{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:11:01Z","timestamp":1781010661743,"version":"3.54.1"},"reference-count":31,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":756,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/100012503","name":"Royal Hobart Hospital Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012503","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the risk of an emergency department (ED)\/inpatient visit due to complications in people with diabetes and compare them to their non-diabetes counterparts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This matched retrospective cohort study used a linked dataset in Tasmania, Australia for the 2004\u201317 period. People with diabetes (n\u00a0=\u00a045\u00a0378) were matched on age, sex and geographical regions with people without diabetes (n\u00a0=\u00a090\u00a0756) based on propensity score matching. The risk of an ED\/inpatient visit related to each complication was estimated using negative binomial regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In people with diabetes, the combined ED and admission rates per 10\u00a0000 person-years were considerable, especially for macrovascular complications (ranging from 31.8 (lower extremity amputation) to 205.2 (heart failure)). The adjusted incidence rate ratios of ED\/inpatient visits were: retinopathy 59.1 (confidence interval 25.8, 135.7), lower extremity amputation 11.1 (8.8, 14.1), foot ulcer\/gangrene 9.5 (8.1, 11.2), nephropathy 7.4 (5.4, 10.1), dialysis 6.5 (3.8, 10.9), transplant 6.3 (2.2, 17.8), vitreous haemorrhage 6.0 (3.7, 9.8), fatal myocardial infarction 3.4 (2.3, 5.1), kidney failure 3.3 (2.3, 4.5), heart failure 2.9 (2.7, 3.1), angina pectoris 2.1 (2.0, 2.3), ischaemic heart disease 2.1 (1.9, 2.3), neuropathy 1.9 (1.7, 2.0), non-fatal myocardial infarction 1.7 (1.6, 1.8), blindness\/low vision 1.4 (0.8, 2.5), non-fatal stroke 1.4 (1.3, 1.6), fatal stroke 1.3 (0.9, 2.1) and transient ischaemic attack 1.1 (1.0, 1.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results demonstrated the high demand on hospital services due to diabetes complications (especially macrovascular complications) and highlighted the importance of preventing and properly managing microvascular complications. These findings will support future resource allocation to reduce the increasing burden of diabetes in Australia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah22271","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T21:43:38Z","timestamp":1683150218000},"page":"282-290","source":"Crossref","is-referenced-by-count":3,"title":["Risk of hospital admission or emergency department presentation due to diabetes complications: a retrospective cohort study in Tasmania, Australia"],"prefix":"10.1071","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2339-2628","authenticated-orcid":true,"given":"Ngan T. T.","family":"Dinh","sequence":"first","affiliation":[{"name":"AMenzies Institute for Medical Research, University of Tasmania, Tas., Australia."},{"name":"BThai Nguyen University of Medicine and Pharmacy, Thai Nguyen University, Thai Nguyen, Vietnam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"de Graaff","sequence":"additional","affiliation":[{"name":"AMenzies Institute for Medical Research, University of Tasmania, Tas., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A.","family":"Campbell","sequence":"additional","affiliation":[{"name":"AMenzies Institute for Medical Research, University of Tasmania, Tas., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Jose","sequence":"additional","affiliation":[{"name":"CSchool of Medicine, University of Tasmania, Tas., Australia."},{"name":"DAustralia and New Zealand Dialysis and Transplant Registry (ANZDATA), SA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Burgess","sequence":"additional","affiliation":[{"name":"CSchool of Medicine, University of Tasmania, Tas., Australia."},{"name":"EDepartment of Endocrinology, Royal Hobart Hospital, Tas., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Saunder","sequence":"additional","affiliation":[{"name":"CSchool of Medicine, University of Tasmania, Tas., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Kitsos","sequence":"additional","affiliation":[{"name":"CSchool of Medicine, University of Tasmania, Tas., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petr","family":"Otahal","sequence":"additional","affiliation":[{"name":"AMenzies Institute for Medical Research, University of Tasmania, Tas., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew 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