6533b7cffe1ef96bd1257c72
RESEARCH PRODUCT
Impact of Diabetes Mellitus and Its Comorbidities on Elderly Patients Hospitalized in Internal Medicine Wards: Data from the RePoSi Registry
Argano ChristianoNatoli GiuseppeMularo SalvatoreNobili Alessandro Marika Lo Monaco Pier Mannuccio MannucciPerticone FrancescoPietrangelo AntonelloCorrao SalvatorePrisco DomenicoSilvestri ElenaEmmi GiacomoBettiol AlessandraMattioli IreneBiolo GianniZanetti MichelaBartelloni GiacomoVanoli MassimoGrignani Giulia Edoardo Alessandro PulixiLupattelli GrazianaBianconi VanessaAlcidi RiccardoGirelli DomenicoBusti FabianaMarchi GiacomoBarbagallo MarioDominguez LigiaBeneduce VincenzaCacioppo FedericaRaspanti MassimoZoli Marco Maria Laura MatacenaOrio GiuseppeMagnolfi EleonoraSerafini GiovanniSimili AngeloPalasciano Giuseppe Maria Ester Modeo Carla Di Gennaro Maria Domenica CappelliniFabio Giovanna Margherita Migone De Amicis Giacomo De LucaScaramellini NataliaCesari Matteo Paolo Dionigi RossiDamanti SarahClerici MartaLeoni Simona Alessandra Danuta Di Mauro Antonio Di SabatinoMiceli Emanuela Marco Vincenzo LentiPisati Martina Costanza Caccia DominioniPontremoli RobertoBeccati ValentinaNobili GiuliaLeoncini GiovannaAnastasio LuigiCarbone MariaCipollone Francesco Maria Teresa GuagnanoRossi IlariaMancuso GerardoCalipari DanielaBartone MosèDelitala GiuseppeBerria MariaDelitala AlessandroMuscaritoli MaurizioMolfino AlessioPetrillo EnricoGiorgi AntonellaGracin ChristianZuccalà GiuseppeD’aurizio GabriellaRomanelli GiuseppeMarengoni AlessandraVolpini AndreaLucente DanielaPicardi Antonio Umberto Vespasiani GentilucciGallo PaoloBellelli GiuseppeCorsi MaurizioAntonucci CesareSidoli ChiaraPrincipato GiuliaArturi FrancoSuccurro ElenaTassone BrunoGiofrè Federica Maria Grazia Serra Maria Antonietta BleveBrucato Antonio Teresa De FalcoFabris FabrizioBertozzi IreneBogoni Giulia Maria Victoria RabuiniPrandini TancrediRoberto ManfrediniFabio FabbianBoari BenedettaAlfredo De GiorgiTiseo RuanaPaolisso Giuseppe Maria Rosaria RizzoCatalano ClaudiaBorghi ClaudioStrocchi EnricoIanniello EugeniaSoldati MarioSchiavone SilviaBragagni AlessioSabbà Carlo Francesco Saverio VellaSuppressa Patrizia Giovanni Michele De VincenzoComitangelo AlessioAmoruso EmanueleCustodero CarloFenoglio LuigiFalcetta AndreaAnna L. FracanzaniTiraboschi SilviaCespiati AnnalisaOberti GiovannaSigon GiordanoPeyvandi FloraRossio RaffaellaColombo GiuliaAgosti PasqualeMonzani ValterSavojardo ValeriaCeriani GiulianaSalerno FrancescoPallini GiadaMontecucco FabrizioOttonello LucianoCaserza LaraVischi Giulia Nicola Lucio LiberatoTognin TizianaPurrello Francesco Antonino Di PinoPiro SalvatoreRozzini RenzoFalanga Lina Maria Stella Pisciotta Francesco Baffa BellucciBuffelli StefanoMontrucchio GiuseppePeasso PaoloFavale EdoardoPoletto CesareMargaria CarlSanino MauraVioli FrancescoPerri LudovicaGuasti LuiginaCastiglioni LuanaMaresca AndreaSquizzato AlessandroCampiotti LeonardoGrossi Alessandra Roberto Davide DiprizioBertolotti MarcoMussi ChiaraLancellotti Giulia Maria Vittoria LibbraGalassi MatteoGrassi YasmineGreco AlessioSciacqua AngelaPerticone MariaBattaglia RosaMaio RaffaeleStanghellini VincenzoRuggeri Eugenio Sara Del VecchioSalvi AndreaLeonardi RobertoDamiani GiampaoloCapeci WilliamMattioli Massimo Giuseppe Pio MartinoBiondi LorenzoPettinari PietroGhio Riccardo Anna Dal ColMinisola SalvatoreColangelo LucianoCilli MirellaLabbadia GiancarloAfeltra AntonellaMarigliano Benedetta Maria Elena PipitaCastellino PietroZanoli LucaGennaro AlfioGaudio AgostinoSaracco ValterFogliati MarisaBussolino CarloMete FrancescaGino MiriamVigorito CarloCittadini AntonioMoreo GuidoProlo SilviaPina GloriaBallestrero AlbertoFerrando FabioGonella RobertaCerminara DomenicoBerra SergioDassi Simonetta Maria Cristina NavaGraziella BrunoBaldassarre StefanoFragapani SalvatoreGruden GabriellaGalanti GiorgioMascherini GabrielePetri CristianStefani LauraGirino MargheritaPiccinelli ValeriaNasso FrancescoGioffrè VincenzaPasquale MariaSechi LeonardoCatena CristianaColussi GianlucaCavarape Alessandro Andea Da PortoPassariello NicolaRinaldi LucaBerti FrancoFamularo GiuseppeTarsitani PatriziaCastello RobertoPasino Michela Gian Paolo Ceda Marcello Giuseppe MaggioMorganti SimonettaArtoni AndreaGrossi Margherita Stefano Del GiaccoFirinu DavideCostanzo GiuliaArgiolas GiacomoMontalto GiuseppeLicata Anna Filippo Alessandro MontaltoCorica FrancescoBasile GiorgioCatalano AntoninoBellone FedericaPrincipato ConcettoMalatino LorenzoStancanelli BenedettaTerranova Valentina Salvatore Di Marca Rosario Di Quattro Lara La MalfaCaruso RossellaMecocci PatriziaRuggiero CarmelindaBoccardi VirginiaMeschi TizianaTicinesi AndreaNouvenne AntonioMinuz PietroFondrieschi Luigi Giandomenico Nigro ImperialePirisi Mario Gian Paolo FraSola DanieleBellan MattiaPorta MassimoRiva PieroQuadri RobertoLarovere EricaNovelli MarcoScanzi GiorgioMengoli CaterinaProvini StellaRicevuti LauraSimeone EmilioScurti RosaTolloso FabioTarquini RobertoValoriani AliceDolenti SilviaVannini GiuliaVolpi RiccardoBocchi PietroVignali AlessandroHarari SergioLonati ChiaraNapoli FedericoAiello ItaliaLandolfi RaffaeleMontalto MassimoMirijello AntonioPurrello Francesco Antonino Di PinoGhidoni SilviaSalvatore TeresaMonaco LucioRicozzi CarmenPilotto AlbertoIndiano IlariaGandolfo. Federicasubject
Leadership and Management1-year mortality cancer comorbidities diabetes heart rate in-hospital mortality male sex.Heart rateSocio-culturaleHealth InformaticscomorbiditiesArticleComorbiditiesHealth Information Managementdiabetes; comorbidities; heart rate; cancer; male sex; in-hospital mortality; 1-year mortalityheart ratecancer1-year mortality; Cancer; Comorbidities; Diabetes; Heart rate; In-hospital mortality; Male sexLS4_4Cancerdiabetesmale sexHealth PolicyDiabetesRMale sexIn-hospital mortality1-year mortalityMedicine1-year mortality Cancer Comorbidities Diabetes Heart rate In-hospital mortality Malein-hospital mortalitydescription
Background: Currently, diabetes represents the seventh leading cause of death worldwide, with a significant economic burden. The number and severity of comorbidities increase with age, and are identified as important determinants that influence the prognosis. We aimed to investigate comorbidities and outcomes in a cohort of hospitalized elderly patients affected by diabetes. Methods: In this observational study, we retrospectively analyzed data collected from the REgistro dei pazienti per lo studio delle POlipatologie e politerapie in reparti della rete Simi (RePoSi) registry. Socio-demographic, clinical characteristics, and laboratory findings were considered. The association between variables and in-hospital and 1-year follow-up were analyzed. Results: Among 4708 in-patients, 1378 (29.3%) had a diagnosis of diabetes. Patients with diabetes had more previous hospitalization, a clinically significant disability, and more need for a urinary catheter in comparison with subjects without diabetes. Patients affected by diabetes took more drugs, both at admission, at in-hospital stay, at discharge, and at 1-year follow-up. Thirty-five comorbidities were more frequent in patients with diabetes, and the first five were hypertension (57.1%), ischemic heart disease (31.4%), chronic renal failure (28.8%), atrial fibrillation (25.6%), and chronic obstructive pulmonary disease (22.7%). Heart rate was an independent predictor of in-hospital mortality. At 1-year follow-up, cancer and male sex were strongly independently associated with mortality. Conclusions: Our findings showed the severity of the impact of diabetes and its comorbidities in the real life of internal medicine and geriatric wards, and provide data to be used for a better tailored management of elderly in-patients with diabetes.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2022-01-03 |