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Common causes of admission in diabetics
1King Abdulaziz University Hospital, PO Box 18298, Jeddah 21415, Kingdom of Saudi Arabia.
Insights
Diabetic admissions are often due to macrovascular complications and poor blood glucose control. Managing risk factors like hypertension and smoking can reduce hospital admissions and mortality rates for diabetic patients.
Area of Science:
- Endocrinology
- Cardiology
- Public Health
Background:
- Diabetes mellitus is a significant cause of hospital admissions.
- Understanding admission causes and mortality factors is crucial for effective patient management.
- King Abdulaziz University Hospital data provides insights into diabetic patient care.
Purpose of the Study:
- To identify primary reasons for diabetic patient admissions.
- To analyze mortality rates and associated risk factors.
- To explore strategies for reducing diabetic admissions, costs, and mortality.
Main Methods:
- Retrospective analysis of diabetic admissions from January 1996 to September 1999.
- Data collected included patient demographics, diabetes details, comorbidities, and admission causes.
- Mortality data and risk factor analysis were performed.
Main Results:
- Diabetic patients constituted 17% of total admissions.
- Key admission causes were blood glucose control (21%) and macrovascular complications (38%).
- The overall mortality rate was 13%, with hypertension, smoking, and poor glycemic control identified as significant risk factors.
Conclusions:
- Macrovascular complications and hyperglycemia are leading admission causes.
- Controlling hypertension, hyperlipidemia, smoking, and weight can mitigate risks.
- Patient education for glycemic control is vital for reducing admissions and mortality.
Objective:
To report on the causes of admissions of diabetic patients to the medical unit of King Abdulaziz University Hospital, mortality and risk factors, associated with high mortality, and to find out possible ways to reduce admissions, cost and mortality.
Methods:
Retrospective analysis of diabetic admissions to the medical unit of King Abdulaziz University Hospital between January 1996 to September 1999. Patients age, sex, body mass index, type and duration of diabetes mellitus, mode of treatment, degree of blood glucose control, presence of hypertension, hyperlipidemia, and smoking were recorded as well as the causes of admissions and mortality.
Results:
A total of 5917 patients were admitted, 17% of them were diabetics. Admissions for blood glucose control and for macrovascular complications were found in 21% and 38%. Mortality rate was 13%. Hypertension, hyperlipidemia, smoking, obesity, infection, poor glycemic control, long duration of diabetes mellitus and long hospital stay were risk factors associated with high mortality.
Conclusion:
Macrovascular complications and uncontrolled blood glucose were the most common causes of admissions. Control of hypertension, hyperlipidemia, cessation of smoking and weight reduction will not only decrease the risk of macrovascular complications, but also in addition to patient's education for tight blood glucose control, will decrease the rate, cost and mortality of diabetic admissions.