19 KB94 KB15 KB192920262001Burnik, Janezštevilka:11letnik:70str. 687-689ISSN:1318-0347COBISSID:14276313URN:URN:NBN:SI:doc-6MLPUZYLslSlovensko zdravniško društvoZdravniški vestnikCause of deathDiabetes melitusDiabetes mellitusEpidemiologymortalitetaMortalityNova GoricaPrevalencaPrevalenceSex factorssladkorna bolezenSpolni dejavnikiUmrljivostDiabetes pri umrlih v letih 1992 do 1996 na področju Zavoda za zdravstveno varstvo Nova Gorica| Diabetes mellitus among deceased from 1992 to 1996 in region of Public health unit Nova Gorica|Background, patients and methods. Analysis of medical certificates of cause ofdeath for 5431 deceased people in region of Public Health Unit (PHU) Nova Gorica should give us a useful data for prevalence study of diabetes in region. Certificates have had some minor failings in data perfection but they are still satisfactory for numerical analysis and enable a rough evaluation ofdiabetes prevalence among people more than 65 years old. Results and conclusions. Analysis has shown that prevalence of diabetes in region at the end of life is between 6 and 15 percents. Among females is prevalence doubled as among males. The same ratio is seen when diabetes is basic cause of death. In subregion of Ajdovščina is that ratio even 3.1. The prevalence of diabetes in subregion Tolmin is hardly the half of that in subregions Ajdovščina and Nova Gorica. The possible cause or this observation are deaths of pronourced old population, which have had little connections with health services in subregion and had been badly evidenced, men much more worse than women. About one third of people with diabetes have died from diabetes and his late complications. A half of people with diabetes have died from cardiovascular diseases, and one tenth from cancer and pulmonary diseases. All other causes have been rare. The specific mortality rate for diabetics in region exceeds Slovenian mean and even in literature cited evaluation for the USA. The youngest deceased diabetic was 41, and median age of deads was 75 years. The median age of deceased diabetics in region exceedes the Slovenian median age of all deaths, for 3 to 5 yearsIzhodišča, bolniki in metode. Z analizo zdravnških poročil o vzroku smrti za 5431 umrlih prebivalcev s področja Zavoda za zdravstvena varstvo Nova Gorica vobdobju 1992-1996 smo želeli ugotoviti; ali je iz poročil magoče dobiti uporabne podatke o prevalenci diabetesa. Poročila imajo nekaj slabosti v popolnosti podatkov, vendar so podatki o številu umrlih s sladkorno boleznijo uporabni. Omogočajo oceno prevalence diabetesa v populaciji, ki je starejša od65 let. Rezultati in zaključki. Analiza je pokazala, da je na Goriškem prevalenca diabetesa ob koncu življenja med 6 do 15 odstotki Pri ženskah je diabetes ugotovljen dvakrat pogosteje kot pri moških; razmerje pa ostane enakotudi pri specifični umrljivosti. V predelu Ajdovščine je razmerje celo do3:1. Na Tolminskem je po teh podatkih prevalenca diabetesa komaj polovična od prevalence v predelih Ajdavščine in Nove Gorice. Mogoče je, da gre za smrtiizrazito stare populacije, ki je v zdravstveni službi na Tolminskem pretežno slabo evidentirana in kjer moški še bolj poredko obiščejo zdravnika kot ženske. Tretjina umrlih z diabetesom je umrla zaradi sladkorne bolezni alinjenih trajnih zapletov Polovica ljudi s sladkorno boleznijo je umrla zaradi bolezni obtočil, zaradi raka in bolezni dihal jih je umrla desetina. Drugi osnovni vzroki smrti so redki. Umrljivost zaradi sladkorne bolezni je v področju višja kot je slovensko povprečje in presega celo v virih navedeno oceno za ZDA. Najmlajši umrli z diabetesom je imel 41 let, srednja starost umrlih z diabetesom je 75 let. Starostno standardizirana srednja starost umrlih diabetkov presega slovensko povprečje vseh umrlih za 3 do 5 letTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo