Diabetes mellitus tipo 2 como factor de riesgo en apendicitis aguda complicada en pacientes mayores de 40 años en el Hospital “Teodoro Maldonado Carbo” periodo 2017-2019.

Abstract

Diabetic patients who suffer from acute apendicitis have a higher risk of suffering from complications in its clinical course due to alterations on their inmune system, which changes the typical syntoms from this disease as well as it delays its diagnosis and treatment. Objective: To establish causal relationship between accute complicated appendicitis and Diabetes type 2 disease in patients older than 40 years old at the Hospital Teodoro Maldonado Carbo between 2017-2019. Methodology: A retrospective, observational, analytic and descriptive study was designed after analyzing a variety of medical records form patients diagnosed with accute appendicitis and Diabetes type 2 at the Hospital Teodoro Maldonado Carbo between 2017-2019. Results: We picked up a sample from 135 patients among those 38,5% were diagnosed with Diabetes type 2 and 61,5% were not. A positive correlation obtained after the processing of data between the presentation of Diabetes type 2 and having an accute complicated appendicitis (p=0,002). There exists 2 times more risk of presenting accute complicated appendicitis among patients diagnosed with this disease than those who don’t suffer from it (OR= 2,093; 95% IC=1.009-4.431). Conclusion: Within this work, it is concluded that Diabetes Mellitus is an important risk factor to develop complications through the clinical course of the appendicitis, corroborating our hypothesis. We suggest to these patients diagnosed with DM type 2 a regular visit to the doctor thus it can help decreasing morbidity rates of complicated emerging diseases such as a complicated acute appendicitis.