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Category: Volume 06 Issue 07 July 2018
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Title: Incidence of Coronary Artery Disease (CAD) Death in Diabetic Patients: Our Experience at a Tertiary Care Hospital

Authors: Shobhitendu Kabi, Siba Prasad Dalai, Mahesh Chandra Sahu

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i7.131

Abstract

Introduction: Diabetes is a major challenge India is facing today. Cause of death in diabetes in the globe points towards cardiovascular diseases as commonest. However, infection is also a major contributor to mortality in diabetics in India as some of the previous Indian studies suggest.

Objective:  To find out the mortality pattern in coronary artery disease (CAD) in diabetics visa vis those without diabetes in a tertiary care centre in Eastern India.

Methods: It is a retrospective study, in which data of in hospital death with CAD in 5 years (2014-2017) were collected from our Hospital Records Department. These data were tabulated with respect to age groups and co-morbidities.

Results: A total number of 284 patients died with CAD. Among them 188 were with diabetes and 96 were without diabetes.  It is statistically significant with P= 0.03.Whereas male death (193) was predominate over female (91), with ratio 2:1. It is statistically significant with P= 0.02.  The death due the CAD with respect to duration of its diagnosis in those with diabetes was compared to those without diabetes were also significant with P=0.01. The co-existence of infection/sepsis was also compared but it was not statistically significant.

Conclusion: In this study it is found that co-morbidity of diabetes is a major deciding factor in final outcome (death) of CAD. The death in males with CAD was higher than the age matched   females. It may be due to relative protection against CAD in females of menstruating age.

Keywords: Diabetes mellitus; CAD; Morbidity; Mortality; Retrospective.

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Corresponding Author

Dr Siba Prasad Dalai

Assistant Professor, Department of Medicine, IMS and SUM Hospital, Bhubaneswar, Odisha, India

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