Characteristics a | Class 1 Relatively healthy (n=58,213, 57.8%) | Class 2 Stable metabolic disease (n=26,309, 26.1%) | Class 3 Metabolic disease with vascular complications (n=2,964, 3.0%) | Class 4 High respiratory disease burden (n=1,104, 1.1%) | Class 5 High metabolic disease without complication (n=11,122, 11.0%) | Class 6 Metabolic disease with multi-organ complication (n=1,035, 1.0%) | Overall (n=100,747) | p-value |
---|---|---|---|---|---|---|---|---|
Age, (SD) | 43.1 (15.0) | 62.1 (12.2) | 72.9 (11.1) | 54.2 (19.4) | 64.8 (11.5) | 70.6 (13.3) | 51.7 (17.4) | <0.001 |
Gender | ||||||||
Male, (%) | 25,979 (44.6) | 11,399 (43.3) | 1,620 (54.7) | 538 (48.7) | 5,392 (48.5) | 587 (56.7) | 45,515 (45.2) | <0.001 |
Race | ||||||||
Chinese, (%) | 42,890 (73.7) | 22,596 (85.9) | 2,468 (83.3) | 687 (62.2) | 8,971 (80.7) | 802 (77.5) | 78,414 (77.8) | <0.001 |
Malay, (%) | 8.258 (14.2) | 1,635 (6.2) | 174 (5.9) | 208 (18.8) | 991 (8.9) | 116 (11.2) | 11,382 (11.3) | |
Indian, (%) | 4,511 (7.8) | 1,520 (5.8) | 248 (8.4) | 171 (15.5) | 889 (8.0) | 91 (8.8) | 7,430 (7.4) | |
Others, (%) | 2,554 (4.4) | 558 (2.1) | 74 (2.5) | 38 (3.4) | 271 (2.4) | 26 (2.5) | 3,521 (3.5) | |
Social determinants of health | ||||||||
Public rental housing, (%) | 4,406 (7.6) | 1,929 (7.3) | 401 (13.5) | 275 (24.9) | 949 (8.5) | 162 (15.7) | 8,122 (8.1) | |
Comorbidities | ||||||||
Type 2 Diabetes mellitus (%) | 451 (0.8) | 4,981 (18.9) | 1,592 (53.7) | 175 (15.9) | 11,122 (100) | 654 (63.2) | 18,975 (18.8) | <0.001 |
Hypertension, (%) | 3,883 (6.7) | 19,099 (72.6) | 2,881 (97.2) | 432 (39.1) | 11,040 (99.3) | 970 (93.7) | 38,305 (38.0) | <0.001 |
Hyperlipidemia, (%) | 2 (0.01) | 23,427 (89.1) | 2,809 (94.8) | 334 (30.3) | 11,060 (99.4) | 865 (83.6) | 38,497 (38.2) | <0.001 |
Type 2 diabetes mellitus with complication, (%) | 23 (0.04) | 0 (0) | 103 (3.5) | 5 (0.5) | 1,586 (14.3) | 205 (19.8) | 1,922 (1.9) | <0.001 |
Chronic kidney disease stage 3 and 4, (%) | 50 (0.1) | 945 (3.6) | 239 (8.1) | 12 (1.1) | 1,408 (12.7) | 1,035 (100) | 3,689 (3.7) | <0.001 |
Chronic kidney disease stage 5, end stage renal disease, (%) | 0 (0) | 0 (0) | 0 (0) | 1 (0.1) | 0 (0) | 1,003 (96.9) | 1,004 (1.0) | <0.001 |
Coronary artery disease, (%) | 198 (0.3) | 2,433 (9.3) | 2,485 (83.8) | 53 (4.8) | 1,954 (17.6) | 523 (50.5) | 7,646 (7.6) | <0.001 |
Atrial fibrillation, (%) | 45 (0.1) | 99 (0.4) | 514 (17.3) | 20 (1.8) | 1 (0.01) | 139 (13.4) | 818 (0.8) | <0.001 |
Heart failure, (%) | 88 (0.2) | 114 (0.4) | 863 (29.1) | 32 (2.9) | 15 (0.1) | 322 (31.1) | 1,434 (1.4) | <0.001 |
Peripheral vascular disease, (%) | 24 (0.04) | 95 (0.4) | 372 (12.6) | 9 (0.8) | 132 (1.2) | 117 (11.3) | 749 (0.7) | <0.001 |
Stroke, (%) | 145 (0.3) | 1,565 (6.0) | 1,232 (41.6) | 32 (2.9) | 819 (7.4) | 282 (27.3) | 4,075 (4.0) | <0.001 |
Asthma, (%) | 1,774 (3.1) | 777 (3.0) | 423 (14.3) | 901 (81.6) | 314 (2.8) | 95 (9.2) | 4,284 (4.3) | <0.001 |
Chronic obstructive pulmonary disease, (%) | 210 (0.4) | 99 (0.4) | 564 (19.0) | 1,096 (99.3) | 74 (0.7) | 144 (13.9) | 2,187 (2.2) | <0.001 |
Depression, (%) | 1,112 (1.9) | 713 (2.7) | 195 (6.6) | 79 (7.2) | 64 (0.6) | 79 (7.6) | 2,242 (2.2) | <0.001 |
Dementia, (%) | 17 (0.03) | 91 (0.4) | 135 (4.6) | 5 (0.5) | 56 (0.5) | 49 (4.7) | 353 (0.4) | <0.001 |
Anxiety, (%) | 545 (0.9) | 361 (1.4) | 66 (2.2) | 31 (2.8) | 18 (0.2) | 21 (2.0) | 1,042 (1.0) | <0.001 |
Osteoarthritis, (%) | 4,870 (8.4) | 7,716 (29.3) | 737 (24.9) | 220 (19.9) | 689 (6.2) | 288 (27.8) | 14,520 (14.4) | <0.001 |
Benign prostate hyperplasia, (%) | 189 (0.3) | 454 (1.7) | 208 (7.0) | 18 (1.6) | 25 (0.2) | 27 (2.6) | 921 (0.9) | <0.001 |
Hyperthyroidism, (%) | 526 (0.9) | 442 (1.7) | 33 (1.1) | 18 (1.6) | 19 (0.2) | 6 (0.6) | 1,044 (1.0) | <0.001 |
Hypothyroidism, (%) | 453 (0.8) | 1,127 (4.3) | 98 (3.3) | 29 (2.6) | 87 (0.8) | 27 (2.6) | 1,821 (1.8) | <0.001 |
Malignancy, (%) | 627 (1.1) | 1,137 (4.3) | 298 (10.1) | 79 (7.2) | 387 (3.5) | 91 (8.8) | 2,619 (2.6) | <0.001 |
Metastatic disease, (%) | 90 (0.2) | 168 (0.6) | 56 (1.9) | 11 (1.0) | 12 (0.1) | 11 (1.1) | 348 (0.4) | <0.001 |
Healthcare utilization in Year 2012 | ||||||||
Number of primary care outpatient clinic visits, (SD) | 2.8 (4.0) | 5.7 (3.8) | 6.7 (5.7) | 5.6 (10.3) | 6.6 (4.5) | 6.5 (8.7) | 4.1 (4.6) | <0.001 |
Number of outpatient specialist clinic visit, (SD) | 1.7 (4.3) | 2.8 (6.0) | 5.0 (7.8) | 4.2 (8.6) | 2.5 (5.4) | 10.0 (12.5) | 2.7 (5.4) | <0.001 |
Number of hospital admission, (SD) | 0.1 (0.4) | 0.1 (0.5) | 0.5 (1.2) | 0.4 (0.9) | 0.1 (0.5) | 1.2 (1.8) | 0.1 (0.5) | <0.001 |
Number of emergency department visits, (SD) | 0.1 (0.5) | 0.1 (0.5) | 0.2 (0.6) | 0.6 (1.5) | 0.2 (0.6) | 1.2 (1.9) | 0.2 (0.7) | <0.001 |