FREQUENCY, DISTRIBUTION AND DETERMINANTS OF DIABETES MELLITUS IN ADULT ACUTE CORONARY SYNDROME POPULATION OF D.I.KHAN DIVISION, PAKISTAN

GJMS Vol 17, No.4, Oct-Dec 2019 Pub Date : 2019-12-31 DOI:10.46903/gjms/17.04.2106

M. Marwat, I. Ahmad, Fariha Ashiq, Sania Ali, Sher Zamir, M. Rehman, Maryam Farid, B. Rehman, Habiba Zahoor, Zeenat Aman, Sidra Mehmood, Summaya Roshan, Aroosa Burki, Irum Noor, Shafaq Mussadiq, Sawera Naveed

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引用次数: 18

Abstract

Background: Global Health Estimates 2015 has shown IHD as second leading global cause of death and 3rd leading global cause for DALYs for 2015. The objectives of this study were to determine frequency, distribution and determinants of DM in adult acute coronary syndrome (ACS) population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Departments of Ophthalmology & Community Medicine, Gomal Medical College, D.I.Khan, from February 1, 2017 to April 30, 2017. 331 cases were selected with margin of error 4.511%, 90%CL and 25% prevalence of DM in 73,438 adults assumed to have IHD. All indoor adult patients of ACS were eligible. Sex, age groups, and residence and presence of DM were variables. Frequency and distribution were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 331 patients with ACS, 225 (68.0%) were men and 106 (32.0%) women, 221 (66.8%) ≤60 years and 110 (33.2%) >60 years, and 210 (63.4%) urban and 121 (35.6%) rural. Frequency of DM was 79/331 (23.87%). Out of 79 patients with DM, men were 44 (13.29%), women 35 (10.57%), age group ≤60 years 57 (17.22%), >60 years 22 (6.65%), urban 53 (16.01%) and rural 60 (7.85%). Our prevalence of DM was lower than expected (p=.00214), our distribution by sex was similar to expected (p=.4993) while our distribution for age groups (p=.01209) and residence (p=.00005) were not similar to expected. Presence of DM was associated to sex (p=.011) but not to age groups (p=.0304) and residence (p=.5241). Conclusion: Prevalence of DM in adult ACS population of D.I.Khan Division, Pakistan was found lower than expected. The prevalence was more in men than women, more in younger age group (≤60 years) than older age group (>60 years) and more in urban than rural population. Our prevalence of DM was lower than expected, our distribution by sex was similar to expected while our distribution for age groups and residence were not similar to expected. The presence of DM was associated to sex but not to age groups and residence.

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巴基斯坦dii khan地区成人急性冠脉综合征人群中糖尿病的频率、分布和决定因素

背景:《2015年全球卫生估计》显示，IHD是2015年全球第二大死亡原因和全球第三大残疾调整生命年原因。本研究的目的是确定巴基斯坦dii khan地区成人急性冠脉综合征(ACS)人群中糖尿病的频率、分布和决定因素。材料与方法:本横断面研究于2017年2月1日至2017年4月30日在dii khan Gomal医学院眼科与社区医学系进行。在73,438名被认为患有IHD的成年人中，选择了331例，误差范围为4.511%，90%的cl和25%的DM患病率。所有ACS的室内成人患者均入选。性别、年龄组、居住和是否存在糖尿病是变量。用计数和百分比分析频率和分布。分布假设采用卡方拟合优度检验，关联假设采用卡方关联检验。结果:331例ACS患者中，男性225例(68.0%)，女性106例(32.0%)，≤60岁221例(66.8%)，≥60岁110例(33.2%)，城市210例(63.4%)，农村121例(35.6%)。DM的发生率为79/331(23.87%)。79例糖尿病患者中，男性44例(13.29%)，女性35例(10.57%)，年龄≤60岁57例(17.22%)，bb0 60岁22例(6.65%)，城市53例(16.01%)，农村60例(7.85%)。我们的糖尿病患病率低于预期(p= 0.00214)，我们的性别分布与预期相似(p= 0.4993)，而我们的年龄组分布(p= 0.01209)和居住地分布(p= 0.00005)与预期不相似。糖尿病的存在与性别(p= 0.011)有关，但与年龄组(p= 0.0304)和居住地(p=.5241)无关。结论:巴基斯坦dii khan地区成年ACS人群中糖尿病患病率低于预期。男性患病率高于女性，年轻年龄组(≤60岁)高于老年年龄组(≤60岁)，城市人群高于农村人群。我们的糖尿病患病率低于预期，我们的性别分布与预期相似，而我们的年龄组和居住地分布与预期不同。糖尿病的存在与性别有关，而与年龄组和居住地无关。

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GJMS Vol 17, No.4, Oct-Dec 2019

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