Ma Chun-Ming, Yin Fu-Zai
Department of Internal Medicine, Hebei Medical University.
Department of Endocrinology, The First Hospital of Qinhuangdao, No. 258 Wenhua Road, Qinhuangdao, Hebei Province, PR China.
Medicine (Baltimore). 2019 Jun;98(24):e16025. doi: 10.1097/MD.0000000000016025.
The aim of the study was to determine the mortality in infectious inpatients with type 2 diabetes mellitus (T2DM) compared with non-diabetic population.A retrospective study was conducted on 13,916 infectious inpatients in The First Hospital of Qinhuangdao. Diabetic types were classified using International classification of Diseases-10. Mortality records were collected.The mortality was higher in patients with T2DM than patients without T2DM (T2DM 4.3% vs non-diabetes 1.7%, χ = 59.560, P < .001). In multiple logistic regression analysis, T2DM was an independent risk factor of death in infectious inpatients (OR = 1.539, 95% CI: 1.181∼2.006, P = .001). The mortalities between those with T2DM and those without T2DM were stratified by age. The mortalities of patients with T2DM were 0.0% in ∼39 years, 0.0% in 40 to 49 years, 2.7% in 50 to 59 years, 3.1% in 60 to 69 years, 4.1% in 70 to 79 years and 8.7% in 80∼ years groups. The mortalities of patients without T2DM were 0.2% in ∼39 years, 0.1% in 40 to 49 years, 0.6% in 50 to 59 years, 1.0% in 60 to 69 years, 3.1% in 70 to 79 years and 5.9% in 80∼ years groups. T2DM was an independent risk factor of death only in 60 to 69 years groups (OR = 2.323, 95% CI: 1.234∼4.372, P = .009).The increase of mortality appears earlier in patients with T2DM. Infectious inpatients with T2DM are at increased risk of death and brings heavy economic burden to patients, society and government.
本研究的目的是确定2型糖尿病(T2DM)感染性住院患者与非糖尿病人群相比的死亡率。对秦皇岛市第一医院的13916名感染性住院患者进行了一项回顾性研究。糖尿病类型采用国际疾病分类第10版进行分类。收集死亡率记录。T2DM患者的死亡率高于非T2DM患者(T2DM为4.3%,非糖尿病患者为1.7%,χ=59.560,P<0.001)。在多因素logistic回归分析中,T2DM是感染性住院患者死亡的独立危险因素(OR=1.539,95%CI:1.181~2.006,P=0.001)。按年龄对T2DM患者和非T2DM患者的死亡率进行分层。T2DM患者在39岁及以下组的死亡率为0. 0%,40至49岁组为0. 0%,5 0至59岁组为2**.7**%,60至69岁组为3**.1**%,70至79岁组为4**.1**%,80岁及以上组为8**.7**%。非T2DM患者在39岁及以下组的死亡率为0.2%,40至49岁组为0.1%,5 0至59岁组为0.6%,60至69岁组为1.0%,70至79岁组为3**.1**%,80岁及以上组为5**.9**%。T2DM仅在6 0至69岁组是死亡的独立危险因素(OR=2.323,95%CI:1.234~4.372,P=0.009)。T2DM患者的死亡率升高出现得更早。T2DM感染性住院患者死亡风险增加,给患者、社会和政府带来沉重的经济负担。