Association between mortality and diabetes in patients with acute diseases treated by emergency medical services: A multicenter, prospective cohort study
Authors' conclusion
Diabetes, particularly complications, significantly increases short- and medium-term mortality in patients with acute illnesses treated with emergency services.
Study context
- Population
- Adults with acute illnesses transported by emergency medical services (EMS) and admitted to emergency departments (EDs), Spain (2019–2022)
- Participants
- 5,963 adults
- Exposure
- Diabetic patients with complications vs diabetic patients without complications vs nondiabetic patients
- Outcome
- Mortality
- Follow-up
- 2 years
Methodological detailsmulticenter
- Multicenter
Main finding
As reported in the abstract
P < 0.001
- Overall 2-year mortality
- 25.4% (n = 1513)
Observational data: associations, not effects.
Secondary outcomes
Mortality predictors in diabetes mellitus (DM) with complications
- Main risk factors: advanced age and elevated lactate, leukocyte and bilirubin levels
- Protective factors: higher Glasgow Coma Scale scores and hemoglobin levels
Survival curves · acute phase
- Sharp decline in survival in DM with complications during the acute phase
Original publication
Association between mortality and diabetes in patients with acute diseases treated by emergency medical services: A multicenter, prospective cohort study. Diabet Med. Published 15 July 2026. doi:10.
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