MORBIDITY AND MORTALITY PATTERNS AMONG ADMITTED PATIENTS WITH DIABETES : A HOSPITAL BASED STUDY FROM NORTH INDIA.

This study helps us to find the morbidity & mortality patterns in patients with diabetes admitted in a tertiary care hospital in a developing country and confers information about their distribution among males & females of different age groups, their relationship with concurrent diseases, obesity and the effect of various treatment modalities on the morbidity & mortality. The objective is to find the morbidity and mortality patterns in people with diabetes admitted to a tertiary care hospital associated with Government Medical College Srinagar, in India. Methods: In this prospective study, all patients with diabetes who were admitted to Sri Maharaja Hari Singh hospital [SMHS] (associated hospital of Government Medical College, Srinagar) over a period of 19 months were studied for diabetes-related complications. Results: The most common morbidity among patients with diabetes admitted in this hospital was infection (47.54%) followed by strokes (9.09%).The most common cause of death in patients with diabetes was again infections (60.34%), followed by strokes (18.96%) and renal failure (17.24%). Among admitted patients with diabetes, type 2 diabetes was the predominant type (95.2%).6.4% of these patients were obese. Maximum admissions were for infections (47.5%), followed by Diabetic Ketoacidosis (10.64%) and hypoglycaemia (7.87%). Among complications, 52% had neuropathy, 50% had diabetic retinopathy, 27.2% had nephropathy and 4.9 % had disease of coronaries.Major metabolic complications were Diabetic Ketoacidosis (3.42%), Hypoglycemia (2.53%) and Hyperglycemic Hyperosmolar state(HHS) (1.93%). 8.64% among admitted patients died.12.06% died of myocardial infarction and 5.1% died of hypoglycemia. Conclusions:The most common morbidities in patients admitted with diabetes in this tertiary care hospital in a developing country are infections and strokes and the most common etiology for deaths is again infections followed by strokes and renal failure.