高龄2型糖尿病患者SDTM模式下随访频次与死亡的相关性研究  

Correlation between frequency of follow up and death under SDTM mode in advanced age patients with type 2 diabetes mellitus

作　　者：戴静[1] 顾刘宝[1] 娄青林[1] 巫海娣[1] DAI Jing;GU Liubao;LOU Qinglin;WU Haidi(Department of Endocrinology,Jiangsu Provincial Institutions Hospital,Nanjing,Jiangsu 210024,China)

机构地区：[1]江苏省省级机关医院内分泌科,南京210024

出　　处：《重庆医学》2025年第1期43-45,51,共4页Chongqing Medical Journal

基　　金：国家自然科学基金面上项目(71373132);江苏省干部保健科研项目(BJ20025)。

摘　　要：目的对门诊高龄(年龄≥75岁)2型糖尿病(T2DM)患者采用“分阶段糖尿病达标管理”(SDTM)模式进行规范化管理,观察其随访频次与死亡的相关性。方法选取2009年9月至2022年9月在江苏省某三级医院糖尿病门诊参加SDTM模式进行诊疗的高龄T2DM患者,依据患者是否死亡分为存活组和死亡组,分析患者的随访频次与死亡的相关性。结果参加随访的947例高龄T2DM患者,平均年龄(82.1±4.7)岁,平均随访时间为(7.5±3.2)年。患者死亡169例,死亡率为17.8%。Cox回归分析显示患者的年均随访频次与死亡存在相关性;在校正年龄、性别等因素后,患者的年均随访频次与死亡相关(HR=0.880,95%CI:0.854~0.907,P<0.001)。结论使用SDTM模式规范管理门诊高龄T2DM患者,提高随访频次,有可能降低患者死亡率,提高生存率。Objective To conduct the standardized management on the advanced age(≥75 years old)outpatients with type 2 diabetes mellitus(T2DM)by adopting the staged diabetes targeted management(SDTM)mode,and to observe the correlation between the follow up frequency and death.Methods The advanced age patients with T2DM participating in the SDTM mode in the diabetes clinic of a tertiary hospital in Jiangsu Province from September 2009 to September 2022 were retrospectively selected and divided into the survival and death groups according to whether or not the patient died.The correlation between the follow up frequency and death was analyzed.Results A total of 947 advanced age patients with T2DM participated in the follow up,the mean age was(82.1±4.7)years old,and the mean follow-up time was(7.5±3.2)years.A total of 169 cases died with a death rate of 17.8%.The Cox regression analysis showed that the annual average follow up frequency had the correlation with death;after correcting the factors such as age and gender,the annual average follow-up frequency of the patients was correlated with death(HR=0.880,95%CI:0.854-0.907,P<0.001).Conclusion Using the SDTM mode to conduct the standardized management on the advanced age patients with T2DM and increasing the follow-up frequency could reduce the death rate of the patients and improve their survival rate.

关 键 词：分阶段糖尿病达标管理 2型糖尿病 随访频次 死亡 随访管理 

分 类 号：R587.1[医药卫生—内分泌]