PMID- 30891156
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220409
IS  - 1948-9358 (Print)
IS  - 1948-9358 (Electronic)
IS  - 1948-9358 (Linking)
VI  - 10
IP  - 3
DP  - 2019 Mar 15
TI  - Prevalence and associated factors of hospitalization for dysglycemia among 
      elderly type 2 diabetes patients: A nationwide study.
PG  - 212-223
LID - 10.4239/wjd.v10.i3.212 [doi]
AB  - BACKGROUND: The prevalence of older individuals with type 2 diabetes mellitus 
      (T2DM) is increasing due to the aging population and improved medical care. These 
      patients are very susceptible to disease and treatment-related hospitalizations, 
      resulting in higher health care costs, morbidity, and decreased quality of life. 
      However, data of treatment-related complications, especially dysglycemia-related 
      hospitalizations, are lacking. AIM: To assess the prevalence and associated 
      factors for dysglycemia-related hospitalizations among elderly diabetic patients 
      in Thailand using nationwide patient sample. METHODS: T2DM patients aged >/= 65 
      years who received medical care at public hospitals in Thailand in the year 2014 
      were included. The prevalence of hospitalization due to dysglycemia within one 
      year was examined. Multivariable logistic regression was performed to assess the 
      independent factors associated with hospitalization due to hypoglycemia and 
      hyperglycemia. RESULTS: A total of 11404 elderly T2DM patients were enrolled in 
      this study. The mean age was 72.9 +/- 5.5 years. The prevalence of hospital 
      admissions due to diabetic ketoacidosis, hyperosmolar hyperglycemic state, 
      hyperglycemic dehydration syndrome, and hypoglycemia among elderly T2DM patients 
      in the year 2014 was 0.1%, 0.1%, 1.7% and 3.1%, respectively. Increased 
      hospitalization due to hypoglycemia was associated with older age, female sex, 
      had hypertension, dementia, lower body mass index, elevated hemoglobin A1C 
      (HbA1C), decreased kidney function, insulin use. Increased hospitalization due to 
      hyperglycemia was associated with dementia, depression, lower body mass index, 
      elevated HbA1C, and insulin use. CONCLUSION: The prevalence of 
      dysglycemia-related hospitalization in elderly T2DM patients in Thailand was 
      4.9%. Close monitoring of blood glucose should be provided in high-risk patients 
      for prevention and early detection for these complications.
FAU - Kaewput, Wisit
AU  - Kaewput W
AD  - Department of Military and Community Medicine, Phramongkutklao College of 
      Medicine, Bangkok 10400, Thailand. wisitnephro@gmail.com.
FAU - Thongprayoon, Charat
AU  - Thongprayoon C
AD  - Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, 
      Rochester, MN 55905, United States.
FAU - Varothai, Narittaya
AU  - Varothai N
AD  - Division of Geriatrics, Department of Medicine, Phramongkutklao Hospital and 
      College of Medicine, Bangkok 10400, Thailand.
FAU - Sirirungreung, Anupong
AU  - Sirirungreung A
AD  - Department of Epidemiology, Fielding School of Public Health, University of 
      California, Los Angeles, CA 90095, United States.
FAU - Rangsin, Ram
AU  - Rangsin R
AD  - Department of Military and Community Medicine, Phramongkutklao College of 
      Medicine, Bangkok 10400, Thailand.
FAU - Bathini, Tarun
AU  - Bathini T
AD  - Department of Internal Medicine, University of Arizona, Tucson, AZ 85721, United 
      States.
FAU - Mao, Michael A
AU  - Mao MA
AD  - Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, 
      Rochester, MN 55905, United States.
FAU - Cheungpasitporn, Wisit
AU  - Cheungpasitporn W
AD  - Division of Nephrology, Department of Medicine, University of Mississippi Medical 
      Center, Jackson, MS 39216, United States.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Diabetes
JT  - World journal of diabetes
JID - 101547524
PMC - PMC6422861
OTO - NOTNLM
OT  - Diabetes in elderly
OT  - Dysglycemia
OT  - Hospitalization
OT  - Hyperglycemia
OT  - Hypoglycemia
OT  - Type 2 diabetes mellitus
COIS- Conflict-of-interest statement: The authors deny any conflict of interest.
EDAT- 2019/03/21 06:00
MHDA- 2019/03/21 06:01
PMCR- 2019/03/15
CRDT- 2019/03/21 06:00
PHST- 2019/02/14 00:00 [received]
PHST- 2019/03/06 00:00 [revised]
PHST- 2019/03/11 00:00 [accepted]
PHST- 2019/03/21 06:00 [entrez]
PHST- 2019/03/21 06:00 [pubmed]
PHST- 2019/03/21 06:01 [medline]
PHST- 2019/03/15 00:00 [pmc-release]
AID - 10.4239/wjd.v10.i3.212 [doi]
PST - ppublish
SO  - World J Diabetes. 2019 Mar 15;10(3):212-223. doi: 10.4239/wjd.v10.i3.212.