The All-Cause Mortality and a Screening Tool to Determine High-Risk Patients among Prevalent Type 2 Diabetes Mellitus Patients
Joint Authors
Bujang, Mohamad Adam
Kuan, Pei Xuan
Tiong, Xun Ting
Saperi, Fatin Ellisya
Ismail, Mastura
Mustafa, Feisul Idzwan
Abd Hamid, Abd Muneer
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-11
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Aims.
This study aims to determine the all-cause mortality and the associated risk factors for all-cause mortality among the prevalent type 2 diabetes mellitus (T2DM) patients within five years’ period and to develop a screening tool to determine high-risk patients.
Methods.
This is a cohort study of T2DM patients in the national diabetes registry, Malaysia.
Patients’ particulars were derived from the database between 1st January 2009 and 31st December 2009.
Their records were matched with the national death record at the end of year 2013 to determine the status after five years.
The factors associated with mortality were investigated, and a prognostic model was developed based on logistic regression model.
Results.
There were 69,555 records analyzed.
The mortality rate was 1.4 persons per 100 person-years.
The major cause of death were diseases of the circulatory system (28.4%), infectious and parasitic diseases (19.7%), and respiratory system (16.0%).
The risk factors of mortality within five years were age group (p<0.001), body mass index category (p<0.001), duration of diabetes (p<0.001), retinopathy (p=0.001), ischaemic heart disease (p<0.001), cerebrovascular (p=0.007), nephropathy (p=0.001), and foot problem (p=0.001).
The sensitivity and specificity of the proposed model was fairly strong with 70.2% and 61.3%, respectively.
Conclusions.
The elderly and underweight T2DM patients with complications have higher risk for mortality within five years.
The model has moderate accuracy; the prognostic model can be used as a screening tool to classify T2DM patients who are at higher risk for mortality within five years.
American Psychological Association (APA)
Bujang, Mohamad Adam& Kuan, Pei Xuan& Tiong, Xun Ting& Saperi, Fatin Ellisya& Ismail, Mastura& Mustafa, Feisul Idzwan…[et al.]. 2018. The All-Cause Mortality and a Screening Tool to Determine High-Risk Patients among Prevalent Type 2 Diabetes Mellitus Patients. Journal of Diabetes Research،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1183566
Modern Language Association (MLA)
Bujang, Mohamad Adam…[et al.]. The All-Cause Mortality and a Screening Tool to Determine High-Risk Patients among Prevalent Type 2 Diabetes Mellitus Patients. Journal of Diabetes Research No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1183566
American Medical Association (AMA)
Bujang, Mohamad Adam& Kuan, Pei Xuan& Tiong, Xun Ting& Saperi, Fatin Ellisya& Ismail, Mastura& Mustafa, Feisul Idzwan…[et al.]. The All-Cause Mortality and a Screening Tool to Determine High-Risk Patients among Prevalent Type 2 Diabetes Mellitus Patients. Journal of Diabetes Research. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1183566
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1183566