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ORIGINAL ARTICLE
Year : 2017  |  Volume : 6  |  Issue : 3  |  Page : 169-176

Impact of diabetes on the risk of geriatric conditions among patients seen in a tertiary care hospital in India


1 Department of Pharmacy Practice, JSS College of Pharmacy, Mysuru, Karnataka, India
2 Department of Emergency Medicine, JSS Medical College and Hospital, Jagadguru Sri Shivarathreeshwara University, Mysuru, Karnataka, India

Correspondence Address:
Parthasarathi Gurumurthy
Department of Pharmacy Practice, JSS College of Pharmacy, Jagadguru Sri Shivarathreeshwara University, Mysuru - 570 015, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_167_16

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Context: Geriatric conditions (GCs) are associated with poor quality of life, higher morbidity and mortality among the elderly. AIMS: To assess the risk of diabetes mellitus (DM) on GCs and the effect of gender differences on this association. Materials And Methods: A cross-sectional, observational study was conducted in a tertiary care teaching hospital for eight months. Patients with ≥60 years of age were included. Selected GCs included cognitive impairment (CoI), falls, depression, urinary incontinence (UI), dizziness, lower body mass index (BMI), visual impairment (VI), and hearing impairment. The Short Portable Mental Status Questionnaire and Geriatric Depression Scale were used to assess CoI and depression, respectively. Other GCs, DM, and comorbidities were self-reported. Binary logistic regression analysis was used to identify the risk of GCs among DM patients. Results: A total of 1150 patients were included; more than half (65%) were males and 60% aged between 60 and 69 years. After adjustment for basic demographics and comorbid conditions, DM was associated with increased risk of overall GCs (risk ratio [RR]: 1.41; 95% confidence interval [CI]: 1.01–1.96; P = 0.04) and specifically for UI (RR: 2.91; 95% CI: 2.09–4.04; P< 0.001) and VI (RR: 1.59; 95% CI: 1.16–2.18; P< 0.001). We found less risk of lower BMI among patients with diabetes (RR: 0.49; 95% CI: 0.32–0.77; P< 0.001). In the subgroup analysis, males were found to have significant increased risk to get GCs (RR: 1.60; 95% CI: 1.05–2.44; P = 0.02) than females (RR: 1.28; 95% CI: 0.71–2.30; P = 0.08). Conclusions: DM was associated with excessive risk for GCs, especially for UI and VI.


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