García-Sancho FMC, Castillejos LM, Fernández PMR, Fabián SMMG, Torres-Espíndola LM

Language: Spanish
References: 23
Page: 259-264
PDF size: 76.92 Kb.

ABSTRACT

Background: The burden of respiratory diseases associated to type 2 diabetes mellitus (DM2) is not well known. Our objective was to determine the frequency of respiratory diseases in adult patients with and without DM2.
Method: A retrospective analysis of database for discharged patients from the INER during 2005 was done. Patients were classified as DM2 if they had the diagnosis of DM2 in the discharge diagnosis list. The main respiratory diagnoses were classified according to The International Classification of Diseases. Prevalence was calculated using the number of discharges with the disease as numerator and the total number of discharges during the same period as denominator. Subjects with HIV infection were analyzed separately.
Results: Prevalence of DM2 in HIV negative patients ≥ 18 years old was (1,430/25,925) 5.5% vs. (5/1,011) 0.5% in HIV positive patients. Prevalence of infectious diseases in patients with and without DM2 patients was: pulmonary tuberculosis (PTb) 13.1% vs. 3.5%, OR = 4.1, (95%CI 3.4-4.9), p ‹ 0.0001; tuberculosis sequelae 3.9% vs. 2.8%, OR =1.3 (95%CI 1.02-1.8), p = 0.02 and non specified pneumonia 10.5% vs. 5.7%, OR = 1.9 (95%CI 1.6-2.3), p ‹ 0.0001. The attributed population risk for infectious diseases due to DM2 in HIV negative patients was 45%. The risk of PTb was also higher in HIV positive patients with DM2. There were no differences in noninfectious respiratory diseases among negative and positive HIV patients. Respiratory infectious diseases were more frequent in DM2 patients.
Conclusions: DM2 control can reduce potentially avoidable admission rates at third level hospitals.

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