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Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions

The risk factors of rehospitalization and death post-discharge in diabetes-related hospital admissions are not fully understood. To determine them, a population-based retrospective epidemiological survey was performed on diabetes-related admissions from the Polish national database. Logistic regress...

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Autores principales: Kozioł, Milena, Towpik, Iwona, Żurek, Michał, Niemczynowicz, Jagoda, Wasążnik, Małgorzata, Sanchak, Yaroslav, Wierzba, Waldemar, Franek, Edward, Walicka, Magdalena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8704926/
https://www.ncbi.nlm.nih.gov/pubmed/34945110
http://dx.doi.org/10.3390/jcm10245814
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author Kozioł, Milena
Towpik, Iwona
Żurek, Michał
Niemczynowicz, Jagoda
Wasążnik, Małgorzata
Sanchak, Yaroslav
Wierzba, Waldemar
Franek, Edward
Walicka, Magdalena
author_facet Kozioł, Milena
Towpik, Iwona
Żurek, Michał
Niemczynowicz, Jagoda
Wasążnik, Małgorzata
Sanchak, Yaroslav
Wierzba, Waldemar
Franek, Edward
Walicka, Magdalena
author_sort Kozioł, Milena
collection PubMed
description The risk factors of rehospitalization and death post-discharge in diabetes-related hospital admissions are not fully understood. To determine them, a population-based retrospective epidemiological survey was performed on diabetes-related admissions from the Polish national database. Logistic regression models were used, in which the dependent variables were rehospitalization due to diabetes complications and death within 90 days after the index hospitalization. In 2017, there were 74,248 hospitalizations related to diabetes. A total of 11.3% ended with readmission. Risk factors for rehospitalization were as follows: age < 35 years; male sex; prior hospitalization due to acute diabetic complications; weight loss; peripheral artery disease; iron deficiency anemia; kidney failure; alcohol abuse; heart failure; urgent, emergency, or weekend admission; length of hospitalization; and hospitalization in a teaching hospital with an endocrinology/diabetology unit. Furthermore, 7.3% of hospitalizations resulted in death within 90 days following discharge. Risk factors for death were as follows: age; neoplastic disease with/without metastases; weight loss; coagulopathy; alcohol abuse; acute diabetes complications; heart failure; kidney failure; iron deficiency anemia; peripheral artery disease; fluid, electrolytes, and acid–base balance disturbances; urgent or emergency and weekend admission; and length of hospitalization. We concluded that of all investigated factors, only hospitalization within an experienced specialist center may reduce the frequency of the assessed outcomes.
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spelling pubmed-87049262021-12-25 Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions Kozioł, Milena Towpik, Iwona Żurek, Michał Niemczynowicz, Jagoda Wasążnik, Małgorzata Sanchak, Yaroslav Wierzba, Waldemar Franek, Edward Walicka, Magdalena J Clin Med Article The risk factors of rehospitalization and death post-discharge in diabetes-related hospital admissions are not fully understood. To determine them, a population-based retrospective epidemiological survey was performed on diabetes-related admissions from the Polish national database. Logistic regression models were used, in which the dependent variables were rehospitalization due to diabetes complications and death within 90 days after the index hospitalization. In 2017, there were 74,248 hospitalizations related to diabetes. A total of 11.3% ended with readmission. Risk factors for rehospitalization were as follows: age < 35 years; male sex; prior hospitalization due to acute diabetic complications; weight loss; peripheral artery disease; iron deficiency anemia; kidney failure; alcohol abuse; heart failure; urgent, emergency, or weekend admission; length of hospitalization; and hospitalization in a teaching hospital with an endocrinology/diabetology unit. Furthermore, 7.3% of hospitalizations resulted in death within 90 days following discharge. Risk factors for death were as follows: age; neoplastic disease with/without metastases; weight loss; coagulopathy; alcohol abuse; acute diabetes complications; heart failure; kidney failure; iron deficiency anemia; peripheral artery disease; fluid, electrolytes, and acid–base balance disturbances; urgent or emergency and weekend admission; and length of hospitalization. We concluded that of all investigated factors, only hospitalization within an experienced specialist center may reduce the frequency of the assessed outcomes. MDPI 2021-12-12 /pmc/articles/PMC8704926/ /pubmed/34945110 http://dx.doi.org/10.3390/jcm10245814 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kozioł, Milena
Towpik, Iwona
Żurek, Michał
Niemczynowicz, Jagoda
Wasążnik, Małgorzata
Sanchak, Yaroslav
Wierzba, Waldemar
Franek, Edward
Walicka, Magdalena
Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions
title Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions
title_full Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions
title_fullStr Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions
title_full_unstemmed Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions
title_short Predictors of Rehospitalization and Mortality in Diabetes-Related Hospital Admissions
title_sort predictors of rehospitalization and mortality in diabetes-related hospital admissions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8704926/
https://www.ncbi.nlm.nih.gov/pubmed/34945110
http://dx.doi.org/10.3390/jcm10245814
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