Effect of diabetes on mortality and length of hospital stay in patients with renal or perinephric abscess

被引：3
|
作者：
Ko, Ming-Chung [1 ,2 ,3 ]
Chiu, Allen Wen-Hsiang [1 ,3 ]
Liu, Chih-Ching [4 ]
Liu, Chih-Kuang [1 ,5 ]
Woung, Lin-Chung [1 ,2 ,3 ]
Yu, Lai-King [6 ]
Li, Chung-Yi [7 ,8 ]
机构：
[1] Taipei City Hosp, Zhong Xing Branch, Dept Surg, Taipei, Taiwan
[2] Natl Taipei Univ Nursing & Hlth Sci, Dept Hlth Care Management, Taipei, Taiwan
[3] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan
[4] Bur Hlth Promot, Dept Hlth, Taipei, Taiwan
[5] Fu Jen Catholic Univ, Sch Med, Taipei, Taiwan
[6] Sin Lau Hosp, Dept Med, Div Nephrol, Tainan, Taiwan
[7] Natl Cheng Kung Univ, Coll Med, Dept Publ Hlth, Tainan 70101, Taiwan
[8] China Med Univ, Coll Publ Hlth, Dept Publ Hlth, Taichung, Taiwan
来源：
CLINICS | 2013年 / 68卷 / 08期
关键词：
Renal Abscess; Diabetes; Mortality; Length of Hospital Stay; Cohort Study; URINARY-TRACT-INFECTIONS; MELLITUS; RISK; BACTERIURIA; MANAGEMENT; BACTEREMIA; GLUCOSE; WOMEN;
D O I：
10.6061/clinics/2013(08)08
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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 nondiabetic 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.
引用
收藏
页码：1109 / 1114
页数：6
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