SURVEILLANCE OF MORTALITY: FROM A TERTIARY CARE TEACHING HOSPITAL OF EASTERN INDIA IN PERSONS WITH AND WITHOUT DIABETES MELLITUS

Shobhitendu Kabi; Shrikant Kumar Dhar; Baikuntha Nath Panda; Chandan Das; Kamal Kant Jena; Mahesh Chandra Sahu

doi:10.22159/ajpcr.2017.v10i6.17430

Authors

Shobhitendu Kabi Department of Medicine, IMS and SUM Hospital, Siksha â€˜Oâ€™ Anusandhan University, Bhubaneswar 751 003, Odisha, India.
Shrikant Kumar Dhar Department of Medicine, IMS and SUM Hospital, Siksha â€˜Oâ€™ Anusandhan University, Bhubaneswar 751 003, Odisha, India.
Baikuntha Nath Panda Department of Medicine, IMS and SUM Hospital, Siksha â€˜Oâ€™ Anusandhan University, Bhubaneswar 751 003, Odisha, India.
Chandan Das Department of Medicine, IMS and SUM Hospital, Siksha â€˜Oâ€™ Anusandhan University, Bhubaneswar 751 003, Odisha, India.
Kamal Kant Jena Department of Medicine, IMS and SUM Hospital, Siksha â€˜Oâ€™ Anusandhan University, Bhubaneswar 751 003, Odisha, India.
Mahesh Chandra Sahu Directorate of Medical Research, IMS and SUM Hospital, Siksha â€˜Oâ€™ Anusandhan University, Bhubaneswar 751 003, Odisha, India.

DOI:

https://doi.org/10.22159/ajpcr.2017.v10i6.17430

Keywords:

Diabetes mellitus, Infection, Morbidity, Mortality

Abstract

Objective: There is abundant knowledge about the gravity of global load of diabetes mellitus (DM). There are conflicting reports on the cause of death from different parts of the world. In India, there are not enough studies to establish the cause of death in DM. To find out the mortality pattern in DM and non-DM (NDM) in a tertiary care teaching hospital in Eastern India.

Methods: Retrospective analysis of in-hospital mortality in a tertiary care hospital in Eastern India, from January 2012 to December 2015.

Results: There were a total of 1590 deaths of which 442 were having DM and 1148 did not have DM (NDM). Mean age of death for nondiabetics was 66.4 years (M:F = 67.5:65.3) and that for diabetics were 62.7 years (M:F = 63.5:60.04) which was not statistically significant (p=0.9) though diabetics died younger by 4 years. On analyzing the specific cause of death, coronary artery disease (CAD) was 14.71% in DM and 1.57% in NDM (p=0.0001). Chronic kidney disease (CKD) was 18.55% in DM and 1.92% in NDM (p=0.0001). Congestive heart failure was 7.27% in DM and 1.83% in NDM (p=0.0001). CVA was 13.57% in DM and 1.66% in NDM (p=0.0001). Infection was the most common cause of death (39.37%) in DM, but in NDM also this was quite high 34.41% (p=0.21). The death due to CVA in DM was more in hemorrhage as compared to ischemic (p=0.00001).

Conclusion: We found causes of death in DM were an infection, CKD, CAD, CVA, and CHF in descending order in this part of the world. The diabetes patients had lesser hospital stay than nondiabetes patients (p=0.009).

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