Type 2 & other diabetes

Association between continued metformin use during hospital admission and hospital‐acquired complications

Diabet MedPublished Retrospective observational study

Main finding · HACResult — go to the resultAdjusted hazard ratio 0.85 95% CI 0.69–1.04

Authors' conclusion

An individualized assessment to continue metformin during hospital admission was associated with a reduced likelihood of HAC, with the caveat that there was limited matching to non-diabetes controls. This finding warrants further exploration.

Study context

Population
Patients admitted to a medical or surgical ward; 4446 (14%) with diabetes, 3331 (10%) prescribed metformin on admission
Exposure
Continued metformin in hospital vs propensity score-matched (PSM) controls without diabetes
  • DM/METn = 2,557
Outcome
Hospital-acquired complication (HAC)
Methodological detailspropensity score-matched control groups
  • Propensity score-matched control groups

Main finding

HAC

Adjusted hazard ratio

0.85

95% CI 0.69–1.04

P = 0.117

By group

DM/METvs PSM control
aHR 0.85 (95% CI 0.69–1.04); P = 0.117

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaHR (CI)P value
HAC, DM/NoMET and DM/MET-STOP vs respective PSM controlsDM/NoMETvs PSM controlvs its respective PSM control group1.77 (1.44–2.18)P < 0.001
HAC, DM/NoMET and DM/MET-STOP vs respective PSM controlsDM/MET-STOPvs PSM controlvs its respective PSM control group2.57 (2.10–3.13)P < 0.001

Original publication

Association between continued metformin use during hospital admission and hospital‐acquired complications. Diabet Med. Published 31 May 2024. doi:10.1111/dme.15353

Composed by AI from the published abstract and checked against it. How Briefs are made →

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