Most Read Articles
Tee Hoi Poh, 26 Sep 2018
Stool-based colorectal cancer (CRC) screening should be the preferred method of CRC screening in Malaysia, according to Dato Dr Muhammad Radzi Abu Hassan, the Head of Gastroenterology Services in Ministry of Health, Malaysia, who presented the Malaysian experience on CRC screening at the Annual Scientific Meeting of the Society of Gastroenterology and Hepatology (GUT) 2018 held recently in Penang.
Jackey Suen, 26 Nov 2018

Linagliptin has no impact on cognitive decline when given on top of standard of care in patients with type 2 diabetes mellitus (T2DM), a CARMELINA substudy has shown.

Diabetes mellitus ups risk of hospital-acquired infections in burn injury patients

09 Mar 2018

In patients admitted for burn injuries, diabetes mellitus (DM) significantly increases the risk of hospital-acquired infections (HAI) but does not seem to affect the risk of mortality, a recent study has shown.

The study included 5,539 adult patients who were admitted to a hospital for burn injuries and whose records were accessed to identify DM cases. Kaplan-Meier survival curves were used to determine the risk of 30- and 60-day mortality and HAIs.

The percentage of participants who were diagnosed with DM was 11.8 percent (n=655), which grew significantly over time (p=0.01). Contact burns (8.9 percent vs 4.7 percent; p0.0001) and inhalational injuries (11.0 percent vs 8.1 percent; p=0.01) were significantly more common in diabetics vs nondiabetics.

There were 4,426 patients (79.9 percent) who were hospitalized for at least 2 days and were at risk of infection, of whom 8.5 percent (n=378) developed at least one HAI. Significantly more diabetic patients developed at least one HAI (9.9 percent vs 6.4 percent; p=0.0008), but the overall number of infections was statistically similar between the two patient groups (p=0.96).

After adjusting for hospitalization length and other potential confounders, patients with DM were significantly more likely to get an HAI vs those without DM (risk ratio, 2.07; 95 percent CI, 1.28–6.79).

In contrast, even after complete adjustments, 30- and 60-day mortality rates were comparable between burn patients with and without DM. The risks of mortality after 30 and 60 days were similar between patient groups. There were 243 in-hospital deaths recorded.

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Most Read Articles
Tee Hoi Poh, 26 Sep 2018
Stool-based colorectal cancer (CRC) screening should be the preferred method of CRC screening in Malaysia, according to Dato Dr Muhammad Radzi Abu Hassan, the Head of Gastroenterology Services in Ministry of Health, Malaysia, who presented the Malaysian experience on CRC screening at the Annual Scientific Meeting of the Society of Gastroenterology and Hepatology (GUT) 2018 held recently in Penang.
Jackey Suen, 26 Nov 2018

Linagliptin has no impact on cognitive decline when given on top of standard of care in patients with type 2 diabetes mellitus (T2DM), a CARMELINA substudy has shown.