Incidence of diabetes mellitus complications in adult inpatients at the Presidente Franco District Hospital
DOI:
https://doi.org/10.5281/zenodo.22750341Keywords:
diabetes mellitus, type 2, diabetic foot, diabetes complications, hospitalization, cardiovascular diseasesAbstract
Introduction: Type 2 diabetes mellitus is a chronic disease of rising prevalence whose complications, although preventable, account for a substantial share of hospital admissions for noncommunicable diseases. The aim was to determine the incidence of type 2 diabetes complications among adult inpatients at the Presidente Franco District Hospital during the second half of 2022.
Materials and methods: Observational, descriptive, cross-sectional quantitative study. Review of medical records of patients with diabetes admitted to the hospital's Internal Medicine service during the study period.
Results: Fifty-nine patients were included. Most frequent age group: 70–79 years (31%); mean age 66.75 years. Residence: Presidente Franco 49%, Ciudad del Este 46%. Continuous treatment in 41%; none in 59%. At least one complication in 98%; most frequent were diabetic foot (43%) and heart disease (34%), followed by chronic kidney disease (11%) and diabetic retinopathy (4%). Concurrent hypertension in 44%; primary schooling predominated.
Conclusions: High incidence of complications, with diabetic foot and heart disease most frequent, amid low schooling, concurrent hypertension and majority without continuous treatment. Strengthening self-care education and continuous follow-up is supported.
References
Teck J. Diabetes-Associated Comorbidities. Prim Care. 2022;49(2):275-86. https://doi.org/10.1016/j.pop.2021.11.004
Petrie JR, Guzik TJ, Touyz RM. Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol. 2018;34(5):575-84. https://doi.org/10.1016/j.cjca.2017.12.005
Rawshani A, Rawshani A, Franzén S, Eliasson B, Svensson AM, Miftaraj M, et al. Mortality and Cardiovascular Disease in Type 1 and Type 2 Diabetes. N Engl J Med. 2017;376(15):1407-18. https://doi.org/10.1056/NEJMoa1608664
Viigimaa M, Sachinidis A, Toumpourleka M, Koutsampasopoulos K, Alliksoo S, Titma T. Macrovascular Complications of Type 2 Diabetes Mellitus. Curr Vasc Pharmacol. 2020;18(2):110-6. https://doi.org/10.2174/1570161117666190405165151
Low Wang CC, Hess CN, Hiatt WR, Goldfine AB. Clinical Update: Cardiovascular Disease in Diabetes Mellitus: Atherosclerotic Cardiovascular Disease and Heart Failure in Type 2 Diabetes Mellitus - Mechanisms, Management, and Clinical Considerations. Circulation. 2016;133(24):2459-502. https://doi.org/10.1161/CIRCULATIONAHA.116.022194
Alicic RZ, Rooney MT, Tuttle KR. Diabetic Kidney Disease: Challenges, Progress, and Possibilities. Clin J Am Soc Nephrol. 2017;12(12):2032-45. https://doi.org/10.2215/CJN.11491116
Thomas MC, Brownlee M, Susztak K, Sharma K, Jandeleit-Dahm KA, Zoungas S, et al. Diabetic kidney disease. Nat Rev Dis Primers. 2015;1:15018. https://doi.org/10.1038/nrdp.2015.18
Teo ZL, Tham YC, Yu M, Chee ML, Rim TH, Cheung N, et al. Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045: Systematic Review and Meta-analysis. Ophthalmology. 2021;128(11):1580-91. https://doi.org/10.1016/j.ophtha.2021.04.027
Sabanayagam C, Banu R, Chee ML, Lee R, Wang YX, Tan G, et al. Incidence and progression of diabetic retinopathy: a systematic review. Lancet Diabetes Endocrinol. 2019;7(2):140-9. https://doi.org/10.1016/S2213-8587(18)30128-1
McDermott K, Fang M, Boulton AJM, Selvin E, Hicks CW. Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care. 2023;46(1):209-21. https://doi.org/10.2337/dci22-0043
Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med. 2017;49(2):106-16. https://doi.org/10.1080/07853890.2016.1231932
Chen L, Sun S, Gao Y, Ran X. Global mortality of diabetic foot ulcer: A systematic review and meta-analysis of observational studies. Diabetes Obes Metab. 2023;25(1):36-45. https://doi.org/10.1111/dom.14840
Armstrong DG, Swerdlow MA, Armstrong AA, Conte MS, Padula WV, Bus SA. Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer. J Foot Ankle Res. 2020;13(1):16. https://doi.org/10.1186/s13047-020-00383-2
Yusuf S, Joseph P, Rangarajan S, Islam S, Mente A, Hystad P, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet. 2020;395(10226):795-808. https://doi.org/10.1016/S0140-6736(19)32008-2
Waitman J, Caeiro G, Romero Gonzalez SA, Ré DP, Daghero A, Gonzalez CD, et al. Social vulnerability and hypoglycemia among patients with diabetes. Endocrinol Diabetes Nutr. 2017;64(2):92-9. https://doi.org/10.1016/j.endinu.2016.11.008
Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359(15):1577-89. https://doi.org/10.1056/NEJMoa0806470
Subrata SA, Phuphaibul R. Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice. Scand J Caring Sci. 2019;33(2):298-310. https://doi.org/10.1111/scs.12645
Subrata SA, Phuphaibul R, Kanogsunthornrat N, Siripitayakunkit A. ADIE - Nursing Interventions of Diabetic Foot Ulcer: An Integrative Review of the Literature. Curr Diabetes Rev. 2019;16(1):40-51. https://doi.org/10.2174/1573399815666190307164119
Downloads
Published
Issue
Section
License
Copyright (c) 2023 David Enmanuel Orrego Valenzuela, Domingo Zenón Domínguez Cano, Asunción Vega Ovelar (Autor/a)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles are distributed under the Creative Commons Attribution 4.0 International — CC BY 4.0 licence. Authors retain copyright and grant the journal the right of first publication. Any reuse must acknowledge authorship, cite the original source and indicate whether changes were made.
