Public Health Agency of Canada
www.publichealth.gc.ca
Report from the National Diabetes Surveillance System: Diabetes in Canada, 2008
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Other Health Problems11
Eight heath problems, for which hospitalizations are common among individuals with diagnosed diabetes, are currently tracked by the NDSS. They are chronic kidney disease, lower limb amputations, and cardiovascular disease - which includes but is not limited to: hypertensive disease, heart failure, heart attack, ischaemic heart disease, and stroke.
For Adults Aged 20 Years and Older:
- In 2005-2006, the most common health problem seen in hospitalizations among individuals with diagnosed diabetes was for cardiovascular disease (about 9%). (Table 3)
- During 2005-2006, adults, aged 20 years and older, with diagnosed diabetes were hospitalized more often than their counterparts without diagnosed diabetes: (Table 3)
- 23 times more often with lower limb amputations;
- 7 times more often with chronic kidney disease;
- 3 times more often with all cardiovascular diseases;
- 4 times more often with hypertensive disease and heart failure and,
- 3 times more often with heart attack, ischaemic heart disease, and stroke.
Table 3. Numbers and Percentages of Individuals with Diagnosed Diabetes Hospitalized with Select Comorbid Hospitalizations* Rate Ratios** for Individuals with Diagnosed Diabetes Compared to Those without Diagnosed Diabetes Women and Men Aged 20 Years and Older, Canada^, 2005-2006
Source: Public Health Agency of Canada, using NDSS data files contributed by provinces and territories, as of September, 2008 *Select comorbid conditions were for the following: cardiovascular disease, hypertensive disease, ischaemic heart disease, acute myocardial infarction, heart failure, cerebrovascular **Data are rate ratios of age-standardized rates. Rates are age-standardized to the 1991 Canadian population. ^Quebec data were excluded from analysis and data from Nunavut were unavailable. †When more than one hospitalization is recorded in one of the highlighted cardiovascular disease categories: hypertensive disease, ischaemic heart disease, acute myocardial ∞Lower limb amputations exlcude those caused by trauma or cancer. |
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| Select Comorbid Hospitalizations* | Individuals with Diagnosed Diabetes Hospitalized for Select Comorbid Hospitalizations* | Individuals with Diagnosed Diabetes Compared to Those without Diagnosed Diabetes | |
|---|---|---|---|
| Individuals | Percentages | Rate Ratios** | |
| Cardiovascular Disease† | 131,102 | 8.8% | 3.1 |
| Hypertensive Disease | 72,845 | 4.9% | 3.9 |
| Ischaemic Heart Disease | 57,726 | 3.9% | 3.3 |
| Heart Attack (Acute Myocardial Infarction) | 19,847 | 1.3% | 3.2 |
| Heart Failure | 35,343 | 2.4% | 3.7 |
| Stroke (Cerebrovascular Disease) | 16,553 | 1.1% | 2.7 |
| Chronic Kidney Disease | 26,120 | 1.7% | 7.1 |
| Lower Limb Amputations∞ | 2,657 | 0.2% | 23.0 |
| Individuals with Diagnosed Diabetes | 1,495,676 | ||
- These select health problems are diagnosed in hospital. Refer to the NDSS methods for more information on the NDSS website: www.ndss.gc.ca. Data are ratios of age-standardized rates.
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