印度查谟地区(查谟和克什米尔)一家三级保健医院住院糖尿病患者中未确诊的糖尿病视网膜病变患病率

Arjumand Nazir, F. Wani, A. Jabeen
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摘要

背景:糖尿病最具破坏性的后果之一是糖尿病视网膜病变(DR),这种疾病对个人、卫生保健系统和全球经济造成重大的财政和卫生保健负担。本研究旨在估计查谟地区(查谟和克什米尔)三级医院住院糖尿病患者中DR的患病率。方法:本横断面研究纳入查谟政府医学院18岁以上的1型或2型糖尿病患者,既往医师诊断或血红蛋白A1C≥6.5% (48 mmol/mol),符合参与条件。排除标准包括过去5年内诊断的1型糖尿病。此外,还收集了视网膜病变继发危险因素的数据,如病程、糖化血红蛋白和相关合并症。结果:78例已知诊断为糖尿病的患者被纳入本研究。大多数研究参与者,56.4%(44/78)是男性,年龄在40-60岁之间。大多数,57.7%(45/78)的参与者没有意识到DR会影响他们的视力。增生性DR和临床显著性黄斑水肿患病率分别为3.8%(3/78)。结论:我们的研究表明,DR在研究人群中的患病率增加,这似乎是一个值得关注的问题。
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Prevalence of undiagnosed diabetic retinopathy among inpatients with diabetes at a tertiary care hospital in Jammu Region (Jammu and Kashmir), India
Background: One of the most devastating consequences of diabetes is diabetic retinopathy (DR), a condition that poses significant financial and health-care burdens on individuals, health-care systems, and the global economy. This study aims to estimate the prevalence of DR in the inpatient diabetic population in the tertiary care hospital of the Jammu region (Jammu and Kashmir). Methods: This cross-sectional study had men and women over 18 years admitted to Government Medical College, Jammu with type 1 or type 2 diabetes based on a previous physician diagnosis or hemoglobin A1C ≥6.5% (48 mmol/mol) and were eligible to participate. The exclusion criteria included type 1 diabetes diagnosed within the past 5 years. In addition, data on secondary risk factors for retinopathy were collected, such as duration, hemoglobin A1C, and associated comorbidities. Results: Seventy-eight patients with a known diagnosis of diabetes mellitus were included in this study. The majority of the study participants, 56.4% (44/78) were male and were in the age group of 40–60 years. The majority, 57.7% (45/78) participants, were unaware that DR could affect their vision. The prevalence of proliferative DR and clinically significant macular edema was 3.8% (3/78 each). Conclusion: Our study suggests an increased prevalence of DR in the study population, which seems to be a concern.
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