This study helps us to find the morbidity & mortality patterns in
patients with diabetes admitted in a tertiary care hospital in a developing
country and confers information about their distribution among males &
females of different age groups, their relationship with concurrent diseases,
obesity and the effect of various treatment modalities on the morbidity &
mortality. The objective is to find the morbidity and mortality patterns in
people with diabetes admitted to a tertiary care hospital associated with
Government Medical College Srinagar, in India. Methods: In this prospective
study, all patients with diabetes who were admitted to Sri Maharaja Hari Singh
hospital [SMHS] (associated hospital of Government Medical College, Srinagar)
over a period of 19 months were studied for diabetes-related complications.
Results: The most common morbidity among patients with diabetes admitted in
this hospital was infection (47.54%) followed by strokes (9.09%).The most
common cause of death in patients with diabetes was again infections (60.34%),
followed by strokes (18.96%) and renal failure (17.24%). Among admitted
patients with diabetes, type 2 diabetes was the predominant type (95.2%).6.4%
of these patients were obese. Maximum admissions were for infections (47.5%),
followed by Diabetic Ketoacidosis (10.64%) and hypoglycaemia (7.87%). Among
complications, 52% had neuropathy, 50% had diabetic retinopathy, 27.2% had
nephropathy and 4.9 % had disease of coronaries.Major metabolic complications
were Diabetic Ketoacidosis (3.42%), Hypoglycemia (2.53%) and Hyperglycemic
Hyperosmolar state(HHS) (1.93%). 8.64% among admitted patients died.12.06% died
of myocardial infarction and 5.1% died of hypoglycemia. Conclusions:The most
common morbidities in patients admitted with diabetes in this tertiary care
hospital in a developing country are infections and strokes and the most common
etiology for deaths is again infections followed by strokes and renal failure.
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