Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia

Getasew Alemu Mersha,1 Asamere Tsegaw Woredekal,2 Matyas Tilahun Tesfaw3 1Department of Optometry, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia; 2Department of Ophthalmology, School of Medicine, University of Gondar Comprehensive Specialized Hospital,...

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Autores principales:	Alemu Mersha G, Tsegaw Woredekal A, Tilahun Tesfaw M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	stdr prevalence ethiopia Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ce70368eff96468b8a9da2e5e86bf576
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spelling	oai:doaj.org-article:ce70368eff96468b8a9da2e5e86bf5762021-12-02T15:06:10ZSight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia1177-5483https://doaj.org/article/ce70368eff96468b8a9da2e5e86bf5762020-12-01T00:00:00Zhttps://www.dovepress.com/sight-threatening-diabetic-retinopathy-and-associated-risk-factors-amo-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Getasew Alemu Mersha,1 Asamere Tsegaw Woredekal,2 Matyas Tilahun Tesfaw3 1Department of Optometry, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia; 2Department of Ophthalmology, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia; 3Department of Ophthalmology, School of Medicine, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Getasew Alemu MershaDepartment of Optometry, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar 196, EthiopiaTel +251932823935Fax +251-58-114 1240Email gechopta12@gmail.comBackground: People with diabetes have an increased risk of developing sight-threatening conditions. Sight threatening diabetic retinopathy (STDR) is an advanced microvascular of complication of diabetes on the eye. It remains one of the leading causes of preventable blindness among working age adults around the world. There is a paucity of evidence on the prevalence of STDR and its associated factors in Ethiopia, particularly in the study area. Therefore, the aim of our study was to determine the prevalence of STDR and its associated factors among adult diabetes patients at Debre Tabor General Hospital (DTGH), Northwest Ethiopia.Materials and Methods: An institution-based cross-sectional study was conducted on 306 diabetes patients at Debre Tabor General Hospital with systematic random sampling technique. Semi-structured questionnaire, document review and physical examination were applied to collect the data. Binary and multivariable logistic regression model were used to identify associated factors for STDR.Results: The majority of the participants 163 (53.3%) were type 1 diabetes (T1DM) and the mean age of T1 and T2 DM participants was 34.5 (12.8) and 58.7 (10.7) years respectively. The prevalence of STDR was 15.3% (95%CI: 9.6%– 20.9%) and 11.9% (6.6– 17.5) in T1DM and T2DM, respectively. Low family monthly income (adjusted odds ratio (AOR)=4.4, 95%CI: 1.05– 18.40) among T2DM, longer duration of diabetes (AOR=10.9, 95%CI: 2.94– 40.4) among T1DM (AOR=3.54, 95CI: 1.06– 11.8) among T2DM and poor glycemic control (AOR=3.93, 95%CI: 1.06– 14.5) and hypertension (AOR=5.86, 95%CI: 1.20– 28.6) among T1DM and BMI (AOR=4.79, 95%CI: 1.35– 17.00) among T2DM were significantly associated with STDR.Conclusion and Recommendation: The prevalence of STDR was high. Low family monthly income, longer duration of diabetes, poor glycemic control, hypertension and obesity were positively associated with STDR. Early screening of STDR and improving diabetes self management in all diabetes patients were recommended.Keywords: STDR, prevalence, EthiopiaAlemu Mersha GTsegaw Woredekal ATilahun Tesfaw MDove Medical PressarticlestdrprevalenceethiopiaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 4561-4569 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	stdr prevalence ethiopia Ophthalmology RE1-994
spellingShingle	stdr prevalence ethiopia Ophthalmology RE1-994 Alemu Mersha G Tsegaw Woredekal A Tilahun Tesfaw M Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia
description	Getasew Alemu Mersha,1 Asamere Tsegaw Woredekal,2 Matyas Tilahun Tesfaw3 1Department of Optometry, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia; 2Department of Ophthalmology, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia; 3Department of Ophthalmology, School of Medicine, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Getasew Alemu MershaDepartment of Optometry, School of Medicine, University of Gondar Comprehensive Specialized Hospital, Gondar 196, EthiopiaTel +251932823935Fax +251-58-114 1240Email gechopta12@gmail.comBackground: People with diabetes have an increased risk of developing sight-threatening conditions. Sight threatening diabetic retinopathy (STDR) is an advanced microvascular of complication of diabetes on the eye. It remains one of the leading causes of preventable blindness among working age adults around the world. There is a paucity of evidence on the prevalence of STDR and its associated factors in Ethiopia, particularly in the study area. Therefore, the aim of our study was to determine the prevalence of STDR and its associated factors among adult diabetes patients at Debre Tabor General Hospital (DTGH), Northwest Ethiopia.Materials and Methods: An institution-based cross-sectional study was conducted on 306 diabetes patients at Debre Tabor General Hospital with systematic random sampling technique. Semi-structured questionnaire, document review and physical examination were applied to collect the data. Binary and multivariable logistic regression model were used to identify associated factors for STDR.Results: The majority of the participants 163 (53.3%) were type 1 diabetes (T1DM) and the mean age of T1 and T2 DM participants was 34.5 (12.8) and 58.7 (10.7) years respectively. The prevalence of STDR was 15.3% (95%CI: 9.6%– 20.9%) and 11.9% (6.6– 17.5) in T1DM and T2DM, respectively. Low family monthly income (adjusted odds ratio (AOR)=4.4, 95%CI: 1.05– 18.40) among T2DM, longer duration of diabetes (AOR=10.9, 95%CI: 2.94– 40.4) among T1DM (AOR=3.54, 95CI: 1.06– 11.8) among T2DM and poor glycemic control (AOR=3.93, 95%CI: 1.06– 14.5) and hypertension (AOR=5.86, 95%CI: 1.20– 28.6) among T1DM and BMI (AOR=4.79, 95%CI: 1.35– 17.00) among T2DM were significantly associated with STDR.Conclusion and Recommendation: The prevalence of STDR was high. Low family monthly income, longer duration of diabetes, poor glycemic control, hypertension and obesity were positively associated with STDR. Early screening of STDR and improving diabetes self management in all diabetes patients were recommended.Keywords: STDR, prevalence, Ethiopia
format	article
author	Alemu Mersha G Tsegaw Woredekal A Tilahun Tesfaw M
author_facet	Alemu Mersha G Tsegaw Woredekal A Tilahun Tesfaw M
author_sort	Alemu Mersha G
title	Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia
title_short	Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia
title_full	Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia
title_fullStr	Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia
title_full_unstemmed	Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia
title_sort	sight-threatening diabetic retinopathy and associated risk factors among adult diabetes patients at debre tabor general hospital, northwest ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/ce70368eff96468b8a9da2e5e86bf576
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Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia

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