糖尿病对肾或肾周脓肿患者死亡率和住院时间的影响。
Effect of diabetes on mortality and length of hospital stay in patients with renal or perinephric abscess.
机构信息
Zhong-Xing Branch of Taipei City Hospital, Department of Surgery, Taipei, Taiwan.
出版信息
Clinics (Sao Paulo). 2013;68(8):1109-14. doi: 10.6061/clinics/2013(08)08.
OBJECTIVES
We compared the risk of in-hospital mortality and the length of hospital stay between diabetic and non-diabetic patients hospitalized for renal or perinephric abscess.
METHOD
The data analyzed in this study were retrieved from Taiwan's National Health Insurance claims. The risk of in-hospital mortality and the length of hospital stay were compared between 1,715 diabetic patients, hospitalized because of renal or perinephric abscess in Taiwan between 1997 and 2007, and a random sample of 477 non-diabetes patients with renal or perinephric abscess.
RESULTS
The in-hospital mortality rates from renal or perinephric abscess for the diabetic patients and the non-diabetic patients were not different, at 2.3% and 3.4%, respectively. However, diabetes was significantly associated with a longer length of hospital stay among patients with renal abscess, by 3.38 days (95% confidence interval [CI]: 1.59-5.17).
CONCLUSIONS
Diabetes does not increase the risk of in-hospital mortality from renal or perinephric abscess. Nevertheless, appropriate management of patients with diabetes and concurrent renal or perinephric abscess is essential to reduce the length of hospital stay.
目的
我们比较了因肾或肾周脓肿住院的糖尿病患者和非糖尿病患者的住院死亡率和住院时间。
方法
本研究分析的数据来自台湾全民健康保险理赔数据。比较了 1997 年至 2007 年间台湾因肾或肾周脓肿住院的 1715 例糖尿病患者和随机抽取的 477 例肾或肾周脓肿非糖尿病患者的住院死亡率和住院时间。
结果
糖尿病患者和非糖尿病患者的肾或肾周脓肿住院死亡率分别为 2.3%和 3.4%，并无差异。然而，糖尿病与肾脓肿患者的住院时间延长显著相关，延长 3.38 天（95%置信区间[CI]：1.59-5.17）。
结论
糖尿病不会增加肾或肾周脓肿的住院死亡率风险。然而，对于同时患有糖尿病和肾或肾周脓肿的患者，进行适当的管理对于缩短住院时间至关重要。
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