title: Common reasons for hospitalization among adult patients with diabetes in a private medical college in Kathmandu.
abstract: Diabetes Mellitus is one of the important non communicable disease affecting the adult populations around the world. Incidence of diabetes increasing in South Asia. Nepal is also experiencing increasing in diabetes disease burden. Diabetes mellitus is one of the important causes of hospital admission in the western world. In this study we evaluated the causes of hospital admission amongst diabetic population. Most common cause is of diagnosis is some forms of infections commonest (20%) being urinary tract infections. Ten out of total 69 patients had septicemia. Six patients out of 69 had sputum positive pulmonary tuberculosis only one patient presented with metabolic complications of diabetes i.e. diabetic ketoacidosis. Coronary artery disease with heart failure was present in 14 patients. Five patients had diabetic nephropathy and 3 had retinopathy. This shows that infections is the major cause of hospital admission for diabetics followed by heart failure. Tuberculosis is important diagnosis in person with diabetes. This study shows more female patients get admitted and amongst admitted patents glycemic control is poor. This signify that women had more complications than male counter parts.
authors.affiliation: Department of Internal Medicine, Nepal Medical College Teaching Hospital, Atterkhel, Jorpati, Kathamndu, Nepal. prabinadhikari@yahoo.com
authors.forename: P
authors.initials: P
authors.lastname: Adhikari
authors.affiliation: Department of Internal Medicine, Nepal Medical College Teaching Hospital, Atterkhel, Jorpati, Kathamndu, Nepal.
authors.forename: U N
authors.initials: UN
authors.lastname: Pathak
authors.affiliation: Department of Internal Medicine, Nepal Medical College Teaching Hospital, Atterkhel, Jorpati, Kathamndu, Nepal.
authors.forename: N
authors.initials: N
authors.lastname: Subedi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D048909:Diabetes Complications; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D012307:Risk Factors