Effect of diabetes on mortality and length of hospital stay in patients with renal or perinephric abscess

Ko, Ming-Chung; Chiu, Allen W.; Liu, Chih‐Ching; Liu, Chih Kuang; Woung, Lin‐Chung; Yu, Lai; Li, Chung‐Yi

doi:10.6061/clinics/2013(08)08

Cited by 13 publications

(17 citation statements)

References 36 publications

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“…1b) despite diabetics having overall longer LOS. This is consistent with other studies [25,[27][28][29]. The present study differs from other works by including only people over 65 years and adjusting for the confounding of disease burden by using the CCI.…”

Section: Discussionsupporting

confidence: 93%

“…Most of studies that deal with mortality and diabetes are longitudinal studies [20][21][22][23][24]. There only a few studies that explore in-hospital mortality associated with diabetes and these are disease speci c [25][26][27]. Two of the studies show not effect on inpatient mortality [25,27].…”

Section: Discussionmentioning

confidence: 99%

“…There only a few studies that explore in-hospital mortality associated with diabetes and these are disease speci c [25][26][27]. Two of the studies show not effect on inpatient mortality [25,27]. The third showed an odds ratio of 1.31 (1.04-1.65) for mortality in diabetics with foot disease [26].…”

Section: Discussionmentioning

confidence: 99%

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Mortality is Not Increased with Diabetes in Hospitalized Very Elderly A multi-site Review.

Smerdely¹

2020

Preprint

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Objective: As there is little data about hospital outcomes in people with diabetes aged beyond 75, this study aimed to explore the association of diabetes with hospital outcome of patients aged greater than 65 years.Design: A retrospective review was conducted of all presentation of patients age 65 years or more admitted to 3 Sydney teaching hospitals over a 6 year period (2012-2018) exploring primarily the outcomes of in hospital mortality and secondarily the outcomes of length of stay, the development of hospital acquired adverse events and unplanned re-admission to hospital within 28 days of discharge. Demographic and outcome data, the presence of diabetes and co-morbidities was determined from ICD10 coding within the hospital’s electronic medical record. Logistic and negative binomial regression models were used to assess association of diabetes with outcome. Results: Of the 139130 separations included, the mean age was 80 years (range 65 to 107 years); 51% were female, 49% had comorbidities. 26.1% had a diagnosis of diabetes. When compared to people without diabetes, diabetes was not associated with increased odds of mortality (OR: 0.89 SE(0.02), p<0.001). Further, because of a significant interaction with age, diabetes was associated with decreased odds of mortality beyond 80 years of age. While diabetics overall had longer lengths of stay (10.2 days SD (13.4) v 9.4 days SD (12.3), p<0.001), increasing age was associated with shorter lengths of stay in people aged more than 90 years. Diabetes was associated with increased odds of hospital acquired adverse events (OR: 1.09 SE (0.02), p<0.001) and but not 28 day readmission (OR: 0.88 SE(0.18), p=0.523).Conclusion: Diabetes has not been shown to have a negative impact on mortality or length of stay in the hospitalized very elderly from data derived from hospital administrative records.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Mortality is Not Increased with Diabetes in Hospitalized Very Elderly A multi-site Review.

Smerdely¹

2020

Preprint

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“…16 However, other studies reported that diabetes was significantly associated with a longer length of hospital stay among patients with renal abscess, by 3.38 days (95% CI: 1.59-5.17). 18 Also, EMS calls for less urgent condition among diabetics can't be ruled out. 16 DM programs as advised by AHA (American Heart Association) can help to prevent emergencies and EMS calls for less urgent conditions among diabetics.…”

Section: Discussionmentioning

confidence: 99%

Effect of Diabetes on Severity of Illness, Length of Hospital Stay and Mortality among Patients Brought by EMS

A¹,

Y²,

S³

et al. 2017

IJMEDPH

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Background: In view of growing epidemic of diabetes it is important to assess how it affects various parameters of the disease especially in developing countries. Aim: To compare severity of illness, length of various hos pital stays and mortality in diabetics and non-diabetics. Material and methods: It was hospital record based study carried out at Deena Nath Mangeshkar Hospital and research centre, Pune. Patients admitted to intensive care unit from 1st January 2013 to 31st December 2014 through emergency medical services were enrolled. Socio-demographic information, chief complaints, diabetes status, co-morbidities, Glasgow coma scale at initial examination, definitive diagnosis, and length of stay in intensive care unit, wards and total hospital stay and outcome of the patient were recorded from available data. Results: Data 1951 patients were analyzed. 37.6% were females, 62.4% were males. 45.8% were diabetics, out of them 28.81% were new cases. Though, co-morbidities were significantly more among diabetics, they were significantly less to have severe condition according to Glasgow coma scale (p=0.003). Diabetics had significantly less intensive care unit stay than non-diabetics (Mean 5.98 days (±6.579) vs 7.52 (±9.293) respectively, p=0.008). Ward stay and total hospital stay did not differ. Mortality did not differ among diabetics and non-diabetics (23.8% and 23.6% respectively, p=0.947). Conclusion: Though proportion of diabetics was very high among study subjects, diabetes did not contribute to any adverse outcome or length of hospital stay.

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“…The worldwide prevalence of diabetes has been reported to be 2.8% and it may rise to 4.4% by year 2030. 2 In Pakistan, the disease burden has dramatically increased in the last few years. Current rate of diabetes in Pakistan is 11.8%.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors for diabetic peripheral neuropathy among type 2 diabetes mellitus patients.

Tahir

Adil

Khalid³

et al. 2020

TPMJ

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Objectives: To determine the prevalence of diabetic peripheral neuropathy (DPN) and associated risk factors among patients with type 2 diabetes mellitus (T2DM). Study Design: Cross Sectional Study. Setting: Outpatient Department Combined Military Hospital, Abbottabad. Period: From Jan 2017 to May 2017. Material & Methods: A total of 270 patients with T2DM and age greater than 30 were included in the study. Peripheral diabetic neuropathy was assessed by using Neuropathy Symptoms Score (NSS) and Neuropathy Disability Score (NDS). Data was collected by using a self structured questionnaire and analyzed by using SPSS software version 20. Results: Majority (60%) of patients were male; male to female ratio being 1:1.5. Mean age was 62.26±11.38 years and the most frequent age group was 60-69 years (30.37% of patients). Overall prevalence of DPN was 36.7 % (n=99). Gender, age, educational status, duration of diabetes, HbA1c level, hypertension and mode of treatment were found to be significantly associated with DPN. Conclusion: Diabetic peripheral neuropathy is common entity seen in 36.7% patients with type 2 diabetes and is associated with several demographic and clinical factors.

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Effect of diabetes on mortality and length of hospital stay in patients with renal or perinephric abscess

Cited by 13 publications

References 36 publications

Mortality is Not Increased with Diabetes in Hospitalized Very Elderly A multi-site Review.

Mortality is Not Increased with Diabetes in Hospitalized Very Elderly A multi-site Review.

Effect of Diabetes on Severity of Illness, Length of Hospital Stay and Mortality among Patients Brought by EMS

Prevalence and risk factors for diabetic peripheral neuropathy among type 2 diabetes mellitus patients.

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