アンケート調査による日本人糖尿病の死因　１９８１～１９９０年の１０年間，１１，６４８名での検討

DOI 被引用文献4件

書誌事項

タイトル別名
  • The Causes of Death in Japanese Diabetics Based on Survey Results Among 11,648 Diabetics during 1981-1990. Report of Committee on Cause of Death in Diabetes Mellitus.
  • The Causes of Death in Japanese Diabetics Based on Survey Results Among 11, 648 Diabetics during 1981-1990
  • 1981-1990年の10年間, 11,648名での検討

この論文をさがす

抄録

Using the survey of hospital records, the principal causes of death among 11, 648 diabetics (7, 106 men and 4, 542 women) who died in 225 hospital throughout Japan during the period of 1981-1990 were determined. There were 2, 289 autopsies among 11, 648 diabetics.<BR>1. The most frequent causes of death were vascular diseases (39.3%) including renal failure (11.2%), ischemic heart disease (14.6%), and cerebrovascular disease (13.5%). The second most frequent cause was malignant neoplasm (29.2%) and the third was infections (10.2%). Diabetic coma due to hyperglycemia accounted for only 1.7% of deaths.<BR>2. Concerning the relationship between age and cause of death in diabetics, diabetic nephropathy and infection were relatively common in patients over the age of 20 years. Cerebrovascular disease was the cause of death in about 10% of patients over 20 years of age. However, the high incidence of death due to ischemic heart disease was observed over the age of 60 years. Malignant neoplasm was the cause of death in about 30-40% in men over 30 years of age and in women over 40 years of age.<BR>3. As a matter of convenience, Japan was divided into three areas: a rural district (Hokkaido and Tohoku), an urban district (six major cities, Tokyo, Osaka, Nagoya, Yokohama, Kyoto and Fukuoka), and all other districts. There were no differences between the areas in the frequency of vascular disease as the cause of death in diabetics.<BR>4. The “poor” control of blood glucose reduced the life spans of those diabetics without malignant neoplasms or liver cirrhosis, especially those with diabetic nephropathy. In the 11, 648 patients, the average age at death was 67.3 years. The life span was two years shorter in patients with “poor” blood glucose control than in those with “good” or “fair” blood glucose control.

収録刊行物

  • 糖尿病

    糖尿病 37 (10), 773-788, 1994

    一般社団法人 日本糖尿病学会

被引用文献 (4)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ