ECE2018 ePoster Presentations Diabetes, Obesity and Metabolism (56 abstracts)
1Endocrinology, Hospital Virgen de la Victoria, Malaga, Spain; 2Cardiology, Hospital Virgen de la Victoria, Malaga, Spain; 3Internal Medicine, Hospital Virgen de la Victoria, Malaga, Spain.
Objectives: To analyze the most frequent consultations on patients admitted to VS sent to a medical team (T).
Material and methods: Descriptive analysis of consultations on patients admitted to the VS who suffered any medical decompensation that needed to be notified to Internal Medicine, Cardiology, Endocrinology, Nephrology or Pneumology.
Results: From February 2011 to November 2014, 173 consultations were sent from the VS Service to T. The most common consultation was dyspnea in 62 (35.8%), followed by pluripathology control in 18 (10.4%), decreased level of consciousness in 13 (7.5%), fever in 13 (7.5%), renal failure in 7 (4%) and blood pressure control in 7 (4%) patients. The reason for the consultation was poorly controlled DM in 8 patients (4.6%) of whom had hyperglycemia 4 (50%) and hypoglycemia, 4 (50%) as well as control of vascular risk factors in 18 (10.4%). However, after analysis of all patients, only 22 (12.7%) were diagnosed as decompensated DM in the discharge report.This implies a real decompensation of 23.4% of patients with known DM.
Conclusions: More than one third of the consultations for medical decompensations in the patients admitted to the VS unit correspond to dyspnea. DM is a single cause of medical decompensation in 4.6% of patients admitted to VS. However, associated with decompensation of other vascular risk factors, one out of four known diabetics had abnormal blood glucose levels. We suggest that an early evaluation of all these processes that could induce to heart failure, blood glucose and blood pressure performed by Cardiology, Endocrinology or Internal Medicine could be beneficial in terms of morbidity and hospital stay, since previous studies associate the diabetic uncontrolled in patients admitted to Vascular Surgery to an average stay 9 days superior compared to non-diabetics.