Hospital admissions among people with diabetes: a systematic review.

Berhanu Elfu Feleke; Julian Sacre; Dunya Tomic; Quan Huynh; Jonathan E Shaw; Dianna J Magliano
Abstract
To describe the reasons for hospital admission among people with diabetes.We searched Emcare, Embase, Medline, and Google Scholar databases for population-based studies describing the causes of hospitalisation among people with diabetes. We included articles published in English from 1980 to 2022. For each study, we determined the most frequent reasons for admission. Studies were assessed for quality using the Newcastle Ottawa quality assessment tool.6920 research articles were retrieved from the search of all sources. After screening the titles and abstracts of these, we reviewed the full text of 135 papers and finally included data from 42 studies. Admissions among the total diabetes were reported in 25 papers: five articles reported type 1 diabetes alone, 10 articles reported type 2 diabetes alone, and the remaining two articles reported type 1 and type 2 diabetes separately. Among the 25 total and type 2 diabetes studies that reported the distribution of hospitalisations in broad categories, cardiovascular diseases (CVD) were the leading cause of admission in 19/25 (76%) of studies. Among the 19 studies that reported CVD admissions by subcategories, ischaemic or coronary heart disease was the leading subtype of CVD in 58% of studies. The other common causes of admissions were infections, renal disorders, endocrine, nutritional, metabolic and immunity disorders. In people with type 1 diabetes, acute diabetes complications were the leading cause of admission.CVD are the leading cause of hospital admission for people with diabetes, with ischaemic or coronary heart disease as the predominant subtype.
Journal DIABETIC MEDICINE : A JOURNAL OF THE BRITISH DIABETIC ASSOCIATION
ISSN 1464-5491
Published 09 Oct 2023
Volume
Issue
Pages e15236 e15236
DOI 10.1111/dme.15236
Type Journal Article | Review
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