FREQUENCY, DISTRIBUTION AND DETERMINANTS OF DIABETES MELLITUS IN ADULT ACUTE CORONARY SYNDROME POPULATION OF D.I.KHAN DIVISION, PAKISTAN
| Autor: | Iftikhar Ahmad, Zeenat Aman, Aroosa Burki, Fariha Ashiq, Sher Zamir, Mehboob ur Rehman, Maryam Farid, Sania Ali, Bakhtawar Rehman, Sawera Naveed, Summaya Roshan, Habiba Zahoor, Sidra Mehmood, Shafaq Mussadiq, Irum Noor, Muhammad Marwat |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
unstable angina
Acute coronary syndrome chi-square test Population global health lcsh:Medicine Pharmacy 030204 cardiovascular system & hematology Microbiology acute coronary syndrome 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Chi-square test Medicine 030212 general & internal medicine Myocardial infarction rural population education Cause of death education.field_of_study pakistan business.industry Unstable angina adult lcsh:R General Medicine medicine.disease myocardial infarction urban population diabetes mellitus Residence business Demography |
| Zdroj: | Gomal Journal of Medical Sciences, Vol 17, Iss 4, Pp 131-143 (2019) |
| ISSN: | 1997-2067 1819-7973 |
| Popis: | Background: Global Health Estimates 2015 has shown IHD as second leading global cause of death and 3rd leading global cause for DALYs for 2015. The objectives of this study were to determine frequency, distribution and determinants of DM in adult acute coronary syndrome (ACS) population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Departments of Ophthalmology & Community Medicine, Gomal Medical College, D.I.Khan, from February 1, 2017 to April 30, 2017. 331 cases were selected with margin of error 4.511%, 90%CL and 25% prevalence of DM in 73,438 adults assumed to have IHD. All indoor adult patients of ACS were eligible. Sex, age groups, and residence and presence of DM were variables. Frequency and distribution were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 331 patients with ACS, 225 (68.0%) were men and 106 (32.0%) women, 221 (66.8%) ≤60 years and 110 (33.2%) >60 years, and 210 (63.4%) urban and 121 (35.6%) rural. Frequency of DM was 79/331 (23.87%). Out of 79 patients with DM, men were 44 (13.29%), women 35 (10.57%), age group ≤60 years 57 (17.22%), >60 years 22 (6.65%), urban 53 (16.01%) and rural 60 (7.85%). Our prevalence of DM was lower than expected (p=.00214), our distribution by sex was similar to expected (p=.4993) while our distribution for age groups (p=.01209) and residence (p=.00005) were not similar to expected. Presence of DM was associated to sex (p=.011) but not to age groups (p=.0304) and residence (p=.5241). Conclusion: Prevalence of DM in adult ACS population of D.I.Khan Division, Pakistan was found lower than expected. The prevalence was more in men than women, more in younger age group (≤60 years) than older age group (>60 years) and more in urban than rural population. Our prevalence of DM was lower than expected, our distribution by sex was similar to expected while our distribution for age groups and residence were not similar to expected. The presence of DM was associated to sex but not to age groups and residence. |
| Databáze: | OpenAIRE |
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