Üçüncü Basamak Bir Hastanede Yatan Tip 2 Diyabetli Hastalarda Hipertansiyon Sıklığı ve Etkileyen Faktörler

Year 2022, Volume: 19 Issue: 3, 466 - 470, 27.12.2022

Mehmet Ali Eren , Hüseyin Karaaslan , Mehmet Selim Mamiş , Ahmet Cebeli Gökay , Meliha Özkutlu , Tevfik Sabuncu

https://doi.org/10.35440/hutfd.1092287

Abstract

Amaç: Diyabet ve hipertansiyon birbirlerinin bulunma riskini arttıran, ayrıca kardiyak, vasküler ve renal kompli-kasyonlara neden olabilen yaygın hastalıklardır. Ayaktan takip edilen diyabetli hastalarda hipertansiyon sıklığı çoğu kez çalışılmışsa da yatan hastalar ile ilgili bilgiler kısıtlıdır. Biz de hastaneye yatan diyabetli hastalarda hipertansiyon sıklığını araştırmayı amaçladık.
Materyal ve metod: Herhangi bir nedenle servise yatırılan tip 2 diyabetes mellituslu hastalar çalışmaya alındı. Hipertansiyon, antihipertansif ilaçlar almak veya hastanede ölçülen arteryel kan basıncının en az iki kez 140/90 mmHg’den daha yüksek çıkması olarak tanımlandı.
Bulgular: Hastanede yatan tip 2 diyabet hastalarında hipertansiyon sıklığı %52.6 olarak bulundu. Hipertansiyonu olan ve ilaç kullanan 98 hastanın 29’unda (%29.5) kan basıncı kontrol altında değildi. Hipertansiyonu olanların yaşları ve vücut kütle indeksleri (VKİ), hipertansiyonu olmayanlara göre anlamlı olarak daha yüksekti (yaş için 63.2 ± 10.4’e karşın 55.3 ± 11.2, p <0.001; VKİ için 31.0 ± 6.8’e karşın 27.5 ± 5.6, p <0.001). Sigara içenlerin sıklığı hipertansiyonu olmayanlarda (%67.0), olanlara göre (%45.5) anlamlı olarak daha fazlaydı (p=0.004). Kreatinin düzeyi hipertansiyonu olan diyabetlilerde (1.2 ± 1.0), olmayanlara (1.0 ± 0.5) göre anlamlı olarak yüksek bulundu (p=0.038).
Sonuç: Yatarak tedavi edilen tip 2 diyabetli hastalarda, yatış sırasında hipertansiyon sıklıkla eşlik edebilmektedir. Bu hastaların ise üçte birinde kan basınçları kontrol altında olmayıp bu durum diyabetle ilişkili komplikasyonlara olumsuz katkıda bulunabilir. Diyabeti olan bireylerde hipertansiyonun varlığı tespit edilmeli ve tedavisi mutlaka gözden geçirilmelidir.

Anahtar Kelimeler: Tip 2 diyabetes mellitus, Hipertansiyon, Komplikasyon

Keywords

tip 2 diyabetes mellitus, hipertansiyon, yatan hasta

Supporting Institution

Herhangi bir kurumdan destek alınmamıştır.

The Prevalence of Hypertension and Influencing Factors in Hospitalized Patients with Type 2 Diabetes in A Tertiary Care Center

Abstract

Background: Diabetes and hypertension are common diseases that increase the risk of each other and may also cause cardiac, vascular and renal complications. Although the prevalence of hypertension in outpatients with diabetes has been studied several time, information about inpatients is limited. We aimed to investigate the prevalence of hypertension in hospitalized diabetic patients.
Materials and Methods: Patients with type 2 diabetes mellitus hospitalized for any reason were included to the study. Hypertension was defined as taking antihypertensive drugs or having at least two arterial blood pressure greater than 140/90 mmHg in hospital.
Results: The prevalence of hypertension in hospitalized type 2 diabetes patients was 52.6%. Blood pressure was not under control in 29 (29.5%) of 98 patients who used anti-hypertensive drug. The ages and body mass index (BMI) of patients with hypertension were significantly higher than those without hypertension (63.2 ± 10.4 vs. 55.3 ± 11.2, p <0.001 for age; 31.0 ± 6.8 vs. 27.5 ± 5.6 for BMI, p <0.001 ). The frequency of smokers was significantly higher in patients without hypertension (67.0%) than in those with hypertension (45.5%) (p=0.004). The creatinine level was found to be significantly higher in diabetics with hypertension (1.2 ± 1.0) than in those without hypertension (1.0 ± 0.5) (p=0.038).
Conclusions: Inpatients with type 2 diabetes mellitus may often be accompanied by hypertension during hospi-talization. Blood pressure of one third of these patients is not under control and this situation may negatively contribute to diabetes-related complications. The presence and treatment of hypertension in individuals with diabetes must be questioned.

Keywords: Type 2 diabetes mellitus, Hypertension, Complication

Keywords

type 2 diabetes, hypertension, inpatient

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