Research Article

Type 2 Diabetic Sepsis Patients Have a Lower Mortality Rate in Pioglitazone Use: A Nationwide 15-Year Propensity Score Matching Observational Study in Taiwan

Table 1

Demographic characteristics, comorbidities, and diabetic complications of type 2 diabetic sepsis patients between pioglitazone users and nonusers.

VariablesBefore matchingAfter PS matching
Nonusers (n = 134,981)Users (n = 10,346) valueStandardized mean differenceNonusers (n = 46,550)Users (n = 9,310) valueStandardized mean difference
n%n%n%n%

Sex<0.0010.3610.010
  Female61,62345.655,01848.500.05722,28947.884,50648.40
  Male73,35854.355,32851.500.05724,26152.124,80451.60

Age, years<0.0010.004
  18–296000.44120.120.0621160.2590.100.037
  30–4911,3238.399949.610.0434,0798.767668.230.019
  50–6942,08631.184,71845.600.30018,94140.693,96942.630.039
  70–8974,62555.294,46843.190.24422,58748.524,41247.390.023
  90–1006,3474.701541.490.1868271.781541.650.009
  Mean (SD)71.13 (13.90)67.08 (12.62)<0.0010.30568.96 (13.18)68.11 (12.50)<0.0010.066

Insurance premium (NT dollars)0.395
  <2000082,77161.324,70545.480.32222,91849.234,52348.580.013
  20000–4000043,50132.234,57544.220.24919,83642.614,02343.210.012
  40000–600006,4614.798007.730.1222,8906.215986.420.009
  >600002,2481.672662.570.0639061.951661.780.012

Comorbidity
  HTN101,90675.508,73284.4<0.0010.22439,09183.987,72883.010.0200.026
  Hyperlipidemia62,09646.007,39771.5<0.0010.53631,91068.556,36368.350.6980.004
  COPD63,74047.224,04939.14<0.0010.16419,35741.583,86841.550.9480.001
  CLD45,71533.874,09139.54<0.0010.11818,69140.153,67439.460.2150.014
  CKD61,01545.205,98857.88<0.0010.25625,18354.105,09354.700.2840.012
  PAOD20,46215.161,83217.71<0.0010.0697,62516.381,59717.150.0660.021
  IHD64,87448.065,14449.720.0110.03323,33750.134,66850.140.9900
  Stroke60,78045.034,34341.98<0.0010.06219,97442.914,06343.640.1920.015
  Cancer38,14528.262,69326.03<0.0010.05012,64927.172,54127.290.8110.003

Drug use
  NSAID74,05054.865,53453.490.0700.02826,50856.954,96853.36<0.0010.072
  Aspirin15,12211.208448.16<0.0010.1035,20111.177598.15<0.0010.102
  Statins15,54911.523,19230.85<0.0010.4877,58516.292,76329.68<0.0010.322
  Biguanides38,87428.806,25760.48<0.0010.67214,98632.195,66760.87<0.0010.600
  DPP-4 inhibitors4,7513.522,20921.35<0.0010.5612,1454.611,93220.75<0.0010.500
  Sulfonylureas42,98231.846,74365.17<0.0010.70716,25534.926,09865.50<0.0010.642
  Pioglitazone003,76436.38003,39936.51<0.0011.072
  Insulin58,53943.377,04768.11<0.0010.51420,72444.526,29667.63<.00010.479
  Immunosuppressants4750.35570.550.0010.0302240.48410.440.6000.006
  Steroids38,61828.612,87627.80.0780.01813,21328.382,60828.010.4670.008

Infection site
  Central nervous1,4111.051000.970.4460.0085251.13880.950.1220.018
  Respiratory69,87051.764,78446.24<0.0010.11121,98647.234,41647.430.7210.004
  Cardiovascular1,9381.441561.510.5530.0066561.411331.430.8850.002
  Gastrointestinal20,36115.081,79517.35<0.0010.0617,45916.021,59617.140.0070.030
  Genitourinary69,36051.395,47252.890.0030.03023,44950.374,95953.27<.0010.058
  Soft tissue/bone24,98018.512,26221.86<0.0010.0848,78218.871,99121.39<.0010.063
  Device-related4,8473.594314.170.0020.0301,9464.183543.800.0930.019
  Others34,04825.222,56824.820.3620.00910,96923.562,30924.80.1050.029

aDCSI score<0.001<0.001
  038,88228.812,09220.220.20112,73227.351,93720.810.154
  115,56311.531,48514.350.0845,81812.501,31914.170.049
  236,72927.212,28822.110.11812,07825.952,06722.200.088
  313,1949.771,37913.330.1114,84410.411,24313.350.091
  418,53213.731,41613.690.0016,42513.801,28113.760.001
  ≥512,0818.951,68616.300.2234,65310.001,46315.710.171
Length of hospital stay (days) (median)1211<0.0010.05611110.02150.027
Total hospital mortality25,10218.61,63815.830.0737,94717.071,52316.360.09410.019

Chi-square test.