Diabetes mellitus increases mortality in acute pyelonephritis patients: a population study based on the National Health Insurance Claim Data of South Korea for 2010-2014
DC Field | Value | Language |
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dc.contributor.author | Kim, Bongyoung | - |
dc.contributor.author | Myung, Rangmi | - |
dc.contributor.author | Kim, Gheun-Ho | - |
dc.contributor.author | Lee, Myoung-Jae | - |
dc.contributor.author | Kim, Jieun | - |
dc.contributor.author | Pai, Hyunjoo | - |
dc.date.accessioned | 2021-08-30T22:25:57Z | - |
dc.date.available | 2021-08-30T22:25:57Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-06 | - |
dc.identifier.issn | 0300-8126 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/55547 | - |
dc.description.abstract | Objective Diabetes mellitus has been suspected to increase mortality in acute pyelonephritis (APN) patients and the goal of this study is to verify this suspicion with a large data set based on almost the entire population of South Korea. Methods A nationwide cohort study was conducted using a South Korean Health Insurance Review and Assessment Service claim database. We collected demographic and clinical information including comorbidities of patients with APN as the primary discharge diagnosis during 2010-2014. Then we compared the in-hospital mortality and recurrence of APN across the diabetes and non-diabetes groups. Results Among 845,656 APN patients, 12.4% had diabetes mellitus. The median age was 65 in the diabetes group, which was much higher than 47 in the non-diabetes group; the female proportion was 91-92% in both groups. The in-hospital mortality rate was higher in the diabetes group (2.6/1000 events in the diabetes group vs. 0.3/1000 in the non-diabetes group, P < 0.001). When covariates (age, sex, and the modified Charlson comorbidity index) were controlled with panel logistic regression, diabetes was still associated with a higher in-hospital mortality in APN patients (OR 2.66, 95% CI 2.19-3.23). The increasing effect of diabetes on in-hospital mortality of APN patients varied greatly with age: the effect was large for age 15-49 (OR 15.06, 95% CI 5.27-43.05), slightly smaller for age 50-64 (OR 12.17, 95% CI 5.71-25.92), and much smaller for age >= 65 (OR 2.10, 95% CI 1.72-1.92). Conclusions Our data indicate that the mortality of APN is higher in the patients with diabetes and this effect becomes stronger for young patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER HEIDELBERG | - |
dc.subject | URINARY-TRACT-INFECTIONS | - |
dc.subject | RISK | - |
dc.subject | EPIDEMIOLOGY | - |
dc.subject | WOMEN | - |
dc.title | Diabetes mellitus increases mortality in acute pyelonephritis patients: a population study based on the National Health Insurance Claim Data of South Korea for 2010-2014 | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Myoung-Jae | - |
dc.identifier.doi | 10.1007/s15010-020-01419-2 | - |
dc.identifier.scopusid | 2-s2.0-85083861990 | - |
dc.identifier.wosid | 000536368100014 | - |
dc.identifier.bibliographicCitation | INFECTION, v.48, no.3, pp.435 - 443 | - |
dc.relation.isPartOf | INFECTION | - |
dc.citation.title | INFECTION | - |
dc.citation.volume | 48 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 435 | - |
dc.citation.endPage | 443 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Infectious Diseases | - |
dc.relation.journalWebOfScienceCategory | Infectious Diseases | - |
dc.subject.keywordPlus | URINARY-TRACT-INFECTIONS | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | EPIDEMIOLOGY | - |
dc.subject.keywordPlus | WOMEN | - |
dc.subject.keywordAuthor | Diabetes | - |
dc.subject.keywordAuthor | Pyelonephritis | - |
dc.subject.keywordAuthor | Mortality | - |
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