| Summary: | 碩士 === 慈濟大學 === 物理治療學系碩士班 === 105 === Abstract
Purpose: To investigate the trend of diabetes ratios and its influencing factors in the patients with acute myocardial infarction in eastern Taiwan from 2000 to 2011.
Method: we used medical record method and the years of medical records are between 2000 to 2011. All the subjects were admitted into Hualien Tzu Chi Hospital because they were the patients of first-time acute myocardial infarction. Furthermore, all the subjects had complete information of risk factors. The risk factors include diabetes, high blood pressure, smoking, body mass index, and serum lipids. The years of the onset groups are divided into pre-period 2000-2003 (n=233), medium term 2004-2007 (n=516) and later period 2008-2011 (n=828). The age groups are divided into young group (≤50 years old, male:175、female:33) and non- young group (≥51years old, male:877、female:492).We used logistic regression models and the dependent variable is based on whether the subject is with or without diabetes. Later we calculated the ratios of the odds and 95% confidence interval of each independent variable in the pre-period, middle term and later period.
Result: the trends of the average onset age, female percentages and diabetes percentages increase. The odd ratio for diabetes of the people with hypertension in male non- young group of middle term and later period respectively grew 0.84 (95% CI: 1.02, 3.33) and 1.59 (95% CI: 1.64, 4.11) compared with those without hypertension. The effect of hypertension and year group on diabetes showed that the ratio of later period grew 1.36 (95% CI: 1.03, 5.41) compared with middle term.
Conclusion: Between 2000 and 2011, the proportion of diabetes in the patients with acute myocardial infarction in eastern Taiwan was higher in male non-young group. Hypertension was the primary influencing factor, whose significant difference occurred in the pre period and later period.
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