The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery

Chun-ming Ma, Qin Liu, Ming-li Li, Mei-jing Ji, Jian-dong Zhang, Bo-hua Zhang, Fu-Zai Yin Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, People’s Republic of ChinaCorrespondence: Fu-Zai YinDepartment of Endocrinology, The First Hospital of Qinhua...

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Autores principales:	Ma C, Liu Q, Li M, Ji M, Zhang J, Zhang B, Yin FZ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	type 2 diabetes；postoperative pneumonia；mortality. Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/16d357afa41f436fac6e0fe51768c524
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spelling	oai:doaj.org-article:16d357afa41f436fac6e0fe51768c5242021-12-02T02:01:07ZThe Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery1178-7007https://doaj.org/article/16d357afa41f436fac6e0fe51768c5242019-11-01T00:00:00Zhttps://www.dovepress.com/the-effects-of-type-2-diabetes-and-postoperative-pneumonia-on-the-mort-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Chun-ming Ma, Qin Liu, Ming-li Li, Mei-jing Ji, Jian-dong Zhang, Bo-hua Zhang, Fu-Zai Yin Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, People’s Republic of ChinaCorrespondence: Fu-Zai YinDepartment of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, People’s Republic of ChinaTel +86-335-5908368Fax +86-335-3032042Email yinfuzai62@163.comObjective: The aim of the study was to explore the relationship between type 2 diabetes (T2DM) and postoperative pneumonia, and the effects of T2DM and postoperative pneumonia on the mortality in inpatients with surgery.Methods: A retrospective study was conducted on 43,174 inpatients with surgery in The First Hospital of Qinhuangdao. These patients were divided into four groups according to T2DM and postoperative pneumonia, Group A subjects without T2DM and postoperative pneumonia, Group B subjects with T2DM only, Group C subjects with postoperative pneumonia only and Group D subjects with T2DM and postoperative pneumonia. In-hospital mortality was collected.Results: The incidences of postoperative pneumonia were higher in patients with T2DM than patients without T2DM (T2DM 3.2% vs Non-diabetes 1.7%, χ2=36.219, P<0.001). The mortalities were 0.3% in Group A, 0.3% in Group B, 4.6% in Group C and 8.6% in Group D. In multiple logistic regression analysis, adjusted for sex, age, emergency admissions, coronary heart disease, heart failure, chronic kidney disease, hypoproteinemia, stroke and transient ischemic attack, the mortalities of Group C and Group D were 4.515 (95% CI: 2.779～7.336, P<0.001) times and 8.468 (95% CI: 3.567～20.099, P<0.001) times than the mortality of Group A.Conclusion: T2DM is susceptible to postoperative pneumonia. The mortality increased in patients with postoperative pneumonia. When patients with T2DM and postoperative pneumonia at the same time, the mortality increased further. In T2DM patients with postoperative pneumonia, perioperative management should be improved for patient safety.Keywords: type 2 diabetes, postoperative pneumonia, mortalityMa CLiu QLi MJi MZhang JZhang BYin FZDove Medical Pressarticletype 2 diabetes；postoperative pneumonia；mortality.Specialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 2507-2513 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 2 diabetes；postoperative pneumonia；mortality. Specialties of internal medicine RC581-951
spellingShingle	type 2 diabetes；postoperative pneumonia；mortality. Specialties of internal medicine RC581-951 Ma C Liu Q Li M Ji M Zhang J Zhang B Yin FZ The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery
description	Chun-ming Ma, Qin Liu, Ming-li Li, Mei-jing Ji, Jian-dong Zhang, Bo-hua Zhang, Fu-Zai Yin Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, People’s Republic of ChinaCorrespondence: Fu-Zai YinDepartment of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei 066000, People’s Republic of ChinaTel +86-335-5908368Fax +86-335-3032042Email yinfuzai62@163.comObjective: The aim of the study was to explore the relationship between type 2 diabetes (T2DM) and postoperative pneumonia, and the effects of T2DM and postoperative pneumonia on the mortality in inpatients with surgery.Methods: A retrospective study was conducted on 43,174 inpatients with surgery in The First Hospital of Qinhuangdao. These patients were divided into four groups according to T2DM and postoperative pneumonia, Group A subjects without T2DM and postoperative pneumonia, Group B subjects with T2DM only, Group C subjects with postoperative pneumonia only and Group D subjects with T2DM and postoperative pneumonia. In-hospital mortality was collected.Results: The incidences of postoperative pneumonia were higher in patients with T2DM than patients without T2DM (T2DM 3.2% vs Non-diabetes 1.7%, χ2=36.219, P<0.001). The mortalities were 0.3% in Group A, 0.3% in Group B, 4.6% in Group C and 8.6% in Group D. In multiple logistic regression analysis, adjusted for sex, age, emergency admissions, coronary heart disease, heart failure, chronic kidney disease, hypoproteinemia, stroke and transient ischemic attack, the mortalities of Group C and Group D were 4.515 (95% CI: 2.779～7.336, P<0.001) times and 8.468 (95% CI: 3.567～20.099, P<0.001) times than the mortality of Group A.Conclusion: T2DM is susceptible to postoperative pneumonia. The mortality increased in patients with postoperative pneumonia. When patients with T2DM and postoperative pneumonia at the same time, the mortality increased further. In T2DM patients with postoperative pneumonia, perioperative management should be improved for patient safety.Keywords: type 2 diabetes, postoperative pneumonia, mortality
format	article
author	Ma C Liu Q Li M Ji M Zhang J Zhang B Yin FZ
author_facet	Ma C Liu Q Li M Ji M Zhang J Zhang B Yin FZ
author_sort	Ma C
title	The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery
title_short	The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery
title_full	The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery
title_fullStr	The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery
title_full_unstemmed	The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery
title_sort	effects of type 2 diabetes and postoperative pneumonia on the mortality in inpatients with surgery
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/16d357afa41f436fac6e0fe51768c524
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The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery

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