Impact of diabetes mellitus on mortality in patients with acute exacerbation of chronic obstructive Pulmonary disease: a meta-analysis and systematic review - Takeaways - MDSpire

Impact of diabetes mellitus on mortality in patients with acute exacerbation of chronic obstructive Pulmonary disease: a meta-analysis and systematic review

  • By

  • Dongmei Zhang

  • Hongbo Zhou

  • Xiujuan Yang

  • Dajian Xia

  • May 13, 2026

  • 0 min

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  • 1

    Diabetes mellitus significantly increases mortality risk in patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD).

  • 2

    The meta-analysis included 9 studies with 23,883 subjects, revealing a hazard ratio of 1.45 for diabetes-related mortality in AECOPD patients.

  • 3

    Subgroup analysis indicated that diabetes heightened mortality risk in hospitalized AECOPD patients but not in those in intensive care units.

  • 4

    The study found no independent correlation between diabetes and mortality risk in multivariate analysis, suggesting confounding factors may obscure results.

  • 5

    Further well-structured prospective cohort studies are necessary to clarify the prognostic impact of diabetes on mortality in AECOPD patients.

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