Estimación de la adherencia al tratamiento y su relación con la mortalidad en pacientes con diabetes mellitus tipo 2 (DM2) complicados del Hospital General Monte Sinaí durante el período de mayo 2023 a mayo 2024.

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a chronic disease of great global relevance with a high mortality rate and severe complications, which associated with other risk factors are decisive in both the prevention and the progression of the disease. Objective: To determine the relationship between the estimate of adherence to treatment and mortality in patients with complicated diabetes mellitus. Materials and methods: A non-experimental, observational, retrospective, cross-sectional prevalence, differential analytical study was conducted with data from the medical records of Mount Sinai General Hospital, of patients with complicated T2DM treated during the period May 2023-May 2024. Statistical analysis was performed using SPSS software. Results: A total of 445 patients made up the sample, with a predominance of 25 to 65 years of age, female sex, primary education, and vascular complications. Sixteen percent of patients presented with infections and 4% died during the study period. Treatment adherence is strongly associated with mortality. Absence of infection is identified as a protective factor, while low educational level, type of complication, and associated pathologies are considered risk factors for therapeutic nonadherence. Conclusion: It is necessary to prioritize education regarding T2DM care and actively involve patients and families in the learning process.