Behind the Hospital Ward: In-Hospital Mortality of Type 2 Diabetes Mellitus Patients in Indonesia (Analysis of National Health Insurance Claim Sample Data)

Ede Surya Darmawan (), Vetty Yulianty Permanasari, Latin Vania Nisrina, Dian Kusuma, Syarif Rahman Hasibuan and Nisrina Widyasanti
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Ede Surya Darmawan: Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Vetty Yulianty Permanasari: Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Latin Vania Nisrina: Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Dian Kusuma: Department of Health Services Research and Management, School of Health & Psychological Sciences, City University of London, London EC1V 0HB, UK
Syarif Rahman Hasibuan: Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Nisrina Widyasanti: Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia

IJERPH, 2024, vol. 21, issue 5, 1-19

Abstract: The rising global prevalence of diabetes mellitus, a chronic metabolic disorder, poses significant challenges to healthcare systems worldwide. This study examined in-hospital mortality among patients diagnosed with non-insulin-dependent diabetes mellitus (NIDDM) of ICD-10, or Type 2 Diabetes Mellitus (T2DM), in Indonesia, utilizing hospital claims data spanning from 2017 to 2022 obtained from the Indonesia Health Social Security Agency or Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. The analysis, which included 610,809 hospitalized T2DM patients, revealed an in-hospital mortality rate of 6.6%. Factors contributing to an elevated risk of mortality included advanced age, the presence of comorbidities, and severe complications. Additionally, patients receiving health subsidies and those treated in government hospitals were found to have higher mortality risks. Geographic disparities were observed, highlighting variations in healthcare outcomes across different regions. Notably, the complication of ketoacidosis emerged as the most significant risk factor for in-hospital mortality, with an odds ratio (OR) of 10.86, underscoring the critical need for prompt intervention and thorough management of complications to improve patient outcomes.

Keywords: diabetes mellitus; in-hospital mortality; risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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