埃塞俄比亚BenishangulGumuz医院糖尿病患者恢复时间复发率的测定

E. Abebe, Zelalem Birku
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引用次数: 0

摘要

糖尿病是一种以血糖升高为特征的慢性代谢性疾病。全世界大约90%的糖尿病患者患有II型糖尿病。它是全球主要的健康问题和负担,并导致严重的健康并发症,包括心脏病、失明、肾衰竭和下肢截肢。在中低收入国家,糖尿病患病率上升得更快,需要引起高度重视。该案例的数据被认为是重复事件数据,在分析时应考虑事件之间的相关性。因此,本研究的目的是确定埃塞俄比亚Benishangul-Gumuz医院(Assosa、Pawi和Wonbera医院)糖尿病患者恢复时间复发的危险因素。回顾性研究埃塞俄比亚Benishangul-Gumuz医院2019年9月1日至2021年9月1日糖尿病患者康复时间的复发情况。采用Kaplan-Meier图(s)和Log-rank检验比较糖尿病患者的恢复时间;采用标准Cox-PH和共享脆弱模型识别显著影响糖尿病患者恢复时间的因素,采用R 4.1.1版本进行数据分析。在本组糖尿病患者中,61.87%的患者出现了糖尿病复发。估计糖尿病患者的中位恢复时间为6个月。基于似然交叉验证值,选择共享对数正态脆弱性模型来最适合该数据集。家族史、其他病史和患者的收缩压对糖尿病患者的恢复时间有显著影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determining The Recurrence of Diabetic Patients Recovery Time in BenishangulGumuz Hospitals, Ethiopia
Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar). About 90% of people with diabetes around the world have type II diabetes. It is the main global health issues and burden as well with serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. In middleand low-income countries the prevalence of diabetes has been rising more rapidly and needs great attention. The data from such case has been considered as recurrent event data and correlation between events should be taken into account in the analysis. Thus, the aim of the study was to identify risk factors for recurrence of diabetic patient’s recovery time in Benishangul-Gumuz hospitals (Assosa, Pawi and Wonbera hospital), Ethiopia. A retrospective study has been applied to obtain data on the recurrence of diabetic patient’s recovery time in Benishangul-Gumuz hospitals, Ethiopia, from September 1, 2019 to September 1, 2021. Kaplan-Meier plot (s) and Log-rank test were used for comparison of patient’s recovery time from diabetes; Standard Cox-PH and Shared Frailty model were used to identify factors significantly affect the recovery time of diabetic patients, using R version 4.1.1 for data analysis. Of the total diabetic patients in this study 61.87 % experienced recurrence of diabetic. The estimated median recovery time of diabetic patients was 6 months. The Shared Log-normal Frailty model was chosen to be best fit for this data set, based on Likelihood Cross-Validation value. Family history, other medical history and Systolic Blood Pressure of patients were significantly affected the recovery time of diabetic patient’s.
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