ECEESPE2025 ePoster Presentations Diabetes and Insulin (245 abstracts)
Profile of chronic diabetes complications in hospitalized patients: A multicenter tunisian study
Mohamed Khairi Arous 1 , Houcem Elomma Mrabet 2 , Mouna Mnif 1 , Younes Ayadi 1 , Yesmine Elloumi 1 , Faten Haj Kacem Akid 1 , Zantour Baha 2 , Sfar Mohamed Habib 2 , Mouna Elleuch 1 , Alaya Wafa 2 & Nabila Rekik Majdoub 1
1Hedi Chaker University Hospital, Department of Endocrinology, Sfax, Tunisia; 2University Hospital Tahar Sfar, Department of Endocrinology, Mahdia, Tunisia
JOINT472
Introduction: Diabetes, a chronic disease with a steadily increasing prevalence, is a significant public health issue in Tunisia and globally. Its chronic complications, both microvascular and macrovascular, are the leading causes of morbidity and mortality. While acute complications are well documented in hospital settings, data on chronic complications remain limited. This study aims to describe the profile of chronic diabetes complications in hospitalized patients.
Patients and methods: A descriptive cross-sectional study was conducted between February and March 2024 in three Tunisian university hospital centers: CHU Hedi Chaker in Sfax, CHU Habib Bourguiba in Sfax, and CHU Taher Sfar in Mahdia. The study included hospitalized diabetic patients from cardiology, pulmonology, urology, general surgery, and orthopedic departments. Data collected included diabetic retinopathy, chronic renal failure (defined by a glomerular filtration rate below 60 ml/min), stroke, coronary insufficiency, heart failure, and peripheral artery disease.
Results: A total of 315 patients were included with a male-to-female ratio of 2. The median age was 65 years, and the median duration of diabetes was 8 years. 87% (n =272) had type 2 diabetes, 6% (n =19) had type 1 diabetes, and 5.4% (n =17) were newly diagnosed during hospitalization. 60.6% of patients (n =191) had associated hypertension. Diabetic retinopathy was present in 26.5% of patients, and chronic renal failure was observed in 20.6% (n =65), with 2.6% (n =8) in the terminal stage. Twenty-four patients (7.6%) had a history of stroke before admission. Coronary artery disease was diagnosed before hospitalization in 65 patients, and peripheral artery disease was diagnosed in 29 patients (9%). Additionally, 24 patients (7.6%) were being followed for heart failure at the time of their inclusion.
Conclusion: This study highlights the high prevalence of chronic complications among hospitalized diabetic patients. These findings underscore the importance of systematic screening and early management of chronic diabetes complications in hospital settings, regardless of the admission reason, to reduce the morbidity associated with this condition.
Volume 110
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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