Evidence map›Paper›PMID 31598211›Full record

ArticleTherapeutic advances in endocrinology and metabolism2019

Hospital outcomes and cumulative burden from complications in type 2 diabetic sepsis patients: a cohort study using administrative and hospital-based databases.

Ming-Shun Hsieh, Sung-Yuan Hu, Chorng-Kuang How, Chen-June Seak, Vivian Chia-Rong Hsieh, Jin-Wei Lin, Pau-Chung Chen

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Article in Therapeutic advances in endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

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13citing papers in PubMed
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3 · Its place in the literature

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13 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
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  10. Article
  11. Divergent Sepsis Pathophysiology in Older Adults.Antioxidants & redox signaling · 2021
    Review
  12. Article
  13. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ming-Shun HsiehInstitute of Occupational Medicine and Industrial Hygiene, National University College of Public Health, Taipei.
Sung-Yuan HuDepartment of Emergency Medicine, Taichung Veterans General Hospital, Taichung.
Chorng-Kuang HowDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taipei.
Chen-June SeakDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, Taoyuan.
Vivian Chia-Rong HsiehDepartment of Health Services Administration, China Medical University, Taichung.
Jin-Wei LinDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taoyuan Branch, Taoyuan.
Pau-Chung ChenInstitute of Occupational Medicine and Industrial Hygiene, National University College of Public Health, No. 17, Xu-Zhou Road,100, Taipei.ORCID https://orcid.org/0000-0002-6242-5974

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between type 2 diabetes and hospital outcomes of sepsis remains controversial when severity of diabetes is not taken into consideration. We examined this association using nationwide and hospital-based databases.

methodsThe first part of this study was mainly conducted using a nationwide database, which included 1.6 million type 2 diabetic patients. The diabetic complication burden was evaluated using the adapted Diabetes Complications Severity Index score (aDCSI score). In the second part, we used laboratory data from a distinct hospital-based database to make comparisons using regression analyses.

resultsThe nationwide study included 19,719 type 2 diabetic sepsis patients and an equal number of nondiabetic sepsis patients. The diabetic sepsis patients had an increased odds ratio (OR) of 1.14 (95% confidence interval 1.1-1.19) for hospital mortality. The OR for mortality increased as the complication burden increased [aDCSI scores of 0, 1, 2, 3, 4, and ⩾5 with ORs of 0.91, 0.87, 1.14, 1.25, 1.56, and 1.77 for mortality, respectively (all

conclusionsFor type 2 diabetic sepsis patients, the diabetes-related complication burden was the major determinant of hospital mortality rather than diabetes

Indexed as

diabetes complication severity index scorediabetes mellitussepsis

Identifiers

PMID31598211
PMCPMC6763626

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