RESUMO
In developing countries diabetes in the elderly is thought to be uncommon and is consequently ignored by health planners. We assessed the prevalence of complications of diabetes mellitus and frequency of hospital admissions in patients aged 60 and over in a hospital diabetic clinic in Sri Lanka. Elderly diabetic patients, though comprising only 23% of clinic patients, accounted for 46% of admissions. The prevalence of coronary artery disease, peripheral vascular disease, cerebrovascular disease, hypertension and visual handicap was increased in the diabetic patients when compared to age and gender matched controls. We conclude that diabetes in the elderly is a significant cause of morbidity in Sri Lanka.
Assuntos
Complicações do Diabetes , Idoso , Países em Desenvolvimento , Diabetes Mellitus/epidemiologia , Feminino , Hospitalização , Humanos , Masculino , Morbidade , Prevalência , Estudos Prospectivos , Sri Lanka/epidemiologiaAssuntos
Arritmia Sinusal/complicações , Bloqueio Cardíaco/complicações , Manifestações Neurológicas , Adulto , Arritmia Sinusal/terapia , Fibrilação Atrial/complicações , Bloqueio Cardíaco/terapia , Humanos , Embolia e Trombose Intracraniana/complicações , Masculino , Marca-Passo Artificial , Recidiva , SíndromeAssuntos
Empiema , Meninges , Adolescente , Adulto , Idoso , Artérias Carótidas/diagnóstico por imagem , Córtex Cerebral/irrigação sanguínea , Criança , Pré-Escolar , Diagnóstico Diferencial , Empiema/diagnóstico , Empiema/epidemiologia , Empiema/microbiologia , Empiema/terapia , Seio Frontal , Humanos , Lactente , Recém-Nascido , Meningite/complicações , Pessoa de Meia-Idade , Manifestações Neurológicas , Otite Média/complicações , Radiografia , Sinusite/complicações , Derrame Subdural/diagnóstico , Espaço Subdural , Tromboflebite/complicaçõesRESUMO
Subdural empyema is a distinct clinical entity not uncommon in Ceylon. Forty-seven cases have been analysed. The commonest sources of infection are otitis media and frontal sinusitis. These empyemas are often complicated by cortical thrombophlebitis, meningitis and intracerebral abscesses. The symptomatology is difficult to differentiate clinically from that of other forms of intracranial suppuration. Percutaneous carotid angiography is the investigation of choice. The treatment consists of surgical evacuation of pus combined with correct antibiotic therapy and skilled nursing. Our mortality of 25·5% was due to uncontrollable associated infections, usually the result of late referral.