糖尿病死亡患者４１９名の死因調査　突然死ｌ０３名と非突然死１８０名の臨床的比較

DOI

書誌事項

タイトル別名
  • Clinical Characteristics of Patients with Diabetes Mellitus who Died Suddenly. A Comparison Between 103 Sudden Death Cases and 180 Non Sudden Death Cases.
  • A Comparison Between 103 Sudden Death Cases and 180 Non Sudden Death Cases
  • 突然死103名と非突然死180名の臨床的比較

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説明

To determine specific clinical characteristics of patients with diabetes mellitus who had undergone a sudden death, 419 diabetics who had died between 1991 and 1993 were divided into two groups and analyzed. One hundred and three (24.6%) cases that had died within 24 hours (SD groups; 58 men and 45 women, range 32-91 years old, mean age 69.1 years) were considered to be sudden deaths. One hundred and eighty (43.0%) cases who had died after more than 24 hours of clinical course (NSD group; 85 men and 95 women, range 38-92 years old, mean age 72.6 years) were classed as non-sudden deaths. Cases of accidental death, suicide or with malignant neoplasms were eliminated. Major causes of death in SD group were cardiac disease (69.9%), unknown (13.6%), cerebrovascular disease (8.7%) and chronic renal failure (2.9%). In the NSD group major causes of death were cardiac disease (28.3%), cerebrovascular disease (18.9%), infectious disease (17.2%) and chronic renal failure (16.2%). There was no significant correlation between the incidence of sudden death and HbAlc, therapeutic modality or diabetic major complications (retinopathy, nephropathy and neuropathy). The number of patients with angina pectoris, old myocardial infarction or with hyperlipidemia was significantly higher in the SD group, and these patents may be a high risk group for sudden death. In the SD group, 47.5% of cases died at home. These suggests that we have to note the possibility of sudden death at home in diabetic outpatient treatment especially in patients with high risk factors.

収録刊行物

  • 糖尿病

    糖尿病 39 (8), 605-611, 1996

    一般社団法人 日本糖尿病学会

キーワード

詳細情報 詳細情報について

  • CRID
    1390001204904862336
  • NII論文ID
    130004338307
  • DOI
    10.11213/tonyobyo1958.39.605
  • ISSN
    1881588X
    0021437X
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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