Factors associated to inhospital mortality in patients with type 2 Diabetes Mellitus in three hospitals from the southern highlands of Peru

Introduction: The diabetes mortality has increased in recent years. In Peru,
there are no studies about intra hospitable mortality due to diabetes in its
provinces.

Objective: Determine the associated factors to intra hospitable mortality
with type 2 mellitus diabetes in three hospitals in the southern mountain range
from Peru.

Methods: An analytical cross-section has been made. All patients with type
2 diabetes mellitus hospitalized in Cusco during the year 2016 were included.
The socio-educational and clinical characteristics were evaluated, having
“death” as a variable of interest. It was calculated the reasons of crude and
adjusted prevalence using the generalized linear models. With Poisson family
and the connection log function. With their respective 95% confidence interval.
Values < 0.05 were considered significant.

Results: from 153 patients, 33.3% (51) died in hospitalization. The
frequency of mortality increased, the increase of patient's age (adjusted
prevalence ratio 1.02; 95% confidence interval 1.01 to 1.03; p value <0.001),
having entered through the emergency service (adjusted prevalence ratio 1.93; 95% confidence
interval 1.34 to 2.77; p value <0.001), Being a patient who re-enters to the hospital
(adjusted prevalence ratio 2,01; 95% confidence interval 1.36 to 2.98;
p value <0.001) and the one who has had a Metabolic
hospital complication (adjusted prevalence ratio 1.61; 95% confidence interval 1.07 to 2.43; p value
<0.024) o renal (razón de prevalencia ajustada 1,47; intervalo de confianza del 95% 1,30 a 1,67;
valor de p < 0,001 ). Por otro lado, la frecuencia de mortalidad disminuyó y su causa de internación fue una infección urinaria renal (razón de prevalencia ajustada 0,50; intervalo de confianza del 95%: 0,35 a 0,72;
valor p < 0,001 ), ajustado por 7 variables .

Conclusión : el aumento de cada año de vida, ingresando por urgencias y presentando reingresos a la hospitalización fueron factores asociados a la mortalidad, al igual que las complicaciones intrahospitalarias de tipo metabólico o renal.