Etiological spectrum for mortality in patients with diabetes mellitus at tertiary care hospital in South India

Authors

  • Priyashree R Junior Resident, Department of General Medicine, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
  • Venugopal K Junior Resident, Department of General Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India
  • Shyamsundar CM Senior Resident, Department of Endocrinology, Andhra Medical College, Vizag, Andhra Pradesh, India
  • Sunil Kumar N Junior Resident, Department of General Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India
  • Srikant Gadwalkar R Professor, Department of General Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India

Keywords:

diabetes mellitus, mortality, hospital stay, infection.

Abstract

Background: Mortality in diabetes secondary to ketoacidosis or hypoglycemia are rarely reported and underlying co-morbidities are considered as primary cause of death. As diabetes is rarely perceived as a major contributor of mortality in the developing world, this study was undertaken to determine the etiological spectrum of mortality in diabetic patients and to determine associated risk factors. Methodology: This is an observational prospective study conducted over two and half years. All diabetic patients above 15 years of age with DM (including newly detected) who succumb to death form the subject for the study. Various risk factors, hematological parameters at the index presentation, co-morbidities and etiology of death were studied in this patients. Results: A total of 184 deaths occurred in patients with diabetes mellitus over this study period, in which 116 were male & 68 were females. The mean age at death among these patients was 58.71 in men & 55.76 in women. The leading primary causes of death were Infections (26.4%), Chronic kidney disease [CKD](24%), Cerebrovascular accident [CVA](23.1%), Ischemic heart disease [IHD] (21.5%), Chronic liver disease (3.3%), Chronic obstructive pulmonary disease [COPD] (0.8%) and Diabetic ketoacidosis [DKA] (0.8%). The main contributory cause of death was Infections (46.7%), CKD (22.3%), CVA (20.6%) and IHD. Urosepsis, cellulitis and pneumonia formed the major cause of infections and ARF. Conclusion: Infections and chronic renal failure significantly contributed to mortality in diabetic patients in this community. Burden of diabetes in community can be easily understood by studying the mortality trends in the community.

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Published

2021-12-09

How to Cite

Priyashree R, Venugopal K, Shyamsundar CM, Sunil Kumar N, & Srikant Gadwalkar R. (2021). Etiological spectrum for mortality in patients with diabetes mellitus at tertiary care hospital in South India. International Journal of Health and Clinical Research, 4(21), 250–253. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/3420