Patients with type 1 diabetes with cardiac issues face greater hospital risks and costs

Patients with Type 1 diabetes mellitus (T1DM) who also have cardiac and cerebrovascular diseases (CCD) face significantly higher risks of in-hospital mortality and incur substantially higher healthcare costs compared to those without these complications, according to a study.

Analyzing data from the US National Inpatient Sample between 2016 and 2019, researchers found that T1DM patients with CCD face notably higher risks of in-hospital mortality and increased healthcare costs compared to those without these complications.

The study, utilizing data from the US National Inpatient Sample between 2016 and 2019, included 59,860 patients with T1DM diagnosed with CCD and 1,382,934 without. Patients with CCD had a median hospital stay of 4.6 days, compared to 3 days for those without CCD. The in-hospital mortality rate for patients with T1DM with CCD was significantly higher at 4.1%, compared to 1.1% for those without CCD.

The financial burden of CCD on T1DM patients is also substantial. The study estimated that the total healthcare cost for patients with T1DM with CCD reached approximately $326 million. Specific conditions such as intracranial hemorrhage, pulmonary embolism, and acute myocardial infarction were associated with the highest odds of mortality.

Reference

Kwok CS, Qureshi AI, Phillips A, et al. The Burden of Inpatient Hospitalizations with Cardiac and Cerebrovascular Diseases in Patients with Type 1 Diabetes: Insights from the National Inpatient Sample in the US. Diagnostics (Basel). 2024;14(15):1607. doi: 10.3390/diagnostics14151607. PMID: 39125484; PMCID: PMC11311567.