A Descriptive Study of Cardiovascular Risk Profiles of Adults with Type 2 Diabetes from Hospitals in Urban Saudi Arabia Pubblico
Al Slail, Fatima Younis (2013)
Abstract
ABSTRACT
OBJECTIVE: To determine the prevalence of Cardiovascular disease
(CVD) risk factors among people with type 2 diabetes mellitus
(T2DM) attending two different hospitals settings in Riyadh, Saudi
Arabia, from 2008 -2012. To determine as well the percentage of
patients achieving the recommended optimal levels of CVD risk
factor control according to the American Diabetes Association (ADA)
guidelines.
METHODS: This is a retrospective study that used outpatient data
from King Fahad Madical City (KFMC) and Prince Salman Hospital
(PSH) from 2008 to 2012. Data were extracted from medical records
and frequencies of CVD risk factors (obesity [BMI ≥ 30
kg/m2], hypertension [already diagnosed or patients with measured
SBP ≥ 140 and DBP ≥ 90 mmHg], elevated cholesterol
fractions) plus proportions achieving control targets (based on ADA
guidelines) were reported. Frequencies and proportions were also
compared across hospitals and gender.
RESULTS: Out of 422 patients with T2DM, 50.24% were women. The
average age was 52 years. The prevalence of obesity among T2DM
patients was 56%, and the prevalence of hypertension was 45% . In
addition to being diabetic, 21% had two CVD risk factors, 31% had
three risk factors, and 18% had four risk factors. The percentage
of adults with T2DM that achieved the recommended HbA1c and BP
levels was 8.93%, but it dropped to 3.57% when combined control of
HbA1c, BP, and lipid profile (LDL, HDL, triglycerides, and total
cholesterol) were examined.
CONCLUSION: The T2DM patients in two large health centers appear
to be far from achieving evidence-based standards of medical care.
The percentage of patients with poor glycemic, BP, and lipid
control was high. This implies that major efforts are needed to
improve these services in order to reduce the gap between the
optimal level of risk factor control and what the current reality
reflects.
Table of Contents
Table of Contents
Chapter 1: Introduction and Literature Review......... 1
Chapter 2: Methodology.......................................
15
Chapter 3: Results
...............................................19
Chapter 4: Discussion
...........................................21
Chapter 5: Recommendations and Conclusion.......... 30
Appendix: Tables and Figures................................
34
References:........................................................
46
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