Factores asociados a mortalidad por cetoacidosis en diabéticos tipo 2 con COVID-19, en un hospital de la amazonía peruana, 2020-2022

• Autor: Cárdenas Balarezo, Ericka Milady
• Formato: tesis de grado
• Fecha de Publicación: 2023
• Institución: Universidad Nacional De La Amazonía Peruana
• Repositorio: UNAPIquitos-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorio.unapiquitos.edu.pe:20.500.12737/8865
• Enlace del recurso: https://hdl.handle.net/20.500.12737/8865
• Nivel de acceso: acceso abierto
• Materia: Cetociclosis diabética; Mortalidad; Diabetes mellitus tipo 2; Infecciones por coronavirus; Pacientes ambulatorios; https://purl.org/pe-repo/ocde/ford#3.02.18

Objectives: To evaluate the factors associated with mortality due to ketoacidosis in type 2 diabetics with COVID-19 attended in the emergency department of the Regional Hospital of Loreto during the period 2020-2022. Material and methods: A descriptive, analytical study of 11 cases (patients with ketoacidosis in diabetic type 2 with COVID-19 who died) and 68 controls (patients with type 2 diabetes with COVID-19 who did not die), attended in the emergency department of the Regional Hospital of Loreto during the period 2020-2022, was carried out. Results: The mean of the cases was 60.7+/-12.1 years and of the controls 52.2+/-10.9 years, with a statistically significant difference, that is, the cases were older (P < 0.05). The patients who died presented a higher frequency of obesity (72.7% versus 30.9%), previous ketoacidosis (54.5% versus 10.3%), diabetes debut (90.9% versus 29.4%), family history of diabetes (72.7% versus 29.4%), precipitating factors (63.6% versus 16.2%), and greater use of insulin in continuous infusion (63.6% versus 17.6%) (P<0.05). There was a longer mean time of diabetes disease (11.9 years versus 7.4 years) in cases. Regarding factors referring to health services, we found that patients who died presented a higher frequency of having SIS (81.8%), having been attended in less than one hour (63.6%), and living at a distance greater than one kilometer from the health center (54.5%). The mentioned variables were not statistically significant (P>0.05). Conclusions: The factors associated with mortality due to ketoacidosis in type 2 diabetics with COVID-19 attended in the emergency department of the Regional Hospital of Loreto during the period March 2020 - May 2022 were: obesity, previous ketoacidosis, duration of diabetes, age, family history, precipitating factors (treatment abandonment and infection), and continuous insulin infusion therapy.