Hospitalisation for herpes zoster in people with and without diabetes : A 10-year-observational study

Copyright © 2024 Elsevier B.V. All rights reserved..

AIMS: This study explores the association between Herpes Zoster (HZ) hospitalizations and diabetes in Piedmont, Italy from 2010 to 2019. Focusing on the burden of HZ hospitalizations in diabetic and non-diabetic groups, it aims to identify risk factors in diabetics to enhance prevention strategies.

METHODS: In a two-phase study, we first compared age-standardized HZ hospitalization rates between diabetic and non-diabetic individuals from 2010 to 2019. We then examined hospitalization risk factors for HZ within a diabetic patient cohort managed by regional diabetes clinics.

RESULTS: Of 3,423 HZ hospitalizations in 2010-2019, 17.9 % (613 cases) were diabetic patients, who exhibited higher hospitalization rates (15.9 to 6.0 per 100,000) compared to non-diabetese individuals. Among diabetics subjects risk factors for HZ hospitalization included age over 65, obesity (BMI > 30), and poor glycemic control (HbA1c > 8.0 %). These patients had a 40 % increased rehospitalization risk and a 25 % higher risk of severe complications, such as stroke and myocardial infarction, post-HZ.

CONCLUSIONS: Diabetes markedly increases HZ hospitalization rates, rehospitalization, and complication risks. These findings underscore the need for preventive strategies, especially improved glycemic control among high-risk diabetic patients, to inform public health policies and clinical practices aimed at mitigating HZ's impact on this population.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:210

Enthalten in:

Diabetes research and clinical practice - 210(2024) vom: 01. Apr., Seite 111603

Sprache:

Englisch

Beteiligte Personen:

Giorda, Carlo B [VerfasserIn]
Picariello, Roberta [VerfasserIn]
Tartaglino, Barbara [VerfasserIn]
Nada, Elisa [VerfasserIn]
Romeo, Francesco [VerfasserIn]
Costa, Giuseppe [VerfasserIn]
Gnavi, Roberto [VerfasserIn]

Links:

Volltext

Themen:

Diabetes
Diabetes complications
Hospital stay and recurrence
Journal Article
Metabolic control
Observational Study
Zoster infection hospitalization

Anmerkungen:

Date Completed 22.04.2024

Date Revised 22.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.diabres.2024.111603

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369505204