Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data

Aims. The aim of this study was to estimate the prevalence rate of concomitant pathology and its influence on leading causes of death in patients withtype 2 diabetes mellitus according to clinical charts and pathologist's reports. Materials and methods. We have studied the database of Moscow...

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Autores principales: Anna Leont'evna Terekhova, Aleksey Vadimovich Zilov, L'vovich Vertkin, Galina Afanas'evna Mel'nichenko
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Publicado: Endocrinology Research Centre 2011
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spelling oai:doaj.org-article:c39a4f86792b4d2590a7fc4b1a2c9eab2021-11-14T09:00:16ZLeading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data2072-03512072-037810.14341/2072-0351-5819https://doaj.org/article/c39a4f86792b4d2590a7fc4b1a2c9eab2011-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/5819https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aims. The aim of this study was to estimate the prevalence rate of concomitant pathology and its influence on leading causes of death in patients withtype 2 diabetes mellitus according to clinical charts and pathologist's reports. Materials and methods. We have studied the database of Moscow City Hospital №50 in order to pick out confirmed cases of type 2 DM, treated inthe period from 2006 to 2008 years (302 patients, 9,97%). Prevalence rate of concomitant pathology and leading causes of death were then carefullystudied on this ground. Results. We examined clinical charts of 302 patients with type 2 DM - 219 female (72.5%) at the age of 76 [70;80] and 83 male at theage of 75 [68;80]. Cardiovascular pathology and cerebrovascular disease (acute cerebrovascular event and/or postinfarction encephalic cysts,discirculatory encephalopathy) (50.66%) showed high prevalence. Respiratory system diseases (25.8%), excessive body weight and obesity (21.5%),gallstone disease (19.86%), malignant neoplasm (16.2%), prostatic hyperplasia (found in 35 male patients, 42.17%), gynecologic pathology (foundin 23 female patients, 10.5%) and infectious inflammatory diseases of kidneys and urinary tract (8.6%) were also disclosed. Leading causes of deathwere found to be acute cerebrovascular events (28.8%), postinfarction cardiosclerosis (23.18%), acute/recurring myocardium infarction (19.54%)and malignant neoplasm (14.57%). High polypathy prevalence was discovered in studied cohort, and in one third of cases patients perished fromcombination of concurrent diseases.Conclusion: High prevalence rate of intercurrent diseases and polymorbidity in patients with type 2 diabetes mellitus substantiate the need for thoroughexamination at different stages of medical care, treatment of existing malfunctions, as well as preventive measures against complications.Anna Leont'evna TerekhovaAleksey Vadimovich ZilovL'vovich VertkinGalina Afanas'evna Mel'nichenkoEndocrinology Research Centrearticlediabetes mellitus type 2intercurrent diseasecause of deathautopsyNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 14, Iss 4, Pp 61-64 (2011)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus type 2
intercurrent disease
cause of death
autopsy
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus type 2
intercurrent disease
cause of death
autopsy
Nutritional diseases. Deficiency diseases
RC620-627
Anna Leont'evna Terekhova
Aleksey Vadimovich Zilov
L'vovich Vertkin
Galina Afanas'evna Mel'nichenko
Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
description Aims. The aim of this study was to estimate the prevalence rate of concomitant pathology and its influence on leading causes of death in patients withtype 2 diabetes mellitus according to clinical charts and pathologist's reports. Materials and methods. We have studied the database of Moscow City Hospital №50 in order to pick out confirmed cases of type 2 DM, treated inthe period from 2006 to 2008 years (302 patients, 9,97%). Prevalence rate of concomitant pathology and leading causes of death were then carefullystudied on this ground. Results. We examined clinical charts of 302 patients with type 2 DM - 219 female (72.5%) at the age of 76 [70;80] and 83 male at theage of 75 [68;80]. Cardiovascular pathology and cerebrovascular disease (acute cerebrovascular event and/or postinfarction encephalic cysts,discirculatory encephalopathy) (50.66%) showed high prevalence. Respiratory system diseases (25.8%), excessive body weight and obesity (21.5%),gallstone disease (19.86%), malignant neoplasm (16.2%), prostatic hyperplasia (found in 35 male patients, 42.17%), gynecologic pathology (foundin 23 female patients, 10.5%) and infectious inflammatory diseases of kidneys and urinary tract (8.6%) were also disclosed. Leading causes of deathwere found to be acute cerebrovascular events (28.8%), postinfarction cardiosclerosis (23.18%), acute/recurring myocardium infarction (19.54%)and malignant neoplasm (14.57%). High polypathy prevalence was discovered in studied cohort, and in one third of cases patients perished fromcombination of concurrent diseases.Conclusion: High prevalence rate of intercurrent diseases and polymorbidity in patients with type 2 diabetes mellitus substantiate the need for thoroughexamination at different stages of medical care, treatment of existing malfunctions, as well as preventive measures against complications.
format article
author Anna Leont'evna Terekhova
Aleksey Vadimovich Zilov
L'vovich Vertkin
Galina Afanas'evna Mel'nichenko
author_facet Anna Leont'evna Terekhova
Aleksey Vadimovich Zilov
L'vovich Vertkin
Galina Afanas'evna Mel'nichenko
author_sort Anna Leont'evna Terekhova
title Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
title_short Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
title_full Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
title_fullStr Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
title_full_unstemmed Leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
title_sort leading causes of death and concomitant pathology in patients with type 2 diabetes mellitus according to autopsy data
publisher Endocrinology Research Centre
publishDate 2011
url https://doaj.org/article/c39a4f86792b4d2590a7fc4b1a2c9eab
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AT lvovichvertkin leadingcausesofdeathandconcomitantpathologyinpatientswithtype2diabetesmellitusaccordingtoautopsydata
AT galinaafanasevnamelnichenko leadingcausesofdeathandconcomitantpathologyinpatientswithtype2diabetesmellitusaccordingtoautopsydata
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