Universidad Peruana Cayetano Heredia

Diabetes-Related Excess Mortality in Mexico: A Comparative Analysis of National Death Registries Between 2017-2019 and 2020.

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dc.contributor.author Bello-Chavolla, Omar Yaxmehen
dc.contributor.author Antonio-Villa, Neftali Eduardo
dc.contributor.author Fermin-Martinez, Carlos A.
dc.contributor.author Fernandez-Chirino, Luisa
dc.contributor.author Vargas-Vazquez, Arsenio
dc.contributor.author Ramirez-Garcia, Daniel
dc.contributor.author Basile-Alvarez, Martin Roberto
dc.contributor.author Hoyos-Lazaro, Ana Elena
dc.contributor.author Carrillo Larco, Rodrigo Martín
dc.contributor.author Wexler, Deborah J.
dc.contributor.author Manne-Goehler, Jennifer
dc.contributor.author Seiglie, Jacqueline A.
dc.date.accessioned 2022-11-15T23:04:37Z
dc.date.available 2022-11-15T23:04:37Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12529
dc.description.abstract OBJECTIVE: To estimate diabetes-related mortality in Mexico in 2020 compared with 2017-2019 after the onset of the coronavirus disease 2019 (COVID-19) pandemic.RESEARCH DESIGN AND METHODS: This retrospective, state-level study used national death registries of Mexican adults aged ≥20 years for the 2017-2020 period. Diabetes-related death was defined using ICD-10 codes listing diabetes as the primary cause of death, excluding certificates with COVID-19 as the primary cause of death. Spatial and negative binomial regression models were used to characterize the geographic distribution and sociodemographic and epidemiologic correlates of diabetes-related excess mortality, estimated as increases in diabetes-related mortality in 2020 compared with average 2017-2019 rates.RESULTS: We identified 148,437 diabetes-related deaths in 2020 (177 per 100,000 inhabitants) vs. an average of 101,496 deaths in 2017-2019 (125 per 100,000 inhabitants). In-hospital diabetes-related deaths decreased by 17.8% in 2020 versus 2017-2019, whereas out-of-hospital deaths increased by 89.4%. Most deaths were attributable to type 2 diabetes (130 per 100,000 inhabitants). Compared with 2018-2019 data, hyperglycemic hyperosmolar state and diabetic ketoacidosis were the two contributing causes with the highest increase in mortality (128% and 116% increase, respectively). Diabetes-related excess mortality clustered in southern Mexico and was highest in states with higher social lag, rates of COVID-19 hospitalization, and prevalence of HbA1c ≥7.5%.CONCLUSIONS: Diabetes-related deaths increased among Mexican adults by 41.6% in 2020 after the onset of the COVID-19 pandemic, occurred disproportionately outside the hospital, and were largely attributable to type 2 diabetes and hyperglycemic emergencies. Disruptions in diabetes care and strained hospital capacity may have contributed to diabetes-related excess mortality in Mexico during 2020. en_US
dc.language.iso eng
dc.publisher American Diabetes Association
dc.relation.ispartofseries Diabetes Care
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Diabetes Mortality en_US
dc.subject Mexico en_US
dc.subject National Death Registries en_US
dc.title Diabetes-Related Excess Mortality in Mexico: A Comparative Analysis of National Death Registries Between 2017-2019 and 2020. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.2337/dc22-0616
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.18
dc.relation.issn 1935-5548


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