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Article

Hospitalization for Short-Term Diabetes-Related Complications: Focus on Patients Aged over 85 Years

1
Department of Medicine and Ageing Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
2
Department of Pharmacy, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
3
School of Hygiene and Preventive Medicine, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
4
Department of Infectious Diseases and Public Health, “La Sapienza” University of Rome, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Christiano Argano
Healthcare 2021, 9(4), 460; https://doi.org/10.3390/healthcare9040460
Received: 14 March 2021 / Revised: 10 April 2021 / Accepted: 11 April 2021 / Published: 14 April 2021
(This article belongs to the Special Issue Diabetes and Comorbidities)
(1) Background: The prevalence of diabetes in elderly people is frequently high. When occurring in the elderly, diabetes is often accompanied by complications and comorbidities, at least one in 60% and four or more in 40% of older people with diabetes. As far as short-term complications among the elderly are concerned, hypoglycemia and hyperglycemic crises prove to be frequent. The aim of this study was to investigate the difference in hospitalization for short-term diabetes complications in patients below and over 85 years of age. (2) Methods: Data were collected from hospital discharge records (HDRs) of all hospital admissions that occurred in Abruzzo Region, Italy, from 2006 to 2015. Only diabetic patients aged over 65 years were included. Outcomes included were diabetic ketoacidosis, hyperosmolar coma, hypoglycemic shock, iatrogenic hypoglycemic coma, and other diabetic comas. (3) Results: During the study period, 144,376 admissions were collected, 116,305 (80.56%) of which referred to patients below 85 years. Those aged over 85 years were significantly associated to all short-term diabetes-related complications with the exception of ketoacidosis. (4) Conclusions: In older diabetic patients, the avoidance of short-term diabetes complications are a greater concern than in younger patients. Diabetes management among very elderly patients should be tailored accordingly to patient characteristics. View Full-Text
Keywords: short-term diabetes complications; diabetes; elderly; hospitalization; epidemiology short-term diabetes complications; diabetes; elderly; hospitalization; epidemiology
MDPI and ACS Style

Di Martino, G.; Di Giovanni, P.; Cedrone, F.; Meo, F.; Scampoli, P.; Romano, F.; Staniscia, T. Hospitalization for Short-Term Diabetes-Related Complications: Focus on Patients Aged over 85 Years. Healthcare 2021, 9, 460. https://doi.org/10.3390/healthcare9040460

AMA Style

Di Martino G, Di Giovanni P, Cedrone F, Meo F, Scampoli P, Romano F, Staniscia T. Hospitalization for Short-Term Diabetes-Related Complications: Focus on Patients Aged over 85 Years. Healthcare. 2021; 9(4):460. https://doi.org/10.3390/healthcare9040460

Chicago/Turabian Style

Di Martino, Giuseppe, Pamela Di Giovanni, Fabrizio Cedrone, Francesca Meo, Piera Scampoli, Ferdinando Romano, and Tommaso Staniscia. 2021. "Hospitalization for Short-Term Diabetes-Related Complications: Focus on Patients Aged over 85 Years" Healthcare 9, no. 4: 460. https://doi.org/10.3390/healthcare9040460

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