Impact of Diabetes Mellitus and Its Comorbidities on Elderly Patients Hospitalized in Internal Medicine Wards: Data from the RePoSi Registry
| Title: | Impact of Diabetes Mellitus and Its Comorbidities on Elderly Patients Hospitalized in Internal Medicine Wards: Data from the RePoSi Registry |
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| Authors: | Argano, Christiano; Natoli, Giuseppe; Mularo, Salvatore; Nobili, Alessandro; Monaco, Marika Lo; Mannucci, Pier Mannuccio; Perticone, Francesco; Pietrangelo, Antonello; Corrao; SalvatorePrisco D; Silvestri E; Emmi G; Bettiol A; Caterina C; Biolo G; Zanetti M; Guadagni M; Zaccari M; Chiuch M; Vanoli M; Grignani G; Pulixi EA; Bernardi M; Bassi SL; Santi L; Zaccherini G; Lupattelli G; Mannarino E; Bianconi V; Paciullo F; Alcidi R; Nuti R; Valenti R; Ruvio M; Cappelli S; Palazzuoli A; Girelli D; Busti F; Marchi G; Barbagallo M; Dominguez L; Cocita F; Beneduce V; Plances L; Corrao S; Natoli G; Mularo S; Raspanti M; Cavallaro F; Zoli M; Lazzari I; Brunori M; Fabbri E; Magalotti D; Arnò R; Pasini FL; Capecchi PL; Palasciano G; Modeo ME; Di Gennaro C; Cappellini MD; Maira D; Di Stefano V; Fabio G; Seghezzi S; Mancarella M; De Amicis MM; De Luca G; Scaramellini N; Cesari M; Rossi PD; Damanti S; Clerici M; Conti F; Bonini G; Ottolini BB; Di Sabatino A; Miceli E; Lenti MV; Pisati M; Dominioni CC; Murialdo G; Marra A; Cattaneo F; Pontremoli R; Beccati V; Nobili G; Secchi MB; Ghelfi D; Anastasio L; Sofia L; Carbone M; Cipollone F; Guagnano MT; Valeriani E; Rossi I; Mancuso G; Calipari D; Bartone M; Delitala G; Berria M; Pes C; Delitala A; Muscaritoli M; Molfino A; Petrillo E; Zuccalà G; D'Aurizio G; Romanelli G; Marengoni A; Zucchelli A; Manzoni F; Volpini A; Picardi A; Gentilucci UV; Gallo P; Dell'Unto C; Annoni G; Corsi M; Bellelli G; Zazzetta S; Mazzola P; Szabo H; Bonfanti A; Arturi F; Succurro E; Rubino M; Tassone B; Sesti G; Serra MG; Bleve MA; Gasbarrone L; Sajeva MR; Brucato A; Ghidoni S; Fabris F; Bertozzi I; Bogoni G; Rabuini MV; Cosi E; Scarinzi P; Amabile A; Omenetto E; Prandini T; Manfredini R; Fabbian F; Boari B; De Giorgi A; Tiseo R; De Giorgio R; Paolisso G; Rizzo MR; Borghi C; Strocchi E; Ianniello E; Soldati M; Sabbà C; Vella FS; Suppressa P; Agosti P; Schilardi A; Loparco F; De Vincenzo GM; Comitangelo A; Amoruso E; Fenoglio L; Falcetta A; Bracco C; Fracanzani Silvia Fargion AL; Tiraboschi S; Cespiati A; Oberti G; Sigon G; Peyvandi F; Rossio R; Ferrari B; Colombo G; Monzani V; Savojardo V; Folli C; Ceriani G; Salerno F; Pallini G; Dallegri F; Ottonello L; Liberale L; Caserza L; Salam K; Liberato NL; Tognin T; Bianchi GB; Giaquinto S; Purrello F; Di Pino A; Piro S; Rozzini R; Falanga L; Spazzini E; Ferrandina C; Montrucchio G; Petitti P; Peasso P; Favale E; Poletto C; Salmi R; Gaudenzi P; Violi F; Perri L; Landolfi R; Montalto M; Mirijello A; Guasti L; Castiglioni L; Maresca A; Squizzato A; Campiotti L; Grossi A; Bertolotti M; Mussi C; Lancellotti G; Libbra MV; Dondi G; Pellegrini E; Carulli L; Galassi M; Grassi Y; Perticone F; Perticone M; Battaglia R; FIlice M; Maio R; Stanghellini V; Ruggeri E; Del Vecchio S; Salvi A; Leonardi R; Damiani G; Capeci W; Gabrielli A; Mattioli M; Martino GP; Biondi L; Pettinari P; Ghio R; Col AD; Minisola S; Colangelo L; Cilli M; Labbadia G; Afeltra A; Marigliano B; Pipita ME; Castellino P; Zanoli L; Pignataro S; Gennaro A; Blanco J; Saracco V; Fogliati M; Bussolino C; Mete F; Gino M; Cittadini A; Vigorito C; Arcopinto M; Salzano A; Bobbio E; Marra AM; Sirico D; Moreo G; Gasparini F; Prolo S; Pina G; Ballestrero A; Ferrando F; Berra S; Dassi S; Nava MC; Graziella B; Baldassarre S; Fragapani S; Gruden G; Galanti G; Mascherini G; Petri C; Stefani L; Girino M; Piccinelli V; Nasso F; Gioffrè V; Pasquale M; Scattolin G; Martinelli S; Turrin M; Sechi L; Catena C; Colussi G; Passariello N; Rinaldi L; Berti F; Famularo G; Tarsitani P; Castello R; Pasino M; Ceda GP; Maggio MG; Morganti S; Artoni A; Del Giacco S; Firinu D; Losa F; Paoletti G; Costanzo G; Montalto G; Licata A; Malerba V; Montalto FA; Lasco A; Basile G; Catalano A; Malatino L; Stancanelli B; Terranova V; Di Marca S; Di Quattro R; La Malfa L; Caruso R; Mecocci P; Ruggiero C; Boccardi V; Meschi T; Lauretani F; Ticinesi A; Nouvenne A; Minuz P; Fondrieschi L; Pirisi M; Fra GP; Sola D; Porta M; Riva P; Quadri R; Larovere E; Novelli M; Scanzi G; Mengoli C; Provini S; Ricevuti L; Simeone E; Scurti R; Tolloso F; Tarquini R; Valoriani A; Dolenti S; Vannini G; Tedeschi A; Trotta L; Volpi R; Bocchi P; Vignali A; Harari S; Lonati C; Cattaneo M; Napoli F. |
| Contributors: | Argano, Christiano; Natoli, Giuseppe; Mularo, Salvatore; Nobili, Alessandro; Monaco, Marika Lo; Mannucci, Pier Mannuccio; Perticone, Francesco; Pietrangelo, Antonello; Corrao; Salvatoreprisco, D; Silvestri, E; Emmi, G; Bettiol, A; Caterina, C; Biolo, G; Zanetti, M; Guadagni, M; Zaccari, M; Chiuch, M; Vanoli, M; Grignani, G; Pulixi, Ea; Bernardi, M; Bassi, Sl; Santi, L; Zaccherini, G; Lupattelli, G; Mannarino, E; Bianconi, V; Paciullo, F; Alcidi, R; Nuti, R; Valenti, R; Ruvio, M; Cappelli, S; Palazzuoli, A; Girelli, D; Busti, F; Marchi, G; Barbagallo, M; Dominguez, L; Cocita, F; Beneduce, V; Plances, L; Corrao, S; Natoli, G; Mularo, S; Raspanti, M; Cavallaro, F; Zoli, M; Lazzari, I; Brunori, M; Fabbri, E; Magalotti, D; Arnò, R; Pasini, Fl; Capecchi, Pl; Palasciano, G; Modeo, Me; Di Gennaro, C; Cappellini, Md; Maira, D; Di Stefano, V; Fabio, G; Seghezzi, S; Mancarella, M; De Amicis, Mm; De Luca, G; Scaramellini, N; Cesari, M; Rossi, Pd; Damanti, S; Clerici, M; Conti, F; Bonini, G; Ottolini, Bb; Di Sabatino, A; Miceli, E; Lenti, Mv; Pisati, M; Dominioni, Cc; Murialdo, G; Marra, A; Cattaneo, F; Pontremoli, R; Beccati, V; Nobili, G; Secchi, Mb; Ghelfi, D; Anastasio, L; Sofia, L; Carbone, M; Cipollone, F; Guagnano, Mt; Valeriani, E; Rossi, I; Mancuso, G; Calipari, D; Bartone, M |
| Publication Year: | 2022 |
| Collection: | ARUd'A - Archivio Istituzionale della ricerca dell'università Chieti-Pescara (IRIS) |
| Subject Terms: | 1-year mortality; cancer; comorbiditie; diabete; heart rate; in-hospital mortality; male sex |
| Description: | 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. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/35052252; info:eu-repo/semantics/altIdentifier/wos/WOS:000756915700001; volume:10; issue:1; journal:HEALTHCARE; https://hdl.handle.net/11564/826831 |
| DOI: | 10.3390/healthcare10010086 |
| Availability: | https://hdl.handle.net/11564/826831; https://doi.org/10.3390/healthcare10010086 |
| Accession Number: | edsbas.BA85D863 |
| Database: | BASE |