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Profile of complications in diabetic patients admitted to a to a tertiary care hospital in south India

*, Surabhi R and Chowta, Nithyananda K and Chowta, Mukta N. (2013) Profile of complications in diabetic patients admitted to a to a tertiary care hospital in south India. International Journal of Universal Pharmacy and Bio Sciences, 2 (4). 008-016. ISSN 2319-8141

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Abstract

Diabetes imposes a major portion of hospital admissions due to the macro and micro vascular complications which decrease the lifeexpectancy of patients and are a burden on the health care system. This study aimed at determining profile of major complications for which they get admitted and to study the event rates in diabetic complications over the duration of three years. A descriptive record based study was conducted to obtain the details of all the patients admitted with complications of diabetes in two tertiary care hospitals at Mangalore over a period of 3 years. The data was obtained from Electronic database of the Medical Records Department of two tertiary care hospitals for the past 3 years. The hospitals chosen for the study are the active hospitals of the area and cater to a large number of patients. The database provides the inpatients details alongside their final diagnosis and department in which admitted. A total of 8448 diabetic patients admitted over period of three years. Of all the patients admitted, diabetics accounted for 4% of the total inpatient population. Among these patients only 1% had type 1 diabetics whereas remaining all had type 2 diabetes mellitus. Mean age of these patients was 60±11.7 years (range 16-98 years). Distribution of patients was nearly equal in these 3 years. 5.7% diabetic patients died due to complication accounting for 7% of all hospital deaths. The probability for admission was maximum for cardiovascular (27.7%) and nephropathy (19.5%) related complication. Neuropathy and respiratory complications were also high (9.3% and 7.6% respectively) and 2% of diabetic admissions had 3 or more complications. Retinopathy cases contributed to 1.4% of the admissions. Cellulitis and cerebrovascular events were 1% of all admissions. Diabetic ketoacidosis was comparatively less common, accounting for only 0.1% of total complications. Most common complication of diabetes as expected is related to cardiovascular system followed by nephropathy.

Item Type: Article
Uncontrolled Keywords: Diabetes Mellitus, Complications, Neuropathy, Nephropathy
Subjects: Medicine > KMC Mangalore > Pharmacology
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 17 Jan 2014 11:21
Last Modified: 17 Jan 2014 11:21
URI: http://eprints.manipal.edu/id/eprint/138423

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