FACTORES ASOCIADOS A CRISIS HIPERGLICÉMICA EN PACIENTES CON DIABETES MELLITUS TIPO 2 EN EL SERVICIO DE EMERGENCIA DE MEDICINA INTERNA DEL HOSPITAL VITARTE EN EL AÑO 2016
FACTORS ASSOCIATED WITH HYPERGLYCEMIC CRISIS IN PATIENTS WITH DIABETES MELLITUS TYPE 2 IN THE INTERNAL MEDICINE EMERGENCY SERVICE OF VITARTE HOSPITAL IN 2016
Objective: To evaluate the factors associated with hyperglycemic crisis in patients with Type 2 Diabetes Mellitus in the emergency service of internal medicine of Vitarte Hospital in 2016.
Methods: Observational, analytical, retrospective type, case and control type. The sample consisted of 119 patients with Type 2 Diabetes Mellitus of which 63 developed hyperosmolar hyperglycemic state that entered the Internal Medicine Emergency Service of Hospital Vitarte in 2016.
Results: Of the 119 patients, 52.9% (63) presented hyperglycemic crisis. 52.3% (33) were women, while 47.6% (30) were men. 38.6% (46) of the diabetic patients presented infections. 63% (75) of patients had the disease less than 10 years, or did not know they had it. Of these, 54% (41) developed hyperosmolar hyperglycemic state, while 22 patients who lived with diabetes mellitus for more than 10 years developed hyperglycemic state. Those who received treatment were 68.9% (82), of whom 53.6% (44) developed hyperosmolar hyperglycemic state.
Conclusion: There is an association between infections and HHS with an OR of 9.12 (CI: 3.6-22.4). No statistically significant difference was found between the time of illness and the hyperglycemic crisis with an OR of 0.82 (CI: 0.3-1.7), as well as the treatment with an OR of 7.7 (CI: 0, 5-2.3). The oral treatment was also not associated with the development of hyperosmolar hyperglycemic state, obtaining an OR of 0.4 (CI: 0.17-1.1). Within the comorbidities, the vascular disease was the only one associated with HHS with an OR of 2, 55 (IC: 11-5,5). Key words: Hyperglycemic crisis; Hyperosmolar hyperglycemic state; Infections; Time of illness; Mental state; Comorbidities; Abdominal pain. (source: MeSH NLM)