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Diabetes hinders community-acquired pneumonia outcomes in hospitalized patients
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Orientador(es)
Resumo(s)
Objectives: This study aimed to estimate the
prevalence of diabetes mellitus (DM) in hospitalized
patients with community-acquired pneumonia (CAP)
and its impact on hospital length of stay and inhospital
mortality.
Research design and methods: We carried out a
retrospective, nationwide register analysis of CAP in
adult patients admitted to Portuguese hospitals
between 2009 and 2012. Anonymous data from
157 291 adult patients with CAP were extracted from
the National Hospital Discharge Database and we
performed a DM-conditioned analysis stratified by age,
sex and year of hospitalization.
Results: The 74 175 CAP episodes that matched the
inclusion criteria showed a high burden of DM that
tended to increase over time, from 23.7% in 2009 to
28.1% in 2012. Interestingly, patients with CAP had
high DM prevalence in the context of the national DM
prevalence. Episodes of CAP in patients with DM had
on average 0.8 days longer hospital stay as compared
to patients without DM ( p<0.0001), totaling a surplus
of 15 370 days of stay attributable to DM in 19 212
admissions. In-hospital mortality was also significantly
higher in patients with CAP who have DM (15.2%)
versus those who have DM (13.5%) ( p=0.002).
Conclusions: Our analysis revealed that DM
prevalence was significantly increased within CAP
hospital admissions, reinforcing other studies’ findings
that suggest that DM is a risk factor for CAP. Since
patients with CAP who have DM have longer
hospitalization time and higher mortality rates, these
results hold informative value for patient guidance and
healthcare strategies.
Descrição
Palavras-chave
Adult Diabetes Community Health Risk Factors Estados de Saúde e de Doença
Contexto Educativo
Citação
BMJ Open Diabetes Res Care. 2016 May 20;4(1):e000181. doi: 10.1136/bmjdrc-2015-000181. eCollection 2016
Editora
BMJ Publishing Group