COMPARISON OF CLINICAL CHARACTERISTICS AND 6-MONTH ADMISSION IN PATIENTS WITH TYPE 2 DIABETES AGED 60–74 AND ≥75 YEARS

Thanh Huân Nguyễn, Lê Quỳnh Như Võ , Gia Bảo Trần

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Abstract

Background: Type 2 diabetes is a common endocrinologic disease among the elderly. Aging is a risk factor of adverse events in elderly with type 2 diabetes. However, there has been still lack of data about the impact of aging on adverse events in the patients. Objective: To compare clinical characteristics and 6-month all-cause hospitalization in patients with type 2 diabetes aged 60–74 and ≥75 years. Methods: From November 2023 to February 2024 at Endocrinology clinics in Thong Nhat hospital, Ho Chi Minh City, this study included older patients with type 2 diabetes who were then followed up during 6 months. Factors associated with hospitalization were determined by using logistic regression. Results: Of 595 patients included in this study, there were 435 patients aged 60–74  years (73.1%) and 160 patients aged ≥75 years (26.9%). Compared to the 60–74-year group, the ≥75-year group had significantly higher rates of hypertension and dyslipidemia. There were 85 hospitalized patients (14.3%) during 6-month follow-up. Multivariate regression analysis found that age ≥75 years was associated with increased all-cause hospitalization (OR 2.47; 95% Confidence Interval 1.53–3.99; p<0.001). Conclusion: In older patients with type 2 diabetes, our study found that patients ≥75 years of age accounted for 26.9% and had higher rates of hypertension and dyslipidemia in comparation with patients aged 60–74  years. Age ≥75 years was a factor associated with increased hospitalization in older patients with type 2 diabetes

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References

ElSayed NA, Aleppo G, Bannuru RR, et al. Older Adults: Standards of Care in Diabetes-2024. Diabetes Care. 2024;47(Supplement_1):S244-S257. doi:10.2337/dc24-S013
2. Sinclair A, Dunning T, Rodriguez-Mañas L. Diabetes in older people: new insights and remaining challenges. Lancet Diabetes Endocrinol. 2015;3(4): 275-285. doi: 10.1016/S2213-8587(14)70176-7
3. Khalaf FR, Fahmy HM, Ibrahim AK, et al. Does a diabetic retinopathy educational program raise awareness among elderly diabetic patients? Diabetes Metab Syndr Obes. 2019;Volume 12:1867-1875. doi:10.2147/DMSO.S208072
4. Đậu Đức Bảo, Hồ Thị Kim Thanh, Trần Khánh Toàn. Tăng huyết áp và mối liên quan với một số yếu tố nguy cơ tim mạch ở người cao tuổi tại huyện Yên Khánh, tỉnh Ninh Bình năm 2021. Tạp chí Y học Việt Nam. 2023;522(2). doi:10.51298/vmj.v522i2.4367
5. Phan Thanh Thuỷ, Trần Khánh Toàn. Thực trạng tăng huyết áp và một số yếu tố liên quan ở người cao tuổi tại tỉnh Quảng Bình. Tạp chí Y học Việt Nam. 2022; 519(1). doi:10.51298/ vmj.v519i1.3553
6. Lin W, Chen C, Guan H, Du X, Li J. Hospitalization of elderly diabetic patients: characteristics, reasons for admission, and gender differences. BMC Geriatr. 2016;16:160. doi:10. 1186/s12877-016-0333-z
7. Comino EJ, Harris MF, Islam MF, et al. Impact of diabetes on hospital admission and length of stay among a general population aged 45 year or more: a record linkage study. BMC Health Serv Res. 2015;15(1):12. doi:10.1186/ s12913-014-0666-2
8. Vonna A, Salahudeen MS, Peterson GM. Medication-Related Hospital Admissions and Emergency Department Visits in Older People with Diabetes: A Systematic Review. J Clin Med. 2024;13(2):530. doi:10.3390/jcm13020530