Hospitalization and mortality according to adherence to pharmacological treatment in patients with type 2 Diabetes
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Keywords

Medication adherence
mortality
hospitalization
type 2 diabetes
hypoglycemic agents

How to Cite

Martínez, V. (2022). Hospitalization and mortality according to adherence to pharmacological treatment in patients with type 2 Diabetes. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 8(3). https://doi.org/10.53853/encr.8.3.666

Abstract

Introduction: Adherence to medication in patients with diabetes mellitus (DM) is related to a decrease in the fatal outcomes of the disease, the use of medical attention, as well as a reduction in health costs. Non-adherence increases the risk of hospitalizations and mortality from all causes. The frequency of hospitalization due to medical reasons and mortality in these patients is sought.

Materials and methods: 201 patients who participated in the study "Relationship of glycemic control and adherence to pharmacological treatment in adult patients with T2DM from Fundacion Valle del Lili 2016-2017," 187 patients were contacted via telephone. By means of a survey, they were asked about hospitalizations and mortality due to medical causes one year after the measurement of adherence. Descriptive statistical analysis was performed and the most frequent causes of morbidity and death were established.

Results: Of 187 patients surveyed, 41 (21.8%) were hospitalized, 19 (22.4%) were adherent; a stay in ICU was reported in 13 patients (7%), for both the main cause was acute coronary syndrome. The mortality in the two groups was similar and the main cause was the neoplastic etiology. 45.8% of patients did not continue control in the institution, with a slightly higher percentage among non-adherents.

Conclusions: Non-adherence to medication in DM has a high prevalence. The frequency of hospitalization was similar between adherents and non-adherents, however the cause of this differs, with acute coronary syndrome being the main cause in non-adherents, while other causes predominate in the adherents.

https://doi.org/10.53853/encr.8.3.666
PDF (Español (España))

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