FREQUENCY, DISTRIBUTION AND DETERMINANTS OF DIABETES MELLITUS IN ADULT ACUTE CORONARY SYNDROME POPULATION OF D.I.KHAN DIVISION, PAKISTAN

Gomal Journal of Medical Sciences

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Title FREQUENCY, DISTRIBUTION AND DETERMINANTS OF DIABETES MELLITUS IN ADULT ACUTE CORONARY SYNDROME POPULATION OF D.I.KHAN DIVISION, PAKISTAN
 
Creator Marwat, Muhammad
Ahmad, Iftikhar
Ashiq, Fariha
Ali, Sania
Zamir, Sher
Rehman, Mehboob Ur
Farid, Maryam
Rehman, Bakhtawar
Zahoor, Habiba
Aman, Zeenat
Mehmood, Sidra
Roshan, Summaya
Burki, Aroosa
Noor, Irum
Mussadiq, Shafaq
Naveed, Sawera
 
Description 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.
 
Publisher Gomal Medical College, D.I.Khan, Pakistan
 
Date 2019-12-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://www.gjms.com.pk/ojs24/index.php/gjms/article/view/2106
 
Source 1997-2067
1819-7973
 
Language eng
 
Relation http://www.gjms.com.pk/ojs24/index.php/gjms/article/view/2106/1316
 
Rights Copyright (c) 2019 Muhammad Marwat, Iftikhar Ahmad, Fariha Ashiq, Sania Ali, Sher Zamir, Mehboob Ur Rehman, Maryam Farid, Bakhtawar Rehman, Habiba Zahoor, Zeenat Aman, Sidra Mehmood, Summaya Roshan, Aroosa Burki, Irum Noor, Shafaq Mussadiq, Sawera Naveed
https://creativecommons.org/licenses/by-nc/4.0
 

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