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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/18345

Title: Risk of Acute Complications of Diabetes among People with Schizophrenia in Ontario
Authors: Becker, Taryn
Advisor: Hux, Janet
Department: Health Policy, Management and Evaluation
Keywords: Diabetes
Schizophrenia
Issue Date: 1-Feb-2010
Abstract: Diabetes Mellitus (DM) is a complex, chronic disease, associated with potentially devastating complications. The DM-complication rate may be increased among people with schizophrenia. This study evaluated the relationship between schizophrenia and risk of preventable, acute DM-complications. Using administrative data, a retrospective study assessed acute DM complications (emergency department visits or hospitalization for hypo- or hyperglycemia, and hospital admissions for infections) among Ontario residents ages 18-50 with schizophrenia and newly diagnosed DM between 1995 and 2005, comparing people with and without pre-existing schizophrenia. People with schizophrenia had a 74% greater risk of requiring a hospital visit for hypo- or hyperglycemia (HR =1.74, 95% CI 1.42-2.12) compared to those without. The risk was similar when the outcome included infection (HR=1.62, 95% CI 1.39-1.89). Outcomes remained significant after adjustment for baseline characteristics. Understanding this relationship will direct future studies assessing barriers to care, and implementation of individualized approaches to care for this population.
URI: http://hdl.handle.net/1807/18345
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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