Hospitalisation with community-acquired pneumonia among patients with type 2 diabetes: an observational population-based study in Spain from 2004 to 2013

López‐de‐Andrés, Ana; Miguel-Díez, Javier de; Jiménez‐Trujillo, Isabel; Hernández-Barrera, Valentín; Miguel‐Yanes, José M. de; Méndez‐Bailón, Manuel; Pérez-Farinós, Napoleón; Salinero-Fort, Miguel Á.; Jiménez-García, Rodrigo

doi:10.1136/bmjopen-2016-013097

Cited by 35 publications

(44 citation statements)

References 35 publications

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“…Although 83% of interviewees were aware that sepsis is a severe condition requiring urgent medical assistance, they underestimated its mortality, with 50% responding that mortality due to acute myocardial infarction is higher than that due to sepsis. As for vaccination, only 17% of the participants were aware that it reduces the risk of sepsis [9]. This latter finding corroborates those of previous studies which reported that the perception of the severity of pneumonia was associated with receiving vaccination, especially amongst elderly persons [29][30][31].…”

Section: Cap Affects Everyone: Why Do We Not Recognize the Threat?supporting

confidence: 88%

“…The incidence increased in both sexes (from 2.08 to 2.27 in males and from 0.92 to 1.16 in females) and in the older age groups (from 10.06 to 11.00 in the 75-84 year group, and from 2.11 to 25.84 in the ≥85 year group) [7]. Interestingly, two recent studies showed an increase in the incidence of CAP in COPD patients (from 13.44 per 1000 persons/year in 2004-2005 to 16.40 cases in 2012-2013) and in patients with diabetes (from 8.14 per 1000 persons/year in 2004 to 9.23 cases in 2013); COPD and diabetes are both important and frequent comorbidities in CAP patients [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Defining Community-Acquired Pneumonia as a Public Health Threat: Arguments in Favor from Spanish Investigators

et al. 2020

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Despite advances in its prevention, pneumonia remains associated with high morbidity, mortality, and health costs worldwide. Studies carried out in the last decade have indicated that more patients with community-acquired pneumonia (CAP) now require hospitalization. In addition, pneumonia management poses many challenges, especially due to the increase in the number of elderly patients with multiple comorbidities, antibiotic-resistant pathogens, and the difficulty of rapid diagnosis. In this new call to action, we present a wide-ranging review of the information currently available on CAP and offer some reflections on ways to raise awareness of this disease among the general public. We discuss the burden of CAP and the importance of attaining better, faster microbiological diagnosis and initiating appropriate treatment. We also suggest that closer cooperation between health professionals and the population at large could improve the management of this largely preventable infectious disease that takes many lives each year.

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Section: Cap Affects Everyone: Why Do We Not Recognize the Threat?supporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Defining Community-Acquired Pneumonia as a Public Health Threat: Arguments in Favor from Spanish Investigators

et al. 2020

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“…The lung is not currently considered a potential target organ for diabetes mellitus (DM). However, selected respiratory diseases seem to be more prevalent or more severe in patients with type 1 and type 2 DM . Analogously, both respiratory dysfunction and pathological parenchymal and vascular changes have been variously associated with DM.…”

Section: Introductionmentioning

confidence: 98%

“…However, selected respiratory diseases seem to be more prevalent or more severe in patients with type 1 and type 2 DM. 1,2 Analogously, both respiratory dysfunction and pathological parenchymal and vascular changes have been variously associated with DM. We aim to summarize the main DM-related respiratory problems and to discuss their pathogenetic mechanisms and clinical implications.…”

Section: Introductionmentioning

confidence: 99%

Diabetic lung, an underrated complication from restrictive functional pattern to pulmonary hypertension

Fuso

Pitocco

Antonelli-Incalzi

2019

Diabetes Metabolism Res

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In patients with type 1 and type 2 diabetes mellitus (DM), respiratory function abnormalities have been reported with regard to lung volumes, pulmonary diffusing capacity, control of ventilation, bronchomotor tone, and neuroadrenergic bronchial innervation. Indeed, the decrease in lung volumes and the impairment of diffusing capacity might have important clinical implications. Furthermore, there is an increasing evidence of a link between DM and pulmonary hypertension (PH) related to an involvement of the pulmonary vascular structures. These findings support the view of the lung as target organ in DM. In this paper, we briefly describe the main derangements of the respiratory system in DM and the inherent mechanisms.

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“…L'association entre l'incidence de la pneumonie communautaire et le diabète est retrouvée dans la plupart des études (mais pas toutes). Il est également lié à une augmentation de complications de cette pneumonie (bactériémie, empyème, décès) [22][23][24][25][26][27][28][29][30][31][32][33][34] .…”

Section: Les Infections Respiratoires Bassesunclassified

Association between diabetes mellitus and infection : which evidence for a causal role of hyperglycemia ?

Richard¹,

Buttafuoco²,

Vanhaeverbeek³

et al. 2018

Rev Med Brux

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RESUME L'association statistique entre le diabète et l'infection est en accord avec les observations de la pratique clinique quotidienne et les notions anciennes de la physiopathologie. Dans cet article, nous cherchons à déterminer si, dans cette association, l'hyperglycémie en elle-même constitue un facteur causal. Pour ce faire, nous avons vérifié si cette hypothèse est en accord avec les neuf critères de Bradford-Hill. Nous avons procédé en analysant systématiquement la littérature, en partant d'une liste de tableaux cliniques infectieux définis. Nous avons donc vérifié successivement la force de cette association, sa stabilité, sa spécificité, sa temporalité, l'existence d'un effet dose-réponse, sa plausibilité biologique, la cohérence de l'hypothèse, les données expérimentales et l'existence possible d'analogies. Nous avons ainsi pu identifier les tableaux cliniques concernés, ainsi que les risques relatifs et rapports de cote associés. Nous avons également relevé certaines affections hautement spécifiques du diabète, comme la pyélonéphrite emphysémateuse ou l'otite maligne externe. Nous avons pu voir que l'hypothèse testée s'insère correctement dans les données de la biologie et de l'épidémiologie moderne. Huit des neuf critères de Bradford-Hill étant remplis, il existe effectivement une association causale entre l'hyperglycémie, la glycosurie et l'augmentation du risque d'infection dans le diabète. Rev Med Brux 2018 ; 39 : 495-504 ABSTRACTThe statistical association between diabetes mellitus and infectious diseases is consistent with the observations of daily clinical practice and ancillary notions of pathophysiology. In this issue, we aim to establish whether hyperglycemia itself plays a causal role in this association. To do so, we have verified whether this hypothesis fulfilled the Bradford Hill criteria. We have systematically reviewed the medical literature from a panel of infectious diseases. We have successively verified the strength of the association, its stability, specificity, and temporality, the existence of a dose-response effect, its coherence, the experimental data and available analogy. We could identify the clinical affections of interest and related relative risks and odds ratios. We also have identified several affections highly specific of diabetic patients, such as emphysematous pyelonephritis and malignant external otitis. We could conclude that the the hyperglycemia and glycosuria play a causal role in the relation between diabetes mellitus and the risk of infectious disease. Rev Med Brux 2018 ; 39 : 495-504

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Hospitalisation with community-acquired pneumonia among patients with type 2 diabetes: an observational population-based study in Spain from 2004 to 2013

Cited by 35 publications

References 35 publications

Defining Community-Acquired Pneumonia as a Public Health Threat: Arguments in Favor from Spanish Investigators

Defining Community-Acquired Pneumonia as a Public Health Threat: Arguments in Favor from Spanish Investigators

Diabetic lung, an underrated complication from restrictive functional pattern to pulmonary hypertension

Association between diabetes mellitus and infection : which evidence for a causal role of hyperglycemia ?

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