Table 4

Effect of antidiabetic medications* on risk of DIC

InsulinDPP4 inhibitorSUα-GIMetforminTZDOther
All (n=148 105)
 Number of admission72 58350 73340 85430 35926 72214 24914 429
 Number of DIC1355507401300228137128
 Age, sex and admission year-adjusted OR1.88 (1.68 to 2.10)0.89 (0.79 to 0.99)0.87 (0.77 to 0.98)0.83 (0.73 to 0.95)0.76 (0.66 to 0.88)0.88 (0.74 to 1.05)0.71 (0.59 to 0.85)
 Further adjusting for underlying diseases1.53 (1.37 to 1.72)0.86 (0.76 to 0.96)0.90 (0.79 to 1.01)0.85 (0.74 to 0.96)0.81 (0.70 to 0.93)0.89 (0.74 to 1.07)0.74 (0.62 to 0.90)
By underlying disease
Sepsis (n=5109)
 Number of admission3 37715271002848625329403
 Number of DIC541173121102754147
 Age, sex and admission year-adjusted OR1.33 (1.09 to 1.63)0.85 (0.69 to 1.04)0.90 (0.72 to 1.14)0.89 (0.70 to 1.12)0.91 (0.70 to 1.19)0.94 (0.66 to 1.33)0.84 (0.61 to 1.16)
 Further adjusting for underlying diseases1.34 (1.09 to 1.64)0.84 (0.69 to 1.03)0.90 (0.72 to 1.13)0.89 (0.70 to 1.12)0.92 (0.70 to 1.20)0.93 (0.65 to 1.31)0.85 (0.61 to 1.17)
Non-septic severe infection (n=10 256)
 Number of admission57963105257720391554952921
 Number of DIC175694639231517
 Age, sex and admission year-adjusted OR1.25 (0.91 to 1.71)0.99 (0.72 to 1.36)0.77 (0.54 to 1.10)0.82 (0.57 to 1.18)0.62 (0.40 to 0.96)0.71 (0.41 to 1.22)0.75 (0.45 to 1.24)
 Further adjusting for underlying diseases1.01 (0.73 to 1.40)0.91 (0.66 to 1.27)0.78 (0.54 to 1.12)0.87 (0.60 to 1.25)0.64 (0.41 to 1.01)0.75 (0.43 to 1.30)0.80 (0.47 to 1.33)
Solid tumour (n=46 590)
 Number of admission22 70216 17813 8019078711745444288
 Number of DIC441199164112945461
 Age, sex and admission year-adjusted OR1.45 (1.22 to 1.73)0.86 (0.72 to 1.03)0.81 (0.67 to 0.98)0.85 (0.69 to 1.04)0.97 (0.78 to 1.21)0.86 (0.65 to 1.15)0.95 (0.73 to 1.25)
 Further adjusting for underlying diseases1.31 (1.09 to 1.56)0.82 (0.68 to 0.98)0.88 (0.73 to 1.07)0.86 (0.70 to 1.07)1.04 (0.83 to 1.30)0.88 (0.66 to 1.18)1.02 (0.77 to 1.34)
Acute leukaemia (n=895)
 Number of admission5283172581731489858
 Number of DIC782623151493
 Age, sex and admission year-adjusted OR1.94 (1.17 to 3.21)0.87 (0.50 to 1.50)0.84 (0.49 to 1.42)0.86 (0.47 to 1.56)1.09 (0.57 to 2.09)0.76 (0.36 to 1.62)0.42 (0.12 to 1.43)
 Further adjusting for underlying diseases1.77 (1.06 to 2.95)0.86 (0.50 to 1.50)0.82 (0.48 to 1.40)0.81 (0.45 to 1.48)1.11 (0.58 to 2.13)0.70 (0.33 to 1.51)0.39 (0.11 to 1.37)
  • Adjustment variables were age (continuous), sex (male or female), admission year (<2011, 2011, 2012, 2013 or 2014) and underlying diseases (sepsis, non-septic severe infection, solid tumour and acute leukaemia; yes or no, for each).

  • *Medications given within 30 days before admission.

  • α-GI, α-glucosidase inhibitor; DIC, disseminated intravascular coagulation; DPP4, dipeptidyl peptidase-4; SU, sulfonylurea; TZD, thiazolidinedione.