PCV33 - THE RATE OF CARDIOVASCULAR EVENTS IN DIABETIC PATIENTS IN COLOMBIA

Abstract

To estimate the rate at which acute coronary events present themselves in diabetic patients from a Colombian insurance company through big data analysis. Based on cluster technics and association rules applied over databases of service consumption from a health insurance company with distribution across the country, diabetic patients from a sole year and those who presented acute coronary events, for at least a year or until death, were singled out for the study. Acute coronary events were defined via diagnosis and validated through registered consumption. Patients were analyzed globally and set apart by stage of treatment: monotherapy, oral combination therapy or insulinized. From 131’604.958 records from approximately 2’300.000 different users, 7,639 patients were diagnosed with type 2 diabetes mellitus for 2015 at a mean age of 56.4, from whom 37% were identified with at least one separate chronic pathology. From the specified population, 85 presented cardiovascular events; equal to a rate of 1.1%. When analyzing specifically those patients under insulinization the rate corresponded to 1.35%. The risk ratio of presenting a coronary event for the diabetic population which did not present any other pathologies was 0.39. The event rate obtained is similar to that of a study performed in international populations such as the one published in Lancet Diabetes Endocrinology in 2014. When analyzing the variations by type of population, it is proven that acute coronary events present a major risk factor in those patients with other chronic pathologies and that those patients who are insulinized have a 2.4% higher rate of presenting cardiovascular events.