2012, Number 1
<< Back Next >>
Gac Med Mex 2012; 148 (1)
Prevalencia de diabetes mellitus de tipo 2 y factores asociados en la población geriátrica de un hospital general del norte de México
Gutiérrez-Hermosillo H, Díaz de León-González E, Pérez-Cortez P, Cobos-Aguilar H, Gutiérrez-Hermosillo V, Tamez-Pérez HE
Language: Spanish
References: 20
Page: 14-18
PDF size: 81.95 Kb.
ABSTRACT
There are few reports on the impact of diabetes in the geriatric population.
Objective: To determine the prevalence of diabetes in the geriatric population in a hospital in Northeast Mexico.
Design: A cross-sectional study and a probabilistic sampling were made. The files of outpatients of the geriatrics department in a General Hospital in Monterrey, Mexico, were examined. The information obtained from these files was related to the patient´s personal pathological and non-pathological background, besides a full geriatric evaluation.
Results: A total of 171 files were examined, out of which 97 (56.7%) belonged to females and 74 (43.3%) to males. The mean age was 78 ±, 6.9 years. Diabetes was found in 76 patients (44%), major depression was found in 85 patients (50%), with the latter being more common in diabetic patients (p = 0.002). It was also found that diabetic patients take more drugs during their disease. Adjusting for age, gender, and academic level, cognitive impairment was found in 110 patients (64.3%).
Conclusions: Diabetes mellitus is more frequent in the geriatric population and it uses more resources.
REFERENCES
Villalpando S, De la Cruz V, Rojas R, et al. Prevalence and distribution of type 2 diabetes mellitus in Mexican adult population: a probabilistic survey. Salud Publica Mex. 2010;52 Suppl 1:S19-26.
Morley JE. Diabetes and aging: epidemiologic overview. Clin Geriatr Med. 2008;24(3):395-405, v.
Tamez H, Gutiérrez H, Cedillo J, et al. Tratamiento con insulina en paciente hospitalizado con diabetes mellitus tipo 2. ¿Única opción? Med Int Mex. 2007;23(3):4.
Silverberg AB, Ligaray KP. Oral diabetic medications and the geriatric patient. Clin Geriatr Med. 2008;24(3):541-9, viii.
Ducharme N, Radhamma R. Hyperlipidemia in the elderly. Clin Geriatr Med. 2008;24(3):471-87, vi.
Cassidy EL, Lauderdale S, Sheikh JI. Mixed anxiety and depression in older adults: clinical characteristics and management. J Geriatr Psychiatry Neurol. 2005;18(2):83-8.
Lauderdale SA, Sheikh JI. Anxiety disorders in older adults. Clin Geriatr Med. 2003;19(4):721-41.
Mazza AD. Insulin resistance syndrome and glucose dysregulation in the elderly. Clin Geriatr Med. 2008;24(3):437-54, vi.
Association AD. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2011;34 Suppl 1:S62-9.
Barber JH, Wallis JB, McKeating E. A postal screening questionnaire in preventive geriatric care. J R Coll Gen Pract. 1980;30(210):49-51.
Yesavage JA. Geriatric depression scale: consistency of depressive symptoms over time. Percept Mot Skills. 1991;73(3 Pt 1):1032.
Vollset SE. Confidence intervals for a binomial proportion. Stat Med. 1993;12(9):809-24.
National Diabetes Data Group (U.S.), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), National Institutes of Health (U.S.). Diabetes in America. 2.a ed. Bethesda, Md.: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 1995.
Shamah-Levy T, Cuevas-Nasu L, Mundo-Rosas V, Morales-Ruan C, Cervantes-Turrubiates L, Villalpando-Hernández S. [Health and nutrition status of older adults in Mexico: results of a national probabilistic survey]. Salud Publica Mex. 2008;50(5):383-9.
Bustos-Saldaña R, Mesa-Santamaría A, Mora-Bustos A, et al. Hipertensión arterial en el paciente anciano del Occidente de México. Revista Cubana de Medicina General Integral. 2004;20:2.
Gutiérrez-Vázquez I, Burguete-Cabanas T, Zacarías-Castillo R, Mata- Miranda P. [Diabetes mellitus mortality. Eleven years experience at a second level hospital]. Salud Publica Mex. 2006;48(6):445.
Fick DM, Cooper JW, Wade WE, Waller JL, Maclean JR, Beers MH. Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. Arch Intern Med. 2003;163(22):2716-24.
Villanyi D, Wong RY. Self-reported understanding of diabetes and its treatment among elderly ambulatory subjects in British Columbia. Am J Geriatr Pharmacother. 2007;5(1):18-30.
Okereke OI, Kang JH, Cook NR, et al. Type 2 diabetes mellitus and cognitive decline in two large cohorts of community-dwelling older adults. J Am Geriatr Soc. 2008;56(6):1028-36.
Russell LB, Valiyeva E, Roman SH, Pogach LM, Suh DC, Safford MM. Hospitalizations, nursing home admissions, and deaths attributable to diabetes. Diabetes Care. 2005;28(7):1611-7.