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Morbi - Mortality of Diabetic Patients Hospitalized at the Unit of Endocrinology at the Joseph Raseta Befelatanana Hospital, Antananarivo

Received: 26 July 2022    Accepted: 10 August 2022    Published: 24 August 2022
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Abstract

Introduction: Diabetes mellitus is a chronic pathology related to chronic hyperglycemia. Its seriousness is based on its complications, which are often a source of hospitalization and death. Our aim was to identify both the main causes of hospitalization and death in Malagasy diabetic patients. Methods: We conducted a descriptive and analytical cross-sectional study including all diabetic patients hospitalized between January and June 2020 at the unit of Endocrinology at the Joseph Raseta Befelatanana hospital, Antananarivo. Results: The mean age of our patients was 56.66 ± 13.03 years, the sex ratio was 0.82. Diabetes mellitus were known before admissions to hospital in 81.95% cases. Type 2 diabetes mellitus was found in the majority of our patients. The mainly causes of hospitalization were cardiovascular, in particular stroke, nephropathy and heart failure. The second cause of hospitalization was infections with a predilection on the pulmonary tract. The causes of hospital mortality were also cardiovascular, dominated by heart failure. Heart failure was a significant factor influencing mortality in these diabetic patients (OR = 4.65; 95% IC = 1.80 – 11.85; p < 0.01). Conclusion: To know the causes of morbi-mortality in diabetic patients may guide from the initiation of the preventions to the most precise multidisciplinary decisions. Prior investigations regarding diabetic patients with heart failure are needed. Thus, influences on the treatments, on follow-up and on subsequent researches may be appeared.

Published in International Journal of Diabetes and Endocrinology (Volume 7, Issue 3)
DOI 10.11648/j.ijde.20220703.14
Page(s) 63-69
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cardiovascular Diseases, Diabetes Mellitus, Heart Failure, Hospitalization, Mortality

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Cite This Article
  • APA Style

    Tsikinirina Valisoa Randrianomanana, Thierry Razanamparany, Sitraka Angelo Raharinavalona, Rija Eric Raherison, Haritsiky Robertini Ramalanjaona, et al. (2022). Morbi - Mortality of Diabetic Patients Hospitalized at the Unit of Endocrinology at the Joseph Raseta Befelatanana Hospital, Antananarivo. International Journal of Diabetes and Endocrinology, 7(3), 63-69. https://doi.org/10.11648/j.ijde.20220703.14

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    ACS Style

    Tsikinirina Valisoa Randrianomanana; Thierry Razanamparany; Sitraka Angelo Raharinavalona; Rija Eric Raherison; Haritsiky Robertini Ramalanjaona, et al. Morbi - Mortality of Diabetic Patients Hospitalized at the Unit of Endocrinology at the Joseph Raseta Befelatanana Hospital, Antananarivo. Int. J. Diabetes Endocrinol. 2022, 7(3), 63-69. doi: 10.11648/j.ijde.20220703.14

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    AMA Style

    Tsikinirina Valisoa Randrianomanana, Thierry Razanamparany, Sitraka Angelo Raharinavalona, Rija Eric Raherison, Haritsiky Robertini Ramalanjaona, et al. Morbi - Mortality of Diabetic Patients Hospitalized at the Unit of Endocrinology at the Joseph Raseta Befelatanana Hospital, Antananarivo. Int J Diabetes Endocrinol. 2022;7(3):63-69. doi: 10.11648/j.ijde.20220703.14

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  • @article{10.11648/j.ijde.20220703.14,
      author = {Tsikinirina Valisoa Randrianomanana and Thierry Razanamparany and Sitraka Angelo Raharinavalona and Rija Eric Raherison and Haritsiky Robertini Ramalanjaona and Miora Maeva Arielle Andrianiaina and Andrianirina Dave Patrick Rakotomalala},
      title = {Morbi - Mortality of Diabetic Patients Hospitalized at the Unit of Endocrinology at the Joseph Raseta Befelatanana Hospital, Antananarivo},
      journal = {International Journal of Diabetes and Endocrinology},
      volume = {7},
      number = {3},
      pages = {63-69},
      doi = {10.11648/j.ijde.20220703.14},
      url = {https://doi.org/10.11648/j.ijde.20220703.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20220703.14},
      abstract = {Introduction: Diabetes mellitus is a chronic pathology related to chronic hyperglycemia. Its seriousness is based on its complications, which are often a source of hospitalization and death. Our aim was to identify both the main causes of hospitalization and death in Malagasy diabetic patients. Methods: We conducted a descriptive and analytical cross-sectional study including all diabetic patients hospitalized between January and June 2020 at the unit of Endocrinology at the Joseph Raseta Befelatanana hospital, Antananarivo. Results: The mean age of our patients was 56.66 ± 13.03 years, the sex ratio was 0.82. Diabetes mellitus were known before admissions to hospital in 81.95% cases. Type 2 diabetes mellitus was found in the majority of our patients. The mainly causes of hospitalization were cardiovascular, in particular stroke, nephropathy and heart failure. The second cause of hospitalization was infections with a predilection on the pulmonary tract. The causes of hospital mortality were also cardiovascular, dominated by heart failure. Heart failure was a significant factor influencing mortality in these diabetic patients (OR = 4.65; 95% IC = 1.80 – 11.85; p < 0.01). Conclusion: To know the causes of morbi-mortality in diabetic patients may guide from the initiation of the preventions to the most precise multidisciplinary decisions. Prior investigations regarding diabetic patients with heart failure are needed. Thus, influences on the treatments, on follow-up and on subsequent researches may be appeared.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Morbi - Mortality of Diabetic Patients Hospitalized at the Unit of Endocrinology at the Joseph Raseta Befelatanana Hospital, Antananarivo
    AU  - Tsikinirina Valisoa Randrianomanana
    AU  - Thierry Razanamparany
    AU  - Sitraka Angelo Raharinavalona
    AU  - Rija Eric Raherison
    AU  - Haritsiky Robertini Ramalanjaona
    AU  - Miora Maeva Arielle Andrianiaina
    AU  - Andrianirina Dave Patrick Rakotomalala
    Y1  - 2022/08/24
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijde.20220703.14
    DO  - 10.11648/j.ijde.20220703.14
    T2  - International Journal of Diabetes and Endocrinology
    JF  - International Journal of Diabetes and Endocrinology
    JO  - International Journal of Diabetes and Endocrinology
    SP  - 63
    EP  - 69
    PB  - Science Publishing Group
    SN  - 2640-1371
    UR  - https://doi.org/10.11648/j.ijde.20220703.14
    AB  - Introduction: Diabetes mellitus is a chronic pathology related to chronic hyperglycemia. Its seriousness is based on its complications, which are often a source of hospitalization and death. Our aim was to identify both the main causes of hospitalization and death in Malagasy diabetic patients. Methods: We conducted a descriptive and analytical cross-sectional study including all diabetic patients hospitalized between January and June 2020 at the unit of Endocrinology at the Joseph Raseta Befelatanana hospital, Antananarivo. Results: The mean age of our patients was 56.66 ± 13.03 years, the sex ratio was 0.82. Diabetes mellitus were known before admissions to hospital in 81.95% cases. Type 2 diabetes mellitus was found in the majority of our patients. The mainly causes of hospitalization were cardiovascular, in particular stroke, nephropathy and heart failure. The second cause of hospitalization was infections with a predilection on the pulmonary tract. The causes of hospital mortality were also cardiovascular, dominated by heart failure. Heart failure was a significant factor influencing mortality in these diabetic patients (OR = 4.65; 95% IC = 1.80 – 11.85; p < 0.01). Conclusion: To know the causes of morbi-mortality in diabetic patients may guide from the initiation of the preventions to the most precise multidisciplinary decisions. Prior investigations regarding diabetic patients with heart failure are needed. Thus, influences on the treatments, on follow-up and on subsequent researches may be appeared.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

  • Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar

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