OR56. Risk Factors of Diabetes Mellitus Type 2 and Chronic Kidney Disease In Patients With All Types of Cardiovascular Disease at Sanglah Hospital Denpasar, Bali, Indonesia In 2021 : A Cross-Sectional Hospital-Based Study

This study aims to determine the risk factors of diabetes mellitus type 2 (DMT2) and chronic kidney disease (CKD) in a patient with all types of cardiovascular disease (CVD).

This study was carried out using the analytical observational and cross-sectional design methods. Data were collected from 219 patients diagnosed with all types of CVD at Sanglah Hospital from January 2021 – April 2021. The result showed that the majority of the patients were male (n = 116, 53%), with a median of age 53 (14-80). Coronary artery disease (CAD) was the most common CVD found in patients (n = 111, 50.7%), while the most common comorbidity in patients were CKD (n = 162, 74%). Obesity (p = 0.030; PR: 1.879; 95%CI: 1.097-3.219) and CAD (p = 0.029; PR: 1.774; 95%CI: 1.046-3.011) were significantly associated with DMT2, while age (p = 0.000; PR: 1.435; 95%CI: 1.180-1.745), and hypertension heart disease (HHD) (p = 0.008; PR: 1.243; 95%CI: 1.072-1.440) were significantly associated with CKD. Meanwhile, age > 50 years old (p = 0.004; PR: 5.740; 95%CI: 1.384-23.803), HHD (p = 0.035; PR: 2.385; 95%CI: 1.050-5.419), and CAD (p = 0.009, PR: 4.091; 95 %CI: 1.253-13.354) were significantly associated with DMT2 comorbid with CKD. In logistic regression analysis, age (p = 0.015; PR: 2.909; 95%CI: 1.235-6.852), and obesity (p = 0.023, PR: 2.765; 95%CI: 1.149-6.307) were significantly associated with DMT2.

Clinical characteristics and medical history of the patient are significantly associated with DMT2 and CKD. Early intervention against these factors tends to improve the outcome of the patient.