Melo M S, de Lolio C A, Lucena M A, Kirzner C F, Martins S M, Barros M N
Departamento de Medicina Social da Faculdade de Ciências Médicas de Pernambuco, Recife, PE, Brasil.
Rev Saude Publica. 1991 Dec;25(6):435-42. doi: 10.1590/s0034-89101991000600004.
In 1987, diabetes mellitus was mentioned in 492 death certificates of the population of the city of Recife, Brazil, 202 of them for males and 290 for females. Diabetes mellitus was the underlying cause of death according to 80 certificates for men and 290 for women, as a result of which premature death occurred in 16.2% of men and 11.1% of women. Multiple cause of death analysis showed that cardiovascular diseases were the most frequent underlying cause of death in individuals over 50 years of age and acute complications of diabetes mellitus in individuals under 50. Cerebrovascular diseases were the most frequent in the cardiovascular group, particularly in females. Arterial hypertension was the most frequent associated cause of death appearing in death certificates mentioning diabetes mellitus (not as the underlying cause of death), also more often in females. The acute complications of diabetes mellitus (keto-acidosis and coma) and peripheral circulatory disorders peculiar to this disease caused 23% and 30% of the deaths, respectively, in cases where diabetes mellitus was the underlying cause. Infectious and parasitic diseases were the most frequent associated causes of death according to those certificates which gave diabetes mellitus as the underlying cause.
1987年，巴西累西腓市居民的492份死亡证明中提到了糖尿病，其中男性202份，女性290份。根据80份男性和290份女性的死亡证明，糖尿病是根本死因，由此导致16.2%的男性和11.1%的女性过早死亡。多死因分析表明，心血管疾病是50岁以上人群最常见的根本死因，而糖尿病急性并发症是50岁以下人群最常见的根本死因。脑血管疾病在心血管疾病组中最为常见，尤其是在女性中。动脉高血压是死亡证明中提及糖尿病（不作为根本死因）时最常见的相关死因，同样在女性中更为常见。在糖尿病作为根本死因的病例中，糖尿病急性并发症（酮症酸中毒和昏迷）和该疾病特有的外周循环障碍分别导致了23%和30%的死亡。根据将糖尿病列为根本死因的死亡证明，传染病和寄生虫病是最常见的相关死因。
