Outcome of Diabetes mellitus Admissions in Elderly Nigerians- A chart Review from January, 2009 through December, 2009.
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Date
2010-09
Authors
Ogedengbe, O.S
Adigun, A
Fasanmade, O
Ohwovoriole, A
Journal Title
Journal ISSN
Volume Title
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Abstract
Background:
Aging is associated with important metabolic changes, making the elderly a special group of people requiring a special care for their medical conditions.
Aim:
To determine the reasons for admission and outcome of such admissions in elderly persons with diabetes mellitus.
Method:
The records of the medical wards of the LUTH were obtained for the period of January, 2009 to December, 2009 and analyzed with outcome being mortality and number of discharges made. Analysis was done with excel.
Results:
Of 1200 admissions for the review period, 9.3% (112) were diabetes related admissions. Elderly persons with diabetes (aged ≥ 60 years) made 59.8% (67) of diabetes related admissions [mean age of 69.2 ± 7.1 years. The male to female ratio was 1.7:1. Diabetes related mortality in the elderly was 16.4%
TABLE 1: Reasons for Admission and Outcome of Admissions in Elderly Persons living with Diabetes
REASONS FOR ADMISSION
FREQUENCY OUT COME
DISCHAGED MORTALITY
HYPERGLYCAEMIC EMERGENCIES 21 (31.3%) 15 4
HYPOGLYCAEMIA 5 (7.5%) 3 2
DIABETIC RELATED FOOT PROBLEMS 11 (16.4%) 9 2
SEPSIS 3 (4.5%) 2 1
DIABETIC NEPHROPATHY 4 (6.0%) 4 0
DIARRHOEA 1 (1.5%) 1 0
POOR GLYCAEMIC CONTROL 16 (23.8%) 16 0
PULMONARY TUBERCULOSIS 3 (4.5%) 3 0
STROKE 3 (4.5%) 1 2
A third of those that presented in sepsis and two third of those who had a stroke died while 40% of those who presented in hypoglycaemia died. Over a quarter of those who presented with a hyperglycaemic emergency died while 22% of those who presented with a foot related problem died.
Conclusions:
Sepsis, metabolic emergencies and foot related problems require aggressive management in the elderly.
Description
Keywords
Diabetes mellitus, outcome, elderly, Nigerians
Citation
Ogedengbe OS, Adigun A, Fasanmade O, Ohwovoriole A. Outcome of Diabetes mellitus Admissions in Elderly Nigerians- A chart Review from January, 2009 through December, 2009.