SciELO - Scientific Electronic Library Online

 
vol.28 issue2Factors associated with optimal oral anticoagulation in elder patients with atrial fibrillationAmlodipine and vasodilated shock in an intensive care unit of a general hospital: Case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista Medica Herediana

Print version ISSN 1018-130X

Abstract

ALMANZA, Oliver et al. Frequency of factors associated to hypoglycemia in elder patients with diabetes admitted to the emergency room of a national hospital. Rev Med Hered [online]. 2017, vol.28, n.2, pp.93-100. ISSN 1018-130X.  http://dx.doi.org/https://doi.org/10.20453/rmh.v28i2.3109.

Objectives: To determine the frequency of factors associated with hypoglycemia in elder patients admitted to the emergency room of a national hospital. Methods: Cross-sectional study of elder patients with diabetes admitted to the emergency room of Hospital Nacional Arzobispo Loayza from January to February 2015. Information on age, gender, comorbidities, concomitant medications, laboratory examinations (urea, creatinine, transaminases, serum albumin, HbA1c), scores to evaluate functional, cognitive, social, affective and nutritional levels by using Barthel, Pfeiffer, Guijon, Yesavage and MNA scales. Data were entered in Microsoft Excel 2010 and analyzed using SPPS 9.0. Results: 52 patients were evaluated; 42.3% were males; mean age was 70 years; mean serum glucose at admission was 32, 23 mg/dl; 46% had HbA1c values with a mean of 6.76%. Factors associated with hypoglycemia were functional dependence (94.2%); comorbidities (78.8%); cognitive deterioration (65.3%); risk of depression (61.5%); risk of malnutrition (56.9%); risk of social problems (57.7%) and use of multiple medications (51%). Conclusions: Elder patients admitted with hypoglycemia have multiple associated factors such as cognitive alterations, functional dependence, depression, malnutrition, comorbidities, use multiple medications and have social problems. HbA1c values were low in comparison to internationally accepted values for elder patients.

Keywords : Hypoglycemia; diabetes; older adult.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )