Behind the Hospital Ward
In-Hospital Mortality of Type 2 Diabetes Mellitus Patients in Indonesia (Analysis of National Health Insurance Claim Sample Data)
Bibliographic Data
| ID | 15466548 |
|---|---|
| Authors | Ede Surya Darmawan (0000-0002-7250-6727, University of Indonesia, corresponding author), Vetty Yulianty Permanasari (University of Indonesia), Latin Vania Nisrina (University of Indonesia), Dian Kusuma (0000-0002-1909-9341, City, University of London), Syarif Rahman Hasibuan (0009-0007-1354-2748, University of Indonesia), Nisrina Widyasanti (0009-0001-6598-291X, University of Indonesia) |
| Year | 2024 |
| Volume | 21 |
| Issue | 5 |
| Pages | 581-581 |
| Publication date | 2024-05-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph21050581 |
| PMID | 38791795 |
| OpenAlex | W4396547306 |
| Language | EN |
| Citations received | 1 |
| References cited | 30 |
The rising global prevalence of diabetes mellitus, a chronic metabolic disorder, poses significant challenges to healthcare systems worldwide. This study examined in-hospital mortality among patients diagnosed with non-insulin-dependent diabetes mellitus (NIDDM) of ICD-10, or Type 2 Diabetes Mellitus (T2DM), in Indonesia, utilizing hospital claims data spanning from 2017 to 2022 obtained from the Indonesia Health Social Security Agency or Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. The analysis, which included 610,809 hospitalized T2DM patients, revealed an in-hospital mortality rate of 6.6%. Factors contributing to an elevated risk of mortality included advanced age, the presence of comorbidities, and severe complications. Additionally, patients receiving health subsidies and those treated in government hospitals were found to have higher mortality risks. Geographic disparities were observed, highlighting variations in healthcare outcomes across different regions. Notably, the complication of ketoacidosis emerged as the most significant risk factor for in-hospital mortality, with an odds ratio (OR) of 10.86, underscoring the critical need for prompt intervention and thorough management of complications to improve patient outcomes
Diabetes mellitus · Diabetic ketoacidosis · Health care · Mortality rate · Odds ratio · Type 2 Diabetes Mellitus · Chronic Disease Management Strategies · Diabetes and associated disorders · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Emergency Medicine · Internal Medicine
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |