{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:08:32Z","timestamp":1779916112687,"version":"3.53.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T00:00:00Z","timestamp":1548720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health, Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify the extent to which rurality influences the admission and mortality rates for acute circulatory complications among people with type 2 diabetes mellitus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>All Victorian hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>State\u2010wide hospital admissions from 1 July 2010 to 30 June 2015 using the Victorian Admitted Episodes Dataset. Data included patients with type 2 diabetes mellitus and diagnosis of acute cardiovascular events, acute cerebrovascular haemorrhage or infarction, acute peripheral vascular events or hypertensive diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measure<\/jats:title><jats:p>Rates of admission and mortality were calculated for local government areas and Department of Health regions. Regression analysis identified the influence between admission rates and various predictor variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 5785 emergency hospital admissions occurred during the study period, with the highest and lowest mortality and admission rates occurring in rural areas. Moderately high admission rates were identified in urban areas. Cardiovascular events far outnumbered other acute circulatory admissions. Regression analysis identified a number of significant socioeconomic variables, primarily for metropolitan residents. Socioeconomic disadvantage was the only significant factor in rural areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Victorian admission and mortality rates for acute circulatory complications are greatest in rural areas; yet, there is considerable heterogeneity in the admission rates within both rural and metropolitan areas. Furthermore, socioeconomic status is more influential than remoteness in determining emergency admissions. Further research needs to investigate the particular variables that lead to poorer outcomes rurally, investigate socioeconomic disadvantage in rural areas and have greater emphasis on peripheral vascular disease prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12459","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T20:15:14Z","timestamp":1548792914000},"page":"49-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2549-8792","authenticated-orcid":false,"given":"Samantha","family":"Gardiner","sequence":"first","affiliation":[{"name":"Melbourne Medical School The University of Melbourne Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalley","family":"Robins","sequence":"additional","affiliation":[{"name":"Melbourne Medical School The University of Melbourne Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Terry","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Healthcare Federation University Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2008.tb01503.x"},{"key":"e_1_2_7_3_1","first-page":"66","article-title":"The assessment of relations between socioeconomic status and number of complications among type 2 diabetic patients","volume":"41","author":"Tol A","year":"2012","journal-title":"Iranian Journal of Public Health"},{"key":"e_1_2_7_4_1","first-page":"195","article-title":"Impact of demographic, socioeconomic, and psychological factors on glycemic self\u2010management in adults with type 2 diabetes mellitus","volume":"4","author":"Gonzalez\u2010Zacarias AA","year":"2016","journal-title":"Front"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.11.120"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.2008.01029.x"},{"key":"e_1_2_7_7_1","first-page":"2499","article-title":"Management of type 2 diabetes: Australian rural and remote general practitioners\u2019 knowledge, attitudes, and practices","volume":"14","author":"Thepwongsa I","year":"2014","journal-title":"Rural and Remote Health"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12126"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2004.tb00024.x"},{"key":"e_1_2_7_10_1","volume-title":"Australian Bureau of Statistics 2017","author":"Victoria Region Data","year":"2017"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb02977.x"},{"key":"e_1_2_7_12_1","unstructured":"Hugo Centre for Migration and Population Research. 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