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Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana

OBJECTIVE: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. METHODS: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Pr...

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Autores principales: Mwita, Julius Chacha, Magafu, Mgaywa Gilbert Mjungu Damas, Omech, Bernard, Tsima, Billy, Dewhurst, Matthew J, Goepamang, Monkgogi, Mashalla, Yohana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598792/
https://www.ncbi.nlm.nih.gov/pubmed/28932397
http://dx.doi.org/10.1177/2050312117731473
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author Mwita, Julius Chacha
Magafu, Mgaywa Gilbert Mjungu Damas
Omech, Bernard
Tsima, Billy
Dewhurst, Matthew J
Goepamang, Monkgogi
Mashalla, Yohana
author_facet Mwita, Julius Chacha
Magafu, Mgaywa Gilbert Mjungu Damas
Omech, Bernard
Tsima, Billy
Dewhurst, Matthew J
Goepamang, Monkgogi
Mashalla, Yohana
author_sort Mwita, Julius Chacha
collection PubMed
description OBJECTIVE: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. METHODS: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Princess Marina Hospital in Gaborone. Patients were classified as previously known diabetics, undiagnosed diabetics (glycated haemoglobin ≥ 6.5%) or as non-diabetics (glycated haemoglobin < 6.5%). Data on other comorbid conditions such as hypertension, atrial fibrillation, ischaemic heart disease, stroke, and renal failure were also collected. RESULTS: The mean (SD) age of the participants was 54.2 (17.1) years and 53.9% were men. The percentage of known and undiagnosed diabetes mellitus was 15.5% and 12.4%, respectively. Diabetic patients were significantly more likely to have hypertension (77.8% vs 46.0%, p < 0.001), ischaemic heart disease (20.4% vs 5.0%, p < 0.001), chronic kidney disease (51.3% vs 23.0%, p  < 0.001), and stroke (20.4% vs 5.8%, p  < 0.01). In addition, diabetics were older than non-diabetics (61.0 years vs 51.6 years, p  < 0.001). CONCLUSION: About 27.9% of patients admitted with acute heart failure in Botswana had diabetes, and almost half of them presented with undiagnosed diabetes. These findings indicate that all hospitalised patients should be screened for diabetes.
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spelling pubmed-55987922017-09-20 Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana Mwita, Julius Chacha Magafu, Mgaywa Gilbert Mjungu Damas Omech, Bernard Tsima, Billy Dewhurst, Matthew J Goepamang, Monkgogi Mashalla, Yohana SAGE Open Med Original Article OBJECTIVE: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. METHODS: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Princess Marina Hospital in Gaborone. Patients were classified as previously known diabetics, undiagnosed diabetics (glycated haemoglobin ≥ 6.5%) or as non-diabetics (glycated haemoglobin < 6.5%). Data on other comorbid conditions such as hypertension, atrial fibrillation, ischaemic heart disease, stroke, and renal failure were also collected. RESULTS: The mean (SD) age of the participants was 54.2 (17.1) years and 53.9% were men. The percentage of known and undiagnosed diabetes mellitus was 15.5% and 12.4%, respectively. Diabetic patients were significantly more likely to have hypertension (77.8% vs 46.0%, p < 0.001), ischaemic heart disease (20.4% vs 5.0%, p < 0.001), chronic kidney disease (51.3% vs 23.0%, p  < 0.001), and stroke (20.4% vs 5.8%, p  < 0.01). In addition, diabetics were older than non-diabetics (61.0 years vs 51.6 years, p  < 0.001). CONCLUSION: About 27.9% of patients admitted with acute heart failure in Botswana had diabetes, and almost half of them presented with undiagnosed diabetes. These findings indicate that all hospitalised patients should be screened for diabetes. SAGE Publications 2017-09-12 /pmc/articles/PMC5598792/ /pubmed/28932397 http://dx.doi.org/10.1177/2050312117731473 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Mwita, Julius Chacha
Magafu, Mgaywa Gilbert Mjungu Damas
Omech, Bernard
Tsima, Billy
Dewhurst, Matthew J
Goepamang, Monkgogi
Mashalla, Yohana
Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
title Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
title_full Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
title_fullStr Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
title_full_unstemmed Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
title_short Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
title_sort undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in botswana
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598792/
https://www.ncbi.nlm.nih.gov/pubmed/28932397
http://dx.doi.org/10.1177/2050312117731473
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