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Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications

OBJECTIVES: To determine the association between emergency department (ED) visits, glycemic control and the quality of preventive diabetes care among diabetic patients in a Saudi community. METHODS: This study was an observational, cross-sectional study that collected data through interview-based su...

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Autores principales: Alshareef, Saad M., Aldayel, Abdulrahman Y., AlKhathlan, Mujahed A., Alduaij, Khalid O., Alshareef, Fahad G., Al-Harthi, Mohammed E., Aldayel, Abdulaziz A., Shadid, Asem M., Dahmash, Abdulmajeed Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468210/
https://www.ncbi.nlm.nih.gov/pubmed/30834423
http://dx.doi.org/10.15537/smj.2019.3.23968
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author Alshareef, Saad M.
Aldayel, Abdulrahman Y.
AlKhathlan, Mujahed A.
Alduaij, Khalid O.
Alshareef, Fahad G.
Al-Harthi, Mohammed E.
Aldayel, Abdulaziz A.
Shadid, Asem M.
Dahmash, Abdulmajeed Bin
author_facet Alshareef, Saad M.
Aldayel, Abdulrahman Y.
AlKhathlan, Mujahed A.
Alduaij, Khalid O.
Alshareef, Fahad G.
Al-Harthi, Mohammed E.
Aldayel, Abdulaziz A.
Shadid, Asem M.
Dahmash, Abdulmajeed Bin
author_sort Alshareef, Saad M.
collection PubMed
description OBJECTIVES: To determine the association between emergency department (ED) visits, glycemic control and the quality of preventive diabetes care among diabetic patients in a Saudi community. METHODS: This study was an observational, cross-sectional study that collected data through interview-based surveys between February and April 2017. Data were collected from 530 diabetic patients in the diabetes clinics at King Saud Medical City, the tertiary center of Riyadh, Kingdom of Saudi Arabia. RESULTS: This study found statistically significant relationships (p<0.05) between ED visits and patient age, the glycated hemoglobin (HbA1c) and education level. Emergency department visits increased by 43% for each unit of increase in HbA1c (odds ratio [OR]=1.43, 95% confidence interval (CI)=1.26-1.62). Graduating from high school decreased the odds of visiting the ED by 43% (OR=0.57, 95% CI=0.34-0.94). Most of the participants were not followed for possible microvascular complications; the majority did not visit nephrology (96.2%), ophthalmology (78.3%) and neurology (97.9%) clinics within the 12 months prior to the interviews. CONCLUSION: Emergency department visits can indicate poor glycemic control in diabetic patients. Additionally, the current practices of preventive diabetes care in Saudi Arabia are not sufficient, according to the diabetic standards of care recommended by the American Diabetes Association.
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spelling pubmed-64682102019-05-01 Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications Alshareef, Saad M. Aldayel, Abdulrahman Y. AlKhathlan, Mujahed A. Alduaij, Khalid O. Alshareef, Fahad G. Al-Harthi, Mohammed E. Aldayel, Abdulaziz A. Shadid, Asem M. Dahmash, Abdulmajeed Bin Saudi Med J Original Article OBJECTIVES: To determine the association between emergency department (ED) visits, glycemic control and the quality of preventive diabetes care among diabetic patients in a Saudi community. METHODS: This study was an observational, cross-sectional study that collected data through interview-based surveys between February and April 2017. Data were collected from 530 diabetic patients in the diabetes clinics at King Saud Medical City, the tertiary center of Riyadh, Kingdom of Saudi Arabia. RESULTS: This study found statistically significant relationships (p<0.05) between ED visits and patient age, the glycated hemoglobin (HbA1c) and education level. Emergency department visits increased by 43% for each unit of increase in HbA1c (odds ratio [OR]=1.43, 95% confidence interval (CI)=1.26-1.62). Graduating from high school decreased the odds of visiting the ED by 43% (OR=0.57, 95% CI=0.34-0.94). Most of the participants were not followed for possible microvascular complications; the majority did not visit nephrology (96.2%), ophthalmology (78.3%) and neurology (97.9%) clinics within the 12 months prior to the interviews. CONCLUSION: Emergency department visits can indicate poor glycemic control in diabetic patients. Additionally, the current practices of preventive diabetes care in Saudi Arabia are not sufficient, according to the diabetic standards of care recommended by the American Diabetes Association. Saudi Medical Journal 2019-03 /pmc/articles/PMC6468210/ /pubmed/30834423 http://dx.doi.org/10.15537/smj.2019.3.23968 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Alshareef, Saad M.
Aldayel, Abdulrahman Y.
AlKhathlan, Mujahed A.
Alduaij, Khalid O.
Alshareef, Fahad G.
Al-Harthi, Mohammed E.
Aldayel, Abdulaziz A.
Shadid, Asem M.
Dahmash, Abdulmajeed Bin
Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
title Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
title_full Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
title_fullStr Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
title_full_unstemmed Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
title_short Diabetic patients in Saudi Arabia: The evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
title_sort diabetic patients in saudi arabia: the evaluation of glycemic control measures based on emergency department utilization and the percentages of adherence to the recommended follow-ups for microvascular complications
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468210/
https://www.ncbi.nlm.nih.gov/pubmed/30834423
http://dx.doi.org/10.15537/smj.2019.3.23968
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