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Prognostic indices of diabetes mortality
Anthonia Okeoghene Ogbera1, Sunny Chinenye, Asabamaka Onyekwere
1Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria. oogbera@yahoo.co.uk
Ethnicity & Disease
|December 13, 2007
Summary
Diabetes mellitus hospitalizations in Nigeria show high mortality, with hyperglycaemic emergencies and diabetic foot ulcers being leading causes of death. Early intervention for diabetic foot ulcers is crucial to reduce the significant health burden.
Area of Science:
- Medical Research
- Public Health
- Epidemiology
Background:
- Diabetes mellitus poses a significant global health burden, particularly in developing nations like Nigeria.
- Non-communicable diseases, including diabetes, face challenges in resource-limited settings where communicable diseases often take priority.
Purpose of the Study:
- To assess the current status of diabetes-related hospitalizations in Nigeria.
- To identify prognostic factors for diabetes mortality and analyze hospital stay duration for major causes of diabetes deaths.
Main Methods:
- A prospective study of 206 diabetes mellitus patients admitted to a Nigerian tertiary hospital in 2006.
- Analysis of mortality, causes of death, complications, and hospital stay duration.
- Statistical evaluation using chi-test, logistic regression, and Student's t-test for predictive factors.
Main Results:
- The crude death rate was 11%, with a 16% case fatality rate among diabetes admissions.
- Hyperglycaemic emergencies (40%) and hypertension (21%) were primary admission reasons.
- Hyperglycaemic emergencies (46%) and diabetic foot ulcers (30%) were leading causes of death; diabetic foot ulcers and cerebrovascular accidents had high case fatality rates (28% and 25%).
Conclusions:
- Diabetic foot ulcers and hyperglycaemic emergencies are significant, potentially preventable causes of diabetes mortality.
- Diabetic foot ulcers contribute to prolonged hospital stays, imposing a substantial burden on healthcare resources.
- Improved and timely intervention for diabetic foot ulcers is essential to mitigate the impact of diabetes.
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