Delay in seeking medical care after the onset of symptoms in patients with sight-threatening diabetic retinopathy
| Autor: | Yan Wei, Fenghua Mi, Xinyi Wu, Hui Guo, Ying Li, Yan Cui |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Medicine (General)
China Pediatrics medicine.medical_specialty 030209 endocrinology & metabolism Biochemistry Medical care 03 medical and health sciences R5-920 0302 clinical medicine Risk Factors proliferative Diabetes mellitus Humans Medicine In patient Macular edema Retrospective Studies macular edema Diabetic Retinopathy sight-threatening delay in seeking medical care business.industry ocular screening Biochemistry (medical) Cell Biology General Medicine Diabetic retinopathy non-proliferative medicine.disease Sight threatening diabetic retinopathy Diabetes Mellitus Type 2 diabetes mellitus 030221 ophthalmology & optometry business educational program Retrospective Clinical Research Report |
| Zdroj: | The Journal of International Medical Research Journal of International Medical Research, Vol 49 (2021) |
| ISSN: | 1473-2300 0300-0605 |
| DOI: | 10.1177/03000605211013224 |
| Popis: | Objective To investigate the reasons for delays in seeking medical care in patients with diabetic retinopathy and associated risk factors. Methods We retrospectively reviewed data for patients with sight-threatening diabetic retinopathy (STDR) who attended a hospital in China. Various forms of STDR were identified, including severe non-proliferative DR, clinically significant macular edema and proliferative DR. Demographic, clinical and socioeconomic information was collected and the associated risk factors were evaluated. Results Of the 127 patients with STDR, 89.2% sought medical care within 1 month of developing symptoms. Those who sought treatment ≥6 months after symptoms developed had significantly lower income and less knowledge of diabetic complications than those who attended earlier. Multivariate logistic regression analysis showed that no or infrequent routine examination for diabetic complications were associated with long delays in seeking medical care (odds ratio (OR) 3.06, 95% confidence interval (CI) 1.05–9.19; and OR 2.91, 95% CI 1.04–8.40, respectively). Conclusions Most patients with STDR sought medical care within 1 month of symptoms developing, but no or infrequent routine examination for diabetic complications was associated with long delays. These results stress the importance of educational programs regarding diabetic complications to encourage timely medical care and prevent poor outcomes. |
| Databáze: | OpenAIRE |
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