Inpatient Mortality in People With Type 2 Diabetes: A Cross-sectional Study

IF 0.7 Q4 ENDOCRINOLOGY & METABOLISM

Clinical Diabetology Pub Date : 2022-10-31 DOI:10.5603/dk.a2022.0049

Maria Cristina Carrondo, J. Moita

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引用次数: 0

Abstract

Objective: This study aimed to estimate inpatient mortality rate for diabetes and identify its associated factors. Material(s) and Method(s): This is a cross-sectional study. The population was comprised between January 1 and December 31, 2019 in 32 public hospitals in Portugal, using summary hospital discharge data. We used both the Disease-Related Diagnosis Groups and the Disease Staging. Patients were grouped into survivors and non-survivors, and inpatient mortality was compared using competing event regression. Result(s): A total of 7980 patients were admitted with type 2 diabetes mellitus, there were 747 (10.3%) non-survivors. The advanced age (OR = 1.772;95% CI 1.625-1.932), the stage (3) severity of type 2 diabetes mellitus (OR = 4.301;95% CI 2.564-7.215), comorbid lung, bronchial or mediastinal malignant neoplasm (OR = 5.118;95% CI 2.222-11.788), comorbid bacterial pneumonia (OR = 3.214;95% CI 2.539-4.070), other respiratory system disorders (OR = 2.187;95%CI1.645-2.909),comorbidrhino-,adeno-andcorona-virus infections (OR = 1.680;95% CI 1.135-2.488) were determinants for inpatient mortality. Conclusion(s): Elderly patients with diabetes with micro- and macrovascular complications of the disease, who have bacterial pneumonia and who enter the emergency department are those who have a lower survival rate. Copyright © 2022 Via Medica. All rights reserved.

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2型糖尿病患者住院死亡率:一项横断面研究

目的:本研究旨在估计糖尿病住院病人死亡率并确定其相关因素。材料和方法:这是一项横断面研究。该研究使用医院出院汇总数据，于2019年1月1日至12月31日期间在葡萄牙的32家公立医院进行了人口调查。我们使用了疾病相关诊断组和疾病分期。将患者分为幸存者和非幸存者，并使用竞争事件回归对住院患者死亡率进行比较。结果:共有7980例2型糖尿病患者入院，其中非幸存者747例(10.3%)。高龄(OR = 1.772;95% CI 1.625-1.932)、2型糖尿病(3)期严重程度(OR = 4.301;95% CI 2.564-7.215)、合并肺部、支气管或纵隔恶性肿瘤(OR = 5.118;95% CI 2.222-11.788)、合并细菌性肺炎(OR = 3.214;95% CI 2.539-4.070)、其他呼吸系统疾病(OR = 2.187;95%CI1.645-2.909)、合并鼻病毒、腺病毒和冠状病毒感染(OR = 1.680;95% CI 1.135-2.488)是住院患者死亡的决定因素。结论:老年糖尿病合并大、微血管并发症，合并细菌性肺炎进入急诊科的患者生存率较低。版权所有©2022 Via Medica版权所有。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Diabetology ENDOCRINOLOGY & METABOLISM-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： Clinical Diabetology hereinafter referred to as ‘CD’ or ′the Journal′, is a peer-reviewed, open access journal covering broad spectrum of topics in diabetology and aiming to advance the knowledge and science of this rapidly evolving field. The Journal is the official bimonthly of the Diabetes Poland (Polish Diabetes Association) and publishes review articles, original clinical and experimental investigations in the field of diabetology, case reports, letters and editorial comments . The Journal has been published in full text English since 2016.