DIABETES MELLITUS CASE RECORDS (2005-2014)

Year 2021, , 185 - 190, 17.05.2021

Bilgin Vural , A.gaye Tomatır , Adnan Köksal

https://doi.org/10.18229/kocatepetip.706447

Abstract

OBJECTIVE: Diabetes mellitus is one of the most challenging global health problems in the 21st century. In this study, we aimed to identify some risk factors by analyzing diabetes mellitus records.
MATERIAL AND METHODS: This is a descriptive and retrospective study. Data were obtained from hospital records. The population of the study consisted of 34.649 cases who applied to three state hospitals between August 1, 2005, and January 9, 2014, and were diagnosed with Diabetes Mellitus according to ICD10.
RESULTS:The average age of the study group (n=34.649), which consisted of 18.653 women (53.8%) and 15.996 men (46.2%) in the records, was found to be 59.08 ± 15.60. The mean age for the diagnosis of diabetes mellitus was determined as 54.76 ± 15.54. In this study, 28.1% (n=9.743) of the cases were diagnosed with diabetes mellitus between the ages of 50-59 and 24.9% (n=8.638) between the ages of 60-69. Most of the treatments (81.35%, n=28.188) were determined to be outpatient and 18.65% (n=6.461) of them were hospitalized. When the individuals diagnosed with diabetes mellitus according to ICD10 were examined; approximately one third (28.8%, n=9.963) of them were found to be "E10-Type 1 diabetes mellitus", one third (29.8%, n=10.334) of them as "E11-non-insulin-dependent diabetes mellitus" and the remaining one third (27.9%, n=9.663) were "E13-Other defined diabetes mellitus".
CONCLUSIONS: The diagnosis of diabetes mellitus was concluded to have increased considerably in recent years and been much more common with women than men. It is also clear that the need for professional health services in primary care has increased since most of the individuals with diabetes mellitus receive outpatient treatment.

Keywords

Diabetes mellitus, Outpatient care, Inpatient care

DİABETES MELLİTUS VAKA KAYITLARI (2005-2014)

Abstract

AMAÇ: Diabetes mellitus, 21. yüzyılın en zorlu küresel sağlık sorunlarından biridir. Bu çalışmada, diabetes mellitus kayıtlarını analiz ederek bazı risk faktörlerini belirlemeyi amaçladık.
GEREÇ VE YÖNTEM: Tanımlayıcı ve retrospektif bir çalışmadır. Veriler hastane kayıtlarından elde edilmiştir. Çalışmanın evrenini 1 Ağustos 2005 - 9 Ocak 2014 tarihleri arasında, üç devlet hastanesine başvuran ve ICD10'a göre Diabetes Mellitus tanısı alan 34.649 vaka oluşturmuştur.
BULGULAR: Kayıtlarda yer alan 18.653 kadın (%53.8) ve 15.996 erkekten (%46.2) oluşan çalışma grubunun (n=34.649) yaş ortalaması 59.08±15.60 bulunmuştur. Diabetes mellitus tanı alma yaş ortalaması ise 54.76±15.54 olarak belirlenmiştir. Çalışmada vakaların %28.1'inin (n=9.743) 50-59 yaş arasında ve %24.9'unun (n=8.638) 60-69 yaş arasında diabetes mellitus tanısı aldığı görülmüştür. Tedavilerinin çoğunlukla (%81.35, n=28.188) ayaktan yapılmış olduğu, % 18.65'inin (n=6.461) ise hastanede yatarak tedavi edildiği belirlenmiştir. ICD10 göre diabetes mellitus tanısı alan bireyler incelendiğinde; yaklaşık olarak üçte birinin (%28.8, n=9.963) “E10-Tip 1 diabetes mellitus”, üçte birinin (%29.8, n=10.334) “E11-İnsüline bağımlı olmayan diabetes mellitus” ve geri kalan üçte birinin (%27.9, n=9.663) ise “E13-Diğer tanımlanmış diabetes mellitus” olduğu saptanmıştır.
SONUÇ: Son yıllarda diabetes mellitus tanısının oldukça arttığı ve kadınlarda erkeklerden çok daha fazla olduğu görülmektedir. Diabetes mellituslu bireylerin çoğunun ayaktan tedavi görmesi nedeniyle birinci basamaktaki profesyonel sağlık hizmetine olan ihtiyacın da arttığı anlaşılmaktadır.

Keywords

diabetes mellitus, Ayaktan tedavi, Yatarak tedavi

References

• 1. Heng BH, Sun Y, Cheah JT, Jong M. The Singapore National Healthcare group diabetes registry descriptive epidemiology of type 2 diabetes mellitus. Ann Acad Med Singapore 2010;39:348-52.
• 2. Roglic G, Unwin N, Bennet PH, et al. The burden of mortality attributable to diabetes: realistic estimates for the year 2000. Diabetes Care 2005;28:2130-5.
• 3. Thomason MJ, Biddulph JP, Cull CA, Holman RR. Reporting of diabetes on death certificates using data from the UK prospective diabetes study. Diabet Med 2005;22:1031-6.
• 4. McEwen LN, Kim C, Haan M, et al. Diabetes reporting as a cause of death: Results from the Translating Research into Action for Diabetes (TRIAD) Study. Diabetes Care 2006;29:247-53.
• 5. American Diabetes Association. 2. Classification and Diagnosis of Diabetes. Diabetes Care 2015;38:8-16.
• 6. Sonmez A, Haymana C, Bayram F, et al., TEMD Study Group. Turkish nationwide survEy of glycemic and other Metabolic parameters of patients with Diabetes mellitus (TEMD study). Diabetes Res Clin Pract 2018;146:138-147.
• 7. Oğuz A, Telci Çaklılı Ö, Tümerdem Çalık B, PURE Investigators. The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Turk Kardiyol Dern Ars 2018;46:613-23.
• 8. Thomsen RV, Sørensen HT. Using registries to identify type 2 diabetes patients. Clin Epidemiol 2015;7:1-3.
• 9. Altman DG, Gore SM, Gardner MJ, Pocock SJ. Statistical guidelines for contributors to medical journals. Br Med J 1983:7;1489-93.
• 10. Özdamar K. Statistical biostatistics with SPSS (SPSS ile istatistiksel biyoistatistik) Ankara: Nisan Kitabevi, 2015:149-204.
• 11. Aschner P, Aguilar-Salinas C, Aguirre L, et al. Diabetes in South and Central America: An update. Diabetes Res Clin Pract 2014;103:238-43.
• 12. T.R Ministry of Health - General Directorate of Health Information Systems. T.R. International Project from the Ministry of Health for the Remote Monitoring of Diabetes (T.C. Sağlık Bakanlığı-Sağlık Bilgi Sistemleri Genel Müdürlüğü. Diyabetin Uzaktan Takibi İçin T.C. Sağlık Bakanlığından Uluslararası Proje) https://sbsgm.saglik.gov.tr/TR,1610/diyabetin-uzaktan-takibi-icin-tc-saglik-bakanligindan-uluslararasi-proje.html Accessed January 24.01. 2019.
• 13. Evans JMM, Barnett KN, McMurdo MET, Morris AD. Reporting of diabetes on death certificates of 1872 people with type 2 diabetes in Tayside, Scotland., Eur J of Public Health 2008;18:201-3.
• 14. Yılmaz MB, Kılıçkap M, Abacı A, et al. Temporal changes in the epidemiology of diabetes mellitus in Turkey: A systematic review and meta-analysis. Turk Kardiyol Dern Ars 2018;46:546-55.
• 15. Hayashi T, Kawashima S, Nomura H, et al. Age, gender, insulin and blood glucose control status alter the risk of ischemic heart disease and stroke among elderly diabetic patients. Cardiovasc Diabetol 2011;10:86.
• 16. National Health Survey (2004). Singapore: epidemiology and disease control division, Ministry of Health. Health Promotion Board, Singapore. https://www.moh.gov.sg/resources-statistics/reports/national-health-survey-2004 Accessed 24.01.2019.
• 17. Siddique H, Alam MM, Safi AW, Leong WB, Crowley K, Tahrani AA. In-patient diabetes care: the impact of diabetes outreach team on long-term glycaemic control. Int J Clin Pract 2014;68:1333-7.
• 18. Sak D, Erdenen F, Müderrisoglu C, et al. The Relationship between Plasma Taurine Levels and Diabetic Complications in Patients with Type 2 Diabetes Mellitus. Biomolecules 2019;9 (3):96.
• 19. Mullins J, Pojskić M, Boop FA, Arnautović KI. Retrospective single-surgeon study of 1123 consecutive cases of anterior cervical discectomy and fusion: A comparison of clinical outcome parameters, complication rates, and costs between outpatient and inpatient surgery groups, with a literature review. J Neurosurg Spine 2018;28:630-41.
• 20. Egli M, Ruiz J. Transition from acute inpatient to chronic outpatient diabetes care: An symbolic situation. Rev Med Suisse 2011;7:1262-8.
• 21. Patel M, Shilliday IR, McKay GA. A combined diabetes renal clinic improves risk factor management and progression of renal disease in a district general hospital. J Eval Clin Pract 2009;15:832-7.
• 22. Weber V, Bloom F, Pierdon S, Wood C. Employing the electronic health record to improve diabetes care: A multifaceted intervention in an integrated delivery system. J Gen Intern Med 2008;23:379-82.
• 23. Emami Z, Hariri N, Khamseh ME, Nooshinfard F. Mapping diabetes research in middle eastern countries during 2007-2013: A scientometric analysis. Med J Islam Repub Iran 2018; 10;32:84.