Changes in the Prevalence of Diabetes Mellitus in Pregnancy : A Nationwide Analysis From Hungary
Author(s)
Tímea Csákvári, MSc, PhD1, Krisztina Palkovics, MSc1, Diána Elmer, MSc, PhD2, Bettina Kovács, MSc2, Luca Fanni Kajos, MSc2, Dalma Pónusz-Kovács, MSc2, Róbert Pónusz, MSc, PhD2, Imre Boncz, MSc, PhD, MD2.
1Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Zalaegerszeg, Hungary, 2Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary.
1Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Zalaegerszeg, Hungary, 2Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary.
Presentation Documents
OBJECTIVES: Diabetes in pregnancy can lead to adverse outcomes for both the mother and child, including increased risks of cardiovascular disease and type 2 diabetes. Gestational diabetes mellitus (GDM) affects approximately 14% of pregnant women globally. Our aim was to examine the epidemiology of diabetes during pregnancy in Hungary between 2010 and 2023.
METHODS: We conducted a retrospective, descriptive study using national data derived from the Pulvita Health Databank. We analysed the number of patients, cases, the age of patients (by age groups) in both outpatient and inpatient care, as well as the average length of hospital stay. The following ICD codes were included: O24.0, O24.1, O24.2, O24.3, O24.4, and O24.9. Additionally, data on the number of women aged 15-49 and live births were collected from the Hungarian Central Statistical Office. Prevalence was calculated by dividing the number of patients by the female population aged 15-49 for each year.
RESULTS: The number of patients per 1,000 women aged 15-49 rose from 1.97 to 3.68 (+87.22%) in inpatient care and from 3.37 to 5.02 (+49.13%) in outpatient care. Prevalence also showed an increasing trend when adjusted for live births (2010: 51.95 per thousand; 2023: 92.12 per thousand; +77.32%). No significant changes were observed in patient age; however, the proportion of pregnant women aged 41-50 in inpatient care slightly increased (from 3.17% to 5.74%). The number of cases per patient observed in outpatient care also increased, from 5.73 to 6.51. However, the average length of hospital stay decreased from 8.43 days to 5.98 days (-29.01%).
CONCLUSIONS: Diabetes mellitus during pregnancy demonstrates an increasing trend in Hungary. Preventing the disease and providing timely treatment are critical for ensuring the health of both mothers and their children. Our findings highlight the importance of health policy efforts targeting this issue.
METHODS: We conducted a retrospective, descriptive study using national data derived from the Pulvita Health Databank. We analysed the number of patients, cases, the age of patients (by age groups) in both outpatient and inpatient care, as well as the average length of hospital stay. The following ICD codes were included: O24.0, O24.1, O24.2, O24.3, O24.4, and O24.9. Additionally, data on the number of women aged 15-49 and live births were collected from the Hungarian Central Statistical Office. Prevalence was calculated by dividing the number of patients by the female population aged 15-49 for each year.
RESULTS: The number of patients per 1,000 women aged 15-49 rose from 1.97 to 3.68 (+87.22%) in inpatient care and from 3.37 to 5.02 (+49.13%) in outpatient care. Prevalence also showed an increasing trend when adjusted for live births (2010: 51.95 per thousand; 2023: 92.12 per thousand; +77.32%). No significant changes were observed in patient age; however, the proportion of pregnant women aged 41-50 in inpatient care slightly increased (from 3.17% to 5.74%). The number of cases per patient observed in outpatient care also increased, from 5.73 to 6.51. However, the average length of hospital stay decreased from 8.43 days to 5.98 days (-29.01%).
CONCLUSIONS: Diabetes mellitus during pregnancy demonstrates an increasing trend in Hungary. Preventing the disease and providing timely treatment are critical for ensuring the health of both mothers and their children. Our findings highlight the importance of health policy efforts targeting this issue.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
EPH102
Topic
Epidemiology & Public Health
Topic Subcategory
Public Health
Disease
SDC: Diabetes/Endocrine/Metabolic Disorders (including obesity), SDC: Reproductive & Sexual Health