Factors associated to inpatient mortality rates in type-2-diabetic patients: a cross-sectional analytical study in three Peruvian hospitals

Noé Atamari-Anahui; Franklin W. Martinez-Ninanqui; Liz Paucar-Tito; Luz Morales-Concha; Alejandra Miranda-Chirau; Marco Antonio Gamarra-Contreras; Carlos Antonio Zea-Nuñez; Christian R. Mejia

doi:10.5867/medwave.2017.09.7097

Factors associated to inpatient mortality rates in type-2-diabetic patients: a cross-sectional analytical study in three Peruvian hospitals

Título traducido de la contribución: Factores asociados a mortalidad intrahospitalaria en pacientes con diabetes mellitus tipo 2: estudio transversal analítico en tres hospitales peruanos

Noé Atamari-Anahui, Franklin W. Martinez-Ninanqui, Liz Paucar-Tito, Luz Morales-Concha, Alejandra Miranda-Chirau, Marco Antonio Gamarra-Contreras, Carlos Antonio Zea-Nuñez, Christian R. Mejia

Facultad de ciencias de la salud

Producción científica: Artículo Científico › Artículo original › revisión exhaustiva

3 Citas (Scopus)

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INTRODUCTION: Diabetes mortality has increased in recent years. In Peru, there are few studies on in-hospital mortality due to type 2 diabetes in the provinces.

OBJECTIVE: To determine factors associated to hospital mortality in patients with diabetes mellitus type 2 in three hospitals from Cusco-Peru.

METHODS: An analytical cross-sectional study was performed. All patients with diabetes mellitus type 2 hospitalized in the city of Cusco during the 2016 were included. Socio-educational and clinical characteristics were evaluated, with "death" as the variable of interest. The crude (cPR) and adjusted (aPR) prevalence ratios were estimated using generalized linear models with Poisson family and log link function, with their respective 95% confidence intervals (95% CI). The values p <0.05 were considered significant.

RESULTS: A total of 153 patients were studied; 33.3% (51) died in the hospital. The mortality rate increased when the following factors were associated: age of the patients increased the mortality rate by one-year increments (aPR: 1.02; CI95%: 1.01-1.03; p<0.001); to have been admitted by the emergency service (aPR: 1.93; CI95%: 1.34-2.77; p<0.001); being a patient who is readmitted to the hospital (aPR: 2.01; CI95%: 1.36-2.98; p<0.001); and patients who have had a metabolic in-hospital complication (aPR: 1.61; CI95%: 1.07-2.43; p=0.024) or renal in-hospital complications (aPR: 1.47; CI95%: 1.30-1.67; p<0.001). Conversely, the mortality rate was reduced when admission was due to a urinary tract infection (aPR: 0.50; CI95%: 0.35-0.72; p<0.001); adjusted by seven variables.

CONCLUSIONS: A third of hospitalized diabetes mellitus type 2 patients died during the study period. Mortality was increased as age rises, patients admitted through emergency rooms, patients who were readmitted to the hospital, and patients who had metabolic or renal complications. Patients admitted for a urinary tract infection had a lower mortality rate.

Título traducido de la contribución	Factores asociados a mortalidad intrahospitalaria en pacientes con diabetes mellitus tipo 2: estudio transversal analítico en tres hospitales peruanos
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	e7097
Publicación	Medwave
Volumen	17
N.º	9
DOI	https://doi.org/10.5867/medwave.2017.09.7097
Estado	Indizado - 5 dic. 2017

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Atamari-Anahui, N., Martinez-Ninanqui, F. W., Paucar-Tito, L., Morales-Concha, L., Miranda-Chirau, A., Gamarra-Contreras, M. A., Zea-Nuñez, C. A., & Mejia, C. R. (2017). Factors associated to inpatient mortality rates in type-2-diabetic patients: a cross-sectional analytical study in three Peruvian hospitals. Medwave, 17(9), e7097. https://doi.org/10.5867/medwave.2017.09.7097

@article{f4d37d3100e047679b778cd6ce49132f,

title = "Factors associated to inpatient mortality rates in type-2-diabetic patients: a cross-sectional analytical study in three Peruvian hospitals",

abstract = "INTRODUCTION: Diabetes mortality has increased in recent years. In Peru, there are few studies on in-hospital mortality due to type 2 diabetes in the provinces.OBJECTIVE: To determine factors associated to hospital mortality in patients with diabetes mellitus type 2 in three hospitals from Cusco-Peru.METHODS: An analytical cross-sectional study was performed. All patients with diabetes mellitus type 2 hospitalized in the city of Cusco during the 2016 were included. Socio-educational and clinical characteristics were evaluated, with {"}death{"} as the variable of interest. The crude (cPR) and adjusted (aPR) prevalence ratios were estimated using generalized linear models with Poisson family and log link function, with their respective 95% confidence intervals (95% CI). The values p <0.05 were considered significant.RESULTS: A total of 153 patients were studied; 33.3% (51) died in the hospital. The mortality rate increased when the following factors were associated: age of the patients increased the mortality rate by one-year increments (aPR: 1.02; CI95%: 1.01-1.03; p<0.001); to have been admitted by the emergency service (aPR: 1.93; CI95%: 1.34-2.77; p<0.001); being a patient who is readmitted to the hospital (aPR: 2.01; CI95%: 1.36-2.98; p<0.001); and patients who have had a metabolic in-hospital complication (aPR: 1.61; CI95%: 1.07-2.43; p=0.024) or renal in-hospital complications (aPR: 1.47; CI95%: 1.30-1.67; p<0.001). Conversely, the mortality rate was reduced when admission was due to a urinary tract infection (aPR: 0.50; CI95%: 0.35-0.72; p<0.001); adjusted by seven variables.CONCLUSIONS: A third of hospitalized diabetes mellitus type 2 patients died during the study period. Mortality was increased as age rises, patients admitted through emergency rooms, patients who were readmitted to the hospital, and patients who had metabolic or renal complications. Patients admitted for a urinary tract infection had a lower mortality rate.",

keywords = "Peru, hospitals, mortality, type 2 diabetes mellitus",

author = "No{\'e} Atamari-Anahui and Martinez-Ninanqui, {Franklin W.} and Liz Paucar-Tito and Luz Morales-Concha and Alejandra Miranda-Chirau and Gamarra-Contreras, {Marco Antonio} and Zea-Nu{\~n}ez, {Carlos Antonio} and Mejia, {Christian R.}",

year = "2017",

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doi = "10.5867/medwave.2017.09.7097",

language = "American English",

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Atamari-Anahui, N, Martinez-Ninanqui, FW, Paucar-Tito, L, Morales-Concha, L, Miranda-Chirau, A, Gamarra-Contreras, MA, Zea-Nuñez, CA & Mejia, CR 2017, 'Factors associated to inpatient mortality rates in type-2-diabetic patients: a cross-sectional analytical study in three Peruvian hospitals', Medwave, vol. 17, n.º 9, pp. e7097. https://doi.org/10.5867/medwave.2017.09.7097

TY - JOUR

T1 - Factors associated to inpatient mortality rates in type-2-diabetic patients

T2 - a cross-sectional analytical study in three Peruvian hospitals

AU - Atamari-Anahui, Noé

AU - Martinez-Ninanqui, Franklin W.

AU - Paucar-Tito, Liz

AU - Morales-Concha, Luz

AU - Miranda-Chirau, Alejandra

AU - Gamarra-Contreras, Marco Antonio

AU - Zea-Nuñez, Carlos Antonio

AU - Mejia, Christian R.

PY - 2017/12/5

Y1 - 2017/12/5

N2 - INTRODUCTION: Diabetes mortality has increased in recent years. In Peru, there are few studies on in-hospital mortality due to type 2 diabetes in the provinces.OBJECTIVE: To determine factors associated to hospital mortality in patients with diabetes mellitus type 2 in three hospitals from Cusco-Peru.METHODS: An analytical cross-sectional study was performed. All patients with diabetes mellitus type 2 hospitalized in the city of Cusco during the 2016 were included. Socio-educational and clinical characteristics were evaluated, with "death" as the variable of interest. The crude (cPR) and adjusted (aPR) prevalence ratios were estimated using generalized linear models with Poisson family and log link function, with their respective 95% confidence intervals (95% CI). The values p <0.05 were considered significant.RESULTS: A total of 153 patients were studied; 33.3% (51) died in the hospital. The mortality rate increased when the following factors were associated: age of the patients increased the mortality rate by one-year increments (aPR: 1.02; CI95%: 1.01-1.03; p<0.001); to have been admitted by the emergency service (aPR: 1.93; CI95%: 1.34-2.77; p<0.001); being a patient who is readmitted to the hospital (aPR: 2.01; CI95%: 1.36-2.98; p<0.001); and patients who have had a metabolic in-hospital complication (aPR: 1.61; CI95%: 1.07-2.43; p=0.024) or renal in-hospital complications (aPR: 1.47; CI95%: 1.30-1.67; p<0.001). Conversely, the mortality rate was reduced when admission was due to a urinary tract infection (aPR: 0.50; CI95%: 0.35-0.72; p<0.001); adjusted by seven variables.CONCLUSIONS: A third of hospitalized diabetes mellitus type 2 patients died during the study period. Mortality was increased as age rises, patients admitted through emergency rooms, patients who were readmitted to the hospital, and patients who had metabolic or renal complications. Patients admitted for a urinary tract infection had a lower mortality rate.

AB - INTRODUCTION: Diabetes mortality has increased in recent years. In Peru, there are few studies on in-hospital mortality due to type 2 diabetes in the provinces.OBJECTIVE: To determine factors associated to hospital mortality in patients with diabetes mellitus type 2 in three hospitals from Cusco-Peru.METHODS: An analytical cross-sectional study was performed. All patients with diabetes mellitus type 2 hospitalized in the city of Cusco during the 2016 were included. Socio-educational and clinical characteristics were evaluated, with "death" as the variable of interest. The crude (cPR) and adjusted (aPR) prevalence ratios were estimated using generalized linear models with Poisson family and log link function, with their respective 95% confidence intervals (95% CI). The values p <0.05 were considered significant.RESULTS: A total of 153 patients were studied; 33.3% (51) died in the hospital. The mortality rate increased when the following factors were associated: age of the patients increased the mortality rate by one-year increments (aPR: 1.02; CI95%: 1.01-1.03; p<0.001); to have been admitted by the emergency service (aPR: 1.93; CI95%: 1.34-2.77; p<0.001); being a patient who is readmitted to the hospital (aPR: 2.01; CI95%: 1.36-2.98; p<0.001); and patients who have had a metabolic in-hospital complication (aPR: 1.61; CI95%: 1.07-2.43; p=0.024) or renal in-hospital complications (aPR: 1.47; CI95%: 1.30-1.67; p<0.001). Conversely, the mortality rate was reduced when admission was due to a urinary tract infection (aPR: 0.50; CI95%: 0.35-0.72; p<0.001); adjusted by seven variables.CONCLUSIONS: A third of hospitalized diabetes mellitus type 2 patients died during the study period. Mortality was increased as age rises, patients admitted through emergency rooms, patients who were readmitted to the hospital, and patients who had metabolic or renal complications. Patients admitted for a urinary tract infection had a lower mortality rate.

KW - Peru

KW - hospitals

KW - mortality

KW - type 2 diabetes mellitus

UR - http://www.scopus.com/inward/record.url?scp=85048168945&partnerID=8YFLogxK

U2 - 10.5867/medwave.2017.09.7097

DO - 10.5867/medwave.2017.09.7097

M3 - Original Article

C2 - 29244784

AN - SCOPUS:85048168945

SN - 0717-6384

VL - 17

SP - e7097

JO - Medwave

JF - Medwave

IS - 9

ER -

Factors associated to inpatient mortality rates in type-2-diabetic patients: a cross-sectional analytical study in three Peruvian hospitals

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