The impact of insurance status on in-hospital mortality in patients with hyperglycaemic crisis: A propensity score matching analysis

作者全名："Chen, Zhen; Zhao, Xu; He, Rui; Li, Hong; Fu, Shimin; Zhang, Kebiao; Gu, Manping; Zhou, Sumei"

作者地址："[Chen, Zhen; Zhao, Xu; He, Rui; Li, Hong; Fu, Shimin; Zhang, Kebiao; Gu, Manping; Zhou, Sumei] Chongqing Med Univ, Dept Emergency, Affiliated Hosp 1, Chongqing 400016, Peoples R China"

通信作者："Zhou, SM (通讯作者)，Chongqing Med Univ, Dept Emergency, Affiliated Hosp 1, Chongqing 400016, Peoples R China."

来源：JOURNAL OF EVALUATION IN CLINICAL PRACTICE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001050889300001

JCR分区：Q2

影响因子：2.1

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：diabetes; hyperglycaemic crisis; insurance; mortality; propensity score matching

摘要："AimThis study was designed to determine the associations between insurance status and clinical outcomes among patients with hyperglycaemic crisis. MethodsOverall, 1668 patients with hyperglycaemic crisis were recruited from the Chongqing Medical University Medical Data Science Academy's big data platform. In-hospital mortality, length of stay and complications (i.e., hypoglycaemia, hypokalemia, pulmonary infection, multiple systemic organ failure, acute kidney injury and deep venous thrombosis) were assessed. Propensity score matching analysis was used to reduce the confounding bias, and univariate and multivariate logistic regression were used to estimate the effect of insurance status on mortality in patients with hyperglycaemic crisis. ResultsAfter matching one uninsured patient to two insured patients with a calliper of 0.02, the uninsured group suffered a higher burden of in-hospital mortality than the insured group (16.9% vs. 9.8%); the insured status (odds ratio = 0.216, 95% confidence interval = 0.079-0.587) was a potential protect factor for in-hospital mortality of patients with hyperglycaemic crisis in the multivariate logistic regression analysis. ConclusionsInsurance status is associated with the outcomes of hospitalisation for hyperglycaemic crisis; uninsured patients with hyperglycaemic crisis face a higher risk of mortality in China."

基金机构：Intelligent Medicine Research Project of Chongqing Medical University [ZHYX202119]; Medical Research and Cultivation Fund of The First Affiliated Hospital of Chongqing Medical University [PYJJ2022-13]

基金资助正文："Intelligent Medicine Research Project of Chongqing Medical University, Grant/Award Number: ZHYX202119; Medical Research and Cultivation Fund of The First Affiliated Hospital of Chongqing Medical University, Grant/Award Number: PYJJ2022-13"