Clinical profile of diabetic patients after hospitalization due to complications by primary care sensitive condition

Authors

  • Cláudia Di Lorenzo Oliveira Universidade Federal de São João del-Rei
  • Karine Siqueira Cabral Rocha Universidade Federal de São joão del-Rei
  • Eduarda Mendes Costa Universidade Federal de São joão del-Rei
  • Rony Costa Almeida Universidade Federal de São joão del-Rei
  • Mateus Lopes Faria Universidade Federal de São joão del-Rei
  • Jessica Azevedo Aquino Universidade Federal de São joão del-Rei
  • Hygor Kleber Cabral Universidade Fderal de São joão del-Rei
  • Aurelino Rocha Barbosa-Júnior Universidade Federal de São João del-Rei
  • Raquel Yumi Sakamoto Universidade Federal de São João del-Rei
  • Clareci Silva Cardoso Universidade Federal de São João del-Rei

DOI:

https://doi.org/10.23925/1984-4840.2017v19i3a8

Keywords:

diabetes mellitus, type 2, patient discharge, ambulatory care, mortality, diabetes complications

Abstract

Objectives: To clinically evaluate and to classify patients according to the risk of new hospitalizations with type 2 diabetes after hospitalization for primary care sensitive condition. Methods: Patients were assessed after 18 months of hospitalization. A questionnaire with socio-demographic and clinical questions was applied, as well as clinical and laboratory evaluation, and electrocardiogram. A score based on the sum of cardiovascular risk, chronic kidney disease and diabetic foot was developed. A linear regression model was fitted to evaluate age and sex as factors associated with an increased likelihood of higher scores. Results: 37 patients were interviewed from the 98 eligible patients. The mortality rate 18 months after discharge was 32.6% (32/98). Males and aging were presented as factors associated with a higher risk of complications. After comparison, men had 3.89 more points in the score than women and every year of age represented an increase of 16 points. Discussion: Patients who were hospitalized for complications sensitive to primary care presented a high mortality, clinical and serious condition at high risk for the development of new complications and worsening of existing ones. Conclusion: The results point to a risk in which the hospital did not represent a change in clinical management of these patients, showing the lack of dialogue between tertiary and primary care.

Author Biography

Cláudia Di Lorenzo Oliveira, Universidade Federal de São João del-Rei

Campus CCO/Curso de Medicina

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Published

2017-11-13

How to Cite

Oliveira, C. D. L., Rocha, K. S. C., Costa, E. M., Almeida, R. C., Faria, M. L., Aquino, J. A., … Cardoso, C. S. (2017). Clinical profile of diabetic patients after hospitalization due to complications by primary care sensitive condition. Revista Da Faculdade De Ciências Médicas De Sorocaba, 19(3), 139–145. https://doi.org/10.23925/1984-4840.2017v19i3a8

Issue

Vol. 19 No. 3 (2017)

Section

Original Article

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