Evidence map›Paper›PMID 36763137›Full record

ArticleWiener klinische Wochenschrift2023

Common procedures and conditions leading to inpatient hospital admissions in adults with and without diabetes from 2015 to 2019 in Germany : A comparison of frequency, length of hospital stay and complications.

Alexander J Eckert, Andreas Fritsche, Andrea Icks, Erhard Siegel, Annabel S Mueller-Stierlin, Wolfram Karges, Joachim Rosenbauer, Marie Auzanneau, Reinhard W Holl

Abstract read
In one paragraph

Article in Wiener klinische Wochenschrift, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexander J EckertInstitute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, Albert-Einstein-Allee 41, 89081, Ulm, Germany. alexander.eckert@uni-ulm.de.ORCID http://orcid.org/0000-0003-1239-3078
Andreas FritscheGerman Centre for Diabetes Research (DZD), Neuherberg, Germany.
Andrea IcksGerman Centre for Diabetes Research (DZD), Neuherberg, Germany.
Erhard SiegelDepartment of Gastroenterology, Diabetology, Endocrinology, and Nutritional Medicine, St. Josefskrankenhaus Heidelberg, Heidelberg, Germany.
Annabel S Mueller-StierlinDepartment of Psychiatry and Psychotherapy II, University Hospital Ulm, Ulm, Germany.
Wolfram KargesDivision of Endocrinology and Diabetes, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Joachim RosenbauerGerman Centre for Diabetes Research (DZD), Neuherberg, Germany.
Marie AuzanneauInstitute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, Albert-Einstein-Allee 41, 89081, Ulm, Germany.
Reinhard W HollInstitute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, Albert-Einstein-Allee 41, 89081, Ulm, Germany.

Funding

Deutsches Zentrum für Diabetesforschung (DZD) 82DZD14E03
6 · The paper itself

Abstract

objectiveTo evaluate common surgical procedures and admission causes in inpatient cases with diabetes in Germany between 2015 and 2019 and compare them to inpatient cases without diabetes.

methodsBased on the German diagnosis-related groups (G-DRG) statistics, regression models stratified by age groups and gender were used to calculate hospital admissions/100,000 individuals, hospital days as well as the proportion of complications and mortality in inpatient cases ≥ 40 years with or without a documented diagnosis of diabetes (type 1 or type 2).

resultsA total of 14,222,326 (21%) of all inpatient cases aged ≥ 40 years had a diagnosis of diabetes. More middle-aged females with vs. without diabetes/100,000 individuals [95% CI] were observed, most pronounced in cases aged 40-< 50 years with myocardial infarction (305 [293-319] vs. 36 [36-37], p < 0.001). Higher proportions of complications and longer hospital stays were found for all procedures and morbidities in cases with diabetes.

conclusionEarlier hospitalizations, longer hospital stays and more complications in inpatient cases with diabetes together with the predicted future increase in diabetes prevalence depict huge challenges for the German healthcare system. There is an urgent need for developing strategies to adequately care for patients with diabetes in hospital.

Indexed as

Diabetes MellitusInpatientsAdultFemaleGermanyHospitalizationHospitalsHumansLength of StayMiddle AgedBilling dataHealthcare systemHospitalizationMortalityOrthopedics

Identifiers

PMID36763137
PMCPMC9913003

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.