This deposit is composed by the main article, and it hasn't any supplementary materials associated.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 in-hospital mortality.Pfizer Grant; Ernesto Roma Foundation grant: (FER2014/01)

Boavida, J M

Froes, F

Macedo, M P

Martins, M

Nunes, B

Penha-Gonçalves, C

Raposo, J F

Ribeiro, R T

PubMed

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.This work was supported by a Pfizer Grant to Ernesto Roma Foundation, Grant number FER2014/01 to MM.info:eu-repo/semantics/publishedVersio

Martins, M.

Boavida, J.M.

Raposo, J.F.

Froes, F.

Nunes, Baltazar

Ribeiro, R.T.

Macedo, M.P.

Penha-Gonçalves, C.

Repositório Científico do Instituto Nacional de Saúde

BMJ Open Diabetes Research & Care

Diabetes hinders community-acquired pneumonia outcomes in hospitalized patients

ARCA  Gulbenkian Institute of Science Repository

M Martins

J M Boavida

J F Raposo

F Froes

B Nunes

R T Ribeiro

M P Macedo

C Penha-Gonçalves

Crossref

Scientific Repository of the National Health Institute Doutor Ricardo Jorge

http://arca.igc.gulbenkian.pt/bitstream/10400.7/639/1/BMJ%20Open%20Diab%20Res%20Care-2016-Martins-.pdf

Diabetes hinders community-acquired pneumonia outcomes in hospitalized patients

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Repositório Científico do Instituto Nacional de Saúde

ARCA Gulbenkian Institute of Science Repository

Crossref

Scientific Repository of the National Health Institute Doutor Ricardo Jorge