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BMC Public Health. 2005 Feb 8;5:15.

Cardiovascular comorbidities among public health clinic patients with diabetes: the Urban Diabetics Study.

Author information

1
Philadelphia Department of Public Health, 500 South Broad Street, Philadelphia, PA, USA. jessica.robbins@phila.gov

Abstract

BACKGROUND:

We sought to determine the frequency and distribution of cardiovascular comorbidities in a large cohort of low-income patients with diabetes who had received primary care for diabetes at municipal health clinics.

METHODS:

Outpatient data from the Philadelphia Health Care Centers was linked with hospital discharge data from all Pennsylvania hospitals and death certificates.

RESULTS:

Among 10,095 primary care patients with diabetes, with a mean observation period of 4.6 years (2.8 after diabetes diagnosis), 2,693 (14.3%) were diagnosed with heart disease, including 270 (1.4%) with myocardial infarction and 912 (4.8%) with congestive heart failure. Cerebrovascular disease was diagnosed in 588 patients (3.1%). Over 77% of diabetic patients were diagnosed with hypertension. Incidence rates of new complications ranged from 0.6 per 100 person years for myocardial infarction to 26.5 per 100 person years for hypertension. Non-Hispanic whites had higher rates of myocardial infarction, and Hispanics and Asians had fewer comorbid conditions than African Americans and non-Hispanic whites.

CONCLUSION:

Cardiovascular comorbidities were common both before and after diabetes diagnosis in this low-income cohort, but not substantially different from mixed-income managed care populations, perhaps as a consequence of access to primary care and pharmacy services.

PMID:
15701166
PMCID:
PMC550650
DOI:
10.1186/1471-2458-5-15
[Indexed for MEDLINE]
Free PMC Article

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