Why the study?
Is hypertension associated with worse clinical outcomes in hospitalized type 2 diabetic patients?
Is hypertension associated with worse clinical outcomes in hospitalized type 2 diabetic patients?
Hypertension is highly prevalent among hospitalized type 2 diabetics and is associated with significantly worse clinical outcomes, including increased mortality and cardiovascular complications.
Highlights need for vigilant monitoring in hypertensive T2DM inpatients; leaves open whether BP control improves outcomes.
OBJECTIVE: To report on the prevalence and implications of hypertension in hospitalized type 2 diabetic patients at King Abdulaziz University Hospital. METHODS: Relevant data was retrieved from the medical charts of type 2 diabetic patients admitted to the medical unit of King Abdulaziz University Hospital in the period between January 1998 and September 1999. Patients' age, sex, body mass index, presence of hypertension and hyperlipidemia, degree of glycemic control, reason for admission, duration of hospital stay and mortality were recorded. RESULTS: A total of 427 patients were studied, 46% of whom were hypertensive. Hypertensive diabetics tend to be older, more likely to have a higher body mass index and hyperlipidemia, to develop cardiovascular complications and renal failure, to stay longer in hospital and to have higher mortality compared to normotensive diabetics. CONCLUSION: Hypertension is common in diabetics, early treatment of which is important to prevent cardiovascular complications, to minimize the progression of microvascular complications and to decrease mortality.
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Daad H. Akbar (2001) studied this question.
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