Trends on Prevalence of Diabetes Mellitus at Nedjo General Hospital, Western Ethiopia: Cross-Sectional Study

Ginenus Fekadu, Said Adem, F. Bekele
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引用次数: 1

Abstract

Background and Objective: Diabetes mellitus (DM) is the commonest of all metabolic diseases all over the world. It is estimated that between 5-10% of the population suffer from this disease. Ethiopia is one of the top five countries with the highest number of people affected by DM in sub Saharan Africa (SSA). Hence the study aimed to assess the trend in the prevalence of DM in Nedjo General Hospital (NGH). Methods: A hospital-based cross-sectional study from patients’ records was reviewed by using structured data extraction tool. Data were obtained from medical records of all registered diabetic patients in the Diabetic Follow up Clinic between 2012 and 2016. A Chi square was used as test of significance at 95% of confidence interval. A P value of 0.05 or less than 0.05 was used as the cut-of level for statistical significance. Result: From the total of 299 diabetic patients, 175 (58.5%) were type-1 DM (T1DM) and 124 (41.5%) were type-2 DM (T2DM). The study revealed that trend of DM was increasing over the consecutive five years of the study period. Majority of the patients were males comprising 64.9% with female to male ratio of 1:1.8. DM was significantly associated with age of the patients (χ2=11.28, P=0.003) at 95% of confidence interval. Hypertension was the most common co morbid recorded in 61 (20.4%) of the total patients. About 169 (96.6%) of T1DM patients who were on insulin and 88 (71.0%) T2DM patients were on oral hypoglycemic agents (OHA). Conclusion and Recommendation: The overall prevalence of diabetes mellitus was steadily increasing in patients who were attending at NGH over last five consecutive years. Adopting a healthy life style, balanced diet, and avoiding other risk factor from their life style is mandatory.
埃塞俄比亚西部nejo总医院糖尿病流行趋势:横断面研究
背景与目的:糖尿病(DM)是世界上最常见的代谢性疾病。据估计,有5-10%的人口患有这种疾病。埃塞俄比亚是撒哈拉以南非洲(SSA)受DM影响人数最多的五个国家之一。因此,本研究旨在评估内德霍总医院(NGH)糖尿病患病率的趋势。方法:采用结构化数据提取工具,对以医院为基础的患者病历横断面研究进行回顾。数据来源于2012 - 2016年在糖尿病随访诊所登记的所有糖尿病患者的病历。在95%的置信区间使用卡方作为显著性检验。以0.05或小于0.05的P值作为有统计学意义的截断水平。结果:299例糖尿病患者中,1型糖尿病(T1DM) 175例(58.5%),2型糖尿病(T2DM) 124例(41.5%)。研究发现,在连续5年的研究期间,糖尿病的发病率呈上升趋势。患者以男性居多,占64.9%,男女比例为1:8 .8。DM与患者年龄有显著相关性(χ2=11.28, P=0.003), 95%可信区间。高血压是最常见的合并症,61例(20.4%)。约169例(96.6%)T1DM患者使用胰岛素,88例(71.0%)T2DM患者使用口服降糖药(OHA)。结论和建议:在过去的5年里,在NGH就诊的患者中,糖尿病的总体患病率稳步上升。采取健康的生活方式,均衡的饮食,避免其他危险因素的生活方式是强制性的。
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