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Auzanneau, M.* ; Eckert, A.J.* ; Fritsche, A. ; Heni, M. ; Icks, A.* ; Mueller-Stierlin, A.* ; Dugic, A.* ; Risse, A.* ; Lanzinger, S.* ; Holl, R.W.*

Diabetes in all hospitalized cases in Germany 2015-2019 and impact of the first COVID-19 year 2020.

Endocr. Connect. 12:8 (2023)

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OBJECTIVE: To analyze the proportion of diabetes among all hospitalized cases in Germany between 2015 and 2020. METHODS: Using the nationwide Diagnosis-Related-Groups statistics, we identified among all inpatient cases aged ≥ 20 years all types of diabetes in the main or secondary diagnoses based on ICD-10 codes, as well all COVID-19 diagnoses for 2020. RESULTS: From 2015 to 2019, the proportion of cases with diabetes among all hospitalizations increased from 18.3% (3.01 of 16.45 million) to 18.5% (3.07 of 16.64 million). Although the total number of hospitalizations decreased in 2020, the proportion of cases with diabetes increased to 18.8% (2.73 of 14.50 million). The proportion of COVID-19 diagnosis was higher in cases with diabetes than in those without in all sex and age subgroups. The relative risk (RR) for a COVID-19 diagnosis in cases with vs. without diabetes was highest in age group 40-49 years (RR in females: 1.51; in males:1.41). CONCLUSIONS: The prevalence of diabetes in the hospital is twice as high as the prevalence in the general population and has increased further with the COVID-19 pandemic, underscoring the increased morbidity in this high-risk patient group. This study provides essential information that should help to better estimate the need for diabetological expertise in inpatient care settings.

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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords Covid-19 ; Diabetes ; Drg ; Hospitalization ; Inpatient Care ; Trend

ISSN (print) / ISBN 2049-3614

e-ISSN 2049-3614

Journal Endocrine Connections

Quellenangaben Volume: 12, Issue: 4, Article Number: 8

Publisher BioScientifica

Publishing Place Bristol

Non-patent literature Publications

Institute(s) Institute of Diabetes Research and Metabolic Diseases (IDM)

Grants University of Tuebingen
German Center for Diabetes Research (DZD, Deutsches Zentrum fur Diabetesforschung)
Robert Koch Institute (RKI)
German Diabetes Association (DDG, Deutsche Diabetes Gesellschaft)