Abstract

REGAL RAMOS, Raúl Jesús. Occupational disability due to diabetes mellitus: epidemiological characteristics and macro- and microangiopathic complications more frequent. Med. segur. trab. [online]. 2014, vol.60, n.234, pp.99-107. ISSN 1989-7790.  https://dx.doi.org/10.4321/S0465-546X2014000100009.

Diabetes mellitus is the most common metabolic disease and leads to decreased quality of life of individuals with the disease, and the loss of years of productive life as a result of chronic complications or mortality. Objective: To determine the epidemiological characteristics of patients with permanent disability due to diabetes mellitus and to know which are the most common complications that led to the permanent disability and its relationship with different occupations. Method: This was a descriptive study that evaluated patients who were collected in the Medical Unit of the Provincial Directorate of INSS of Madrid between 2005-2011 with a diagnosis of diabetes. It excluded those records that were not classified as IP, those who had other diseases unrelated to diabetes likely subsidiaries disability (as oncological processes, dementia, multiple sclerosis, ..) and secondary diabetes cases. We study the variables age, sex, marital status, occupation, type of affiliation to the Social Security and those listed in paragraph diagnostic of specific medical report (type of diabetes, complications of DM and cardiovascular risk factors). Result: The number of patients studied was 896 . Regarding the general population occupied in our environment we see a 31 % increase in males (p < 0.0005; prevalence ratio = 1.56) and 28% more than the group VII of the CNO-11 (industry and construction) (p < 0.005; prevalence ratio = 2.3). 48% of the scientific professions and 36 % of administrative ophthalmopathy were diagnosed. 39% of industry and construction workers were diagnosed with some degree of coronary artery disease. Conclusion: Our results objectively in our ophthalmopathy is the most frequent complication associated with permanent disability in high-demand professions visual and coronary artery disease in the professions of physical effort. They also allow to hypothesize that being male and having a profession related to the construction industry or increase the risk of getting a permanent disability for diabetes complications.

Keywords : Disability; Diabetes Mellitus; occupational medicine.

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