Factores socioculturales asociados al aumento de hemoglobina glicosilada de pacientes con diabetes mellitus Tipo II

Abstract

Introduction: The decision to hospitalize a patient is largely determined by the reason for consultation and the level of decompensation of the pathology that led to the consultation. However, there are other determining factors in the decision to hospitalize patients who consult the emergency department, including sociocultural factors that have been described as possible influencing this decision. Diabetes mellitus, specifically type 2, is a condition caused by multiple causes, where the social determinants of health, such as income and education levels, occupation, accessibility to health services, physical inactivity, gender and the family support network are closely related and play a relevant role in the development of type 2 diabetes mellitus as a social disease (1) This study aims toidentify sociocultural factors associated with the decision to hospitalize in patients with type 2 diabetes mellitus (DM2) who consult the emergency room of a IV level Health Service Provider Institution (IPS) in Bogotá, in order to contribute to the development of applicable intervention measures to reduce hospitalization rates and contribute to the control of this pathology. Methods: A prospective cross-sectional observational study with an analyticalcomponent. Patients with a diagnosis of type 2 DM who consult the emergency department of afourth level of care IPS will be included. The database will be built in Excel and the analysis will be carried out with the statistical program SPSS v. 24. The clinical and sociocultural characteristics of patients who consult the emergency department and are discharged within 24 hours of admission will be compared with patients who are admitted and hospitalized for more than 24 hours by means of bivariate analysis. To evaluate possible covariates that may affect this association, a logistic regression model will be used. Results: The analysis of 70 patients is presented, 59% female. No statistically significant association was found between sociocultural factors and an increase in glycated hemoglobin or glycemia. Adherente to treatment is presented as a protective factor in the logistic regression model. Conclussion: We concluded that there were no statistically significant association between glycosylated hemoglobin and sociocultural factors,only the treatment adherence.