Sepsis & infection

Long-term injectable non-insulin antidiabetic drug use and in-hospital mortality in sepsis: A nationwide analysis of the 2023 National Inpatient Sample

J Crit CarePublished Cross-sectional analysis of the 2023 National Inpatient Sample

Authors' conclusion

Exposure was associated with lower in-hospital mortality, attenuating under stricter comparators. Findings are hypothesis-generating and subject to residual confounding.

Study context

Population
Adults with any-listed sepsis and diabeteshospitalizations, 5238 (2.2%) carried Z79.85
Participants
241,808 adults
Exposure
Documented long-term injectable non-insulin antidiabetic use vs three pre-specified comparators: the full cohort, therapy-matched, and oral therapy alone
  • Z79.85n = 5,238
Outcome
In-hospital mortality
Methodological detailssurvey-weighted logistic regression, three pre-specified comparators
  • Survey-weighted logistic regression
  • Three pre-specified comparators

Main finding

As reported in the abstract

Adjusted odds of death

0.53

95% CI 0.45–0.63

Z79.85 vs full cohort

Adjusted odds of death

0.73

95% CI 0.61–0.87

Z79.85 vs therapy-matched

Adjusted odds of death

0.77

95% CI 0.64–0.93

Z79.85 vs oral therapy alone

Observational data: associations, not effects.

Further findings

Sensitivity to unmeasured confounding

E-value
1.61

Original publication

Long-term injectable non-insulin antidiabetic drug use and in-hospital mortality in sepsis: A nationwide analysis of the 2023 National Inpatient Sample. J Crit Care. Published 8 October 2026. doi:10.1016/j.jcrc.2026.155767

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

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