491
Alisjahbana B / 2007 / The effect of type 2 diabetes mellitus on the presentation and treatment response of pulmonary tuberculosis / Clin Infect Dis 45:428~435
Amos AF / 1997 / The rising global burden of diabetes and its complications: estimates and projections to the year 2010 / Diabet Med 14 (5) : S1 ~ 85
Arnaud A / 2010 / Fagot-Campaqna A, Reach G, Basin C, Laporte A. Prevalence and characteristics of diabetes among homeless people attending shelters in Paris, France, 2006 /
Chung SC / 2002 / The prevalence and risk factors of diabetes mellitus in people of Hope Village / Korean J Med 62 : 633 ~ 641
Alisjahbana B / 2007 / The effect of type 2 diabetes mellitus on the presentation and treatment response of pulmonary tuberculosis / Clin Infect Dis 45:428~435
Amos AF / 1997 / The rising global burden of diabetes and its complications: estimates and projections to the year 2010 / Diabet Med 14 (5) : S1 ~ 85
Arnaud A / 2010 / Fagot-Campaqna A, Reach G, Basin C, Laporte A. Prevalence and characteristics of diabetes among homeless people attending shelters in Paris, France, 2006 /
Chung SC / 2002 / The prevalence and risk factors of diabetes mellitus in people of Hope Village / Korean J Med 62 : 633 ~ 641
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