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More than one in four hospital admissions for heart failure are for patients with diabetes

ยท People with diabetes 38 per cent more likely to die prematurely, national audit shows

More than a quarter of admissions to hospital with heart failure4 involve a patient with diabetes (28 per cent, or 198,200 of 717,100 admissions during 2010-2012), national clinical audit shows.5

The National Diabetes Audit published today recorded over two million patients with diabetes and shows people with diabetes have a 73 per cent greater risk of being admitted to hospital for heart failure compared to the rest of the population.

Today's clinical audit shows patients with diabetes who were admitted to hospital for heart failure had more than quadruple the odds of dying in the following year6.

The audit examined health complications associated with the highest risks of death in patients with diabetes and measured death rates from all causes among people with diabetes, compared to the general population.

Across England and Wales patients with diabetes were 38 per cent more likely to die prematurely; the audit estimates there were 24,900 more deaths in 2012 than expected7.

The audit is the largest of its kind in the world and presents 2010-2012 findings on deaths, complications and hospital admissions among over 2 million people with diabetes in England and Wales. The audit is managed by the Health and Social Care Information Centre (HSCIC) in partnership with Diabetes UK and is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical and Patient Outcomes Programme (NCAPOP).3

Key findings from the National Diabetes Audit 2011-2012 show:

  • Of the 198,100 people in the audit with type 1 diabetes in England and Wales in 2012, 3,300 died during the year, whereas 1,440 would have been expected among the same number of the general population, giving a 130 per cent increased risk of death for people with this form of diabetes.
  • Of the 1.9million people in the audit with type 2 diabetes in England and Wales in 2012, 70,900 died during the year, whereas 52,800 would have been expected among the same number of the general population, giving a 35 per cent increased risk of death for people with this form of diabetes.
  • The risk of premature death for people with diabetes compared to their peers in the general population (relative risk) is greatest for women and younger people.
  • The inflated death rate for people with diabetes in 2012 (38 per cent) is lower than observed in 2011 (41 per cent) however it is too soon to know whether this is a trend.

Dr Bob Young, clinical lead for the audit, said:

"This audit is a wake-up call. Heart failure is preventable and treatable. Every health professional should take note of how much more common heart failure is among patients with diabetes and how high the short term risk of death is."

You can access the full report here www.hscic.gov.uk/pubs/nda1112rep2

ENDS

Notes to editors

1. The Health and Social Care Information Centre (HSCIC) was established on April 1 2013 as an Executive Non Departmental Public Body (ENDPB). The trusted source of authoritative data and information relating to health and social care, HSCIC plays a fundamental role in driving better care, better services and better outcomes for patients.

It supports the delivery of IT infrastructure, information systems and standards to ensure information flows efficiently and securely across the health and social care system to improve patient outcomes. Its work includes publishing more than 130 statistical publications annually; providing a range of specialist data services; managing informatics projects and programmes and developing and assuring national systems against appropriate contractual, clinical safety and information standards.

2. Diabetes UK is the leading UK charity that cares for, connects with and campaigns on behalf of all people affected by and at risk of diabetes. For more information visit www.diabetes.org.uk. In the UK, there are 3.7 million people with diabetes, including an estimated 850,000 people that have Type 2 diabetes but do not know it.

3. The Healthcare Quality Improvement Partnership (HQIP) is led by a consortium of the Academy of Medical Royal Colleges, the Royal College of Nursing and National Voices. Its aim is to promote quality improvement, and in particular to increase the impact that clinical audit has on healthcare quality in England and Wales.  HQIP hosts the contract to manage and develop the National Clinical Audit and Patient Outcomes Programme (NCAPOP). NCAPOP is funded by NHS England, Welsh Government and with some individual audits also funded by the Health Department of the Scottish Government, DHSSPS Northern Ireland and the Channel Islands.

4. Heart failure occurs when the heart pump cannot maintain sufficient level of blood flow to meet the needs of the body.

5. The report compares the prevalence of health complications for people with diabetes with the prevalence in the general population in the same Clinical Commissioning Group in England or Local Health Board in Wales during the period from 1 April 2010 to 31 March 2012. During this time 78,607 people with diabetes were admitted to hospital for heart failure, whereas 45,246 would have been expected using the rates of complications among the general population, standardised for age and gender.

6. A logistic regression model has been used to explore associations between health complications which led a diabetic patient being admitted to hospital and mortality in the year following their hospitalisation. Data is from patients who were included in the 2010-11 National Diabetes Audit and were still alive at 31 December 2011 but then died between 1 January and 31 December.

7. The report compares the numbers of deaths among people with diabetes with the death rates in the general population, standardised for age and gender, in the same Clinical Commissioning Group in England or Local Health Board in Wales between 1 January 2012 to 31 December 2012.

8. Figures above 100 have been rounded to the nearest 10, figures above 10,000 have been rounded to the nearest 100. Percentages have been rounded to whole numbers.

9. For non-media enquires about the NDA or diabetes information and services HSCIC contact diabetes@hscic.gov.uk.

10. For media enquiries and interview requests please call 0845 257 6990 or contact: media@hscic.gov.uk

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