SciELO - Scientific Electronic Library Online

 
vol.20 issue3Echocardiographic indices and hospital stay among patients with acute heart failure at the Hospital Guillermo Almenara Irigoyen, 2015Entrepreneurial attitude of medical specialists at a hospital in Huancavelica, Peru 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


Horizonte Médico (Lima)

Print version ISSN 1727-558X

Abstract

HUAMAN MACHA, Verónica; HERRERA PANDAL, Alesandra; RUNZER-COLMENARES, Fernando M.  and  PARODI, José F.. Association between type 2 diabetes mellitus and mortality in older adults with cardiovascular disease. Horiz. Med. [online]. 2020, vol.20, n.3, e1236. ISSN 1727-558X.  http://dx.doi.org/10.24265/horizmed.2020.v20n3.03.

Objective

To determine the association between mortality and type 2 diabetes mellitus (T2DM) in older adults with cardiovascular disease by adjusting a T2DM model with glycated hemoglobin (HbA1c).

Materials and methods

A retrospective cohort study conducted with a secondary database analysis of the original article entitled "Prevalence and Factors Associated with Frailty Among Peruvian Older Adults." No sample size calculation was performed because the research used the data from the participants who met the inclusion criteria.

Results

Older adults with T2DM have 10 % more risk of mortality than those who do not have T2DM. The highest frequency of mortality occurred in men. The greater the number of comorbidities, the higher the risk of mortality. After applying the Cox proportional hazards model to the research, the most significant risk factors for mortality were frailty and the number comorbidities.

Conclusions

T2DM was a risk factor for mortality in older adults with cardiovascular disease in all the models. Additionally, there were other important variables whose impact was directly proportional to the mortality rate in our population and statistically stood out, such as the number of comorbidities and frailty, while the history of tobacco consumption was not significant.

Keywords : Diabetes mellitus; Mortality; Cardiovascular diseases; Aged; Geriatrics.

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