Mortality rate and factors associated with death in patients with type 2 diabetes In Kap Choeng District, Surin Province

Abstract

     Diabetes is a major public health problem in Thailand and around the world. This causes complications,disability, and death. Therefore, analytical research is conducted a retrospective cohort study to estimate the death rate and study factors associated with death in patients with type 2 diabetes. The sample group was patients with type 2 diabetes registered to receive treatment at Kap Choeng Hospital, Surin Province between October 2012 and September 2022, a total of 456 diabetic patients were included. Data were collected from the hospital's medical records program and were analyzed using a packaged program with descriptive statistics and inferential statistics to analyze the relationship using Cox regression analysis. The results found that ; the total sample group was 456 diabetic patients, totaling 3759 person-years as a study unit. There were 82 patient deaths, calculated as an incidence
of death of 2.18 per 100 person-years (95%CI: 1.73-2.70) and the results of the relationship analysis found that gender females have a risk of death 1.78 times that of males (95%CI :1.37-3.44), age group 60-80 years (HRadj =1.29,95%CI: 1.001-3.19) and group more than 80 years old (HRadj =3.16 95%CI: 1.63-6.15) there is a significantly higher risk of death than those younger than 60 years. Patients with congestive heart failure have a 4.93 times greater risk of death compared to diabetic patients who do not suffer from congestive heart failure. (95%CI:2.55-9.53). As for duration of having diabetes for more than 10 years, it is a factor that reduces the risk of death by 94 percent ((HRadj=0.036, 95%CI: 1.63-6.15). Therefore, doctors or public health personnel must be strict measures are needed for the care of diabetic patients in the elderly and those with comorbidities. To reduce the death rate of diabetic patients.