DOI: 10.6084/m9.figshare.5606041
title: Factors associated to inhospital mortality in patients with type 2 Diabetes Mellitus in three hospitals from the southern highlands of Peru

description: <b>Introduction</b>: The diabetes mortality has increased in recent years. In Peru, there are no studies about intra hospitable mortality due to diabetes in its provinces. <b>Objective</b>: Determine the associated factors to intra hospitable mortality with type 2 mellitus diabetes in three hospitals in the southern mountain range from Peru. <b>Methods</b>: An analytical cross-section has been made. All patients with type 2 diabetes mellitus hospitalized in Cusco during the year 2016 were included. The socio-educational and clinical characteristics were evaluated, having “death” as a variable of interest. It was calculated the reasons of crude and adjusted prevalence using the generalized linear models. With Poisson family and the connection log function. With their respective 95% confidence interval. Values &lt; 0.05 were considered significant. <b>Results</b>: from 153 patients, 33.3% (51) died in hospitalization. The frequency of mortality increased, the increase of patient's age (adjusted prevalence ratio 1.02; 95% confidence interval 1.01 to 1.03; p value &lt;0.001), having entered through the emergency service (adjusted prevalence ratio 1.93; 95% confidence interval 1.34 to 2.77; p value &lt;0.001), Being a patient who re-enters to the hospital (adjusted prevalence ratio 2,01; 95% confidence interval 1.36 to 2.98; p value &lt;0.001) and the one who has had a Metabolic hospital complication (adjusted prevalence ratio 1.61; 95% confidence interval 1.07 to 2.43; p value &lt;0.024) o renal (razón de prevalencia ajustada 1,47; intervalo de confianza del 95% 1,30 a 1,67; valor de p &lt; 0,001 ). Por otro lado, la frecuencia de mortalidad disminuyó y su causa de internación fue una infección urinaria renal (razón de prevalencia ajustada 0,50; intervalo de confianza del 95%: 0,35 a 0,72; valor p &lt; 0,001 ), ajustado por 7 variables . <b>Conclusión</b> : el aumento de cada año de vida, ingresando por urgencias y presentando reingresos a la hospitalización fueron factores asociados a la mortalidad, al igual que las complicaciones intrahospitalarias de tipo metabólico o renal.<b>Introduction</b>: The diabetes mortality has increased in recent years. In Peru, there are no studies about intra hospitable mortality due to diabetes in its provinces. <b>Objective</b>: Determine the associated factors to intra hospitable mortality with type 2 mellitus diabetes in three hospitals in the southern mountain range from Peru. <b>Methods</b>: An analytical cross-section has been made. All patients with type 2 diabetes mellitus hospitalized in Cusco during the year 2016 were included. The socio-educational and clinical characteristics were evaluated, having “death” as a variable of interest. It was calculated the reasons of crude and adjusted prevalence using the generalized linear models. With Poisson family and the connection log function. With their respective 95% confidence interval. Values &lt; 0.05 were considered significant. <b>Results</b>: from 153 patients, 33.3% (51) died in hospitalization. The frequency of mortality increased, the increase of patient's age (adjusted prevalence ratio 1.02; 95% confidence interval 1.01 to 1.03; p value &lt;0.001), having entered through the emergency service (adjusted prevalence ratio 1.93; 95% confidence interval 1.34 to 2.77; p value &lt;0.001), Being a patient who re-enters to the hospital (adjusted prevalence ratio 2,01; 95% confidence interval 1.36 to 2.98; p value &lt;0.001) and the one who has had a Metabolic hospital complication (adjusted prevalence ratio 1.61; 95% confidence interval 1.07 to 2.43; p value &lt;0.024) or renal (adjusted prevalence ratio 1.47; 95% confidence interval 1.30 to 1.67; p value &lt;0.001). On the other hand, the frequency of mortality decreased which its cause for hospitalization was by a urinary tract infection renal (adjusted prevalence ratio 0.50; 95% confidence interval 0.35 to 0.72; p value &lt;0.001), adjusted by 7 variables. <b>Conclusion</b>: The increase of each year of life, entering by emergency and presenting readmissions to hospitalization were factors associated with mortality, just as presenting intrahospital complications of metabolic or renal type.