Multimorbidity in Diabetic Patients Admitted to a Tertiary Care Center: A Descriptive Cross-sectional Study

Abstract

Introduction: Multimorbidity is defined as the co-occurrence of two or more chronic conditions in the same individual. Type 2 Diabetes Mellitus rarely occurs without coexisting diseases. With an increasing elder population and longevity, elder adults have a higher prevalence of chronic morbidity, thus increasing the chances of experiencing more than one non-communicable chronic condition, where the impact of multimorbidity is greater than the cumulative effect of the single condition. The study aimed to find out the prevalence of multimorbidity in diabetic patients admitted to a tertiary care centre. Methods: A descriptive cross-sectional study was conducted utilising hospital records of patients with type 2 diabetes mellitus admitted to the Department of Medicine from 1 April 2021 to 1 April 2022. Ethical clearance was obtained from the Institutional Review Committee of the same institute (Reference number: 12082022/07). The diagnosed cases of type 2 diabetic patients aged more than 18 years and confirmed with serum glucose levels were included in the study. Convenience sampling was used. Point estimate and 95% Confidence Interval were calculated. Results: Out of the 107 diabetic patients, multimorbidity was present in 75 patients (70.10%) (61.42-78.77, 95% Confidence Interval). Conclusions: The prevalence of multimorbidity is higher than the similar studies done in similar settings.

Comparison of left ventricular global longitudinal strain by speckle tracking echocardiography in patients with and without diabetes mellitus asymptomatic for coronary artery disease at a tertiary hospital in Nepal

“…A similar study done at a tertiary care centre in Nepal in 2022 reported that 70.09% of the diabetes mellitus patients admitted in the centre had multimorbidity. 20 In this study, HbA1c, microalbuminuria, and hypertension were significantly associated with both diabetes mellitus (predictor) and GLS (outcome), which is suggestive of confounding. Age, gender, and smoking habit were significantly associated with GLS, but not with diabetes.…”