Magnitude of diabetic retinopathy and its associated factors among patients with type 2 diabetes on follow up at diabetes clinic of Asella Referral and Teaching Hospital, Asella, Ethiopia: a cross-sectional study

Author:

Bedada Kidist Tadesse1,Tolla Koricho Simie1,Regesu Ashenafi Habtamu1,Abore Kibruyisfaw Weldeab2,Chinkey Fraol Daba3,Tekle Natnael Fikadu4,Gebre Rekik Teshale5,Tilahun Robel Bayou4,Tilahun Rediet Atnafu6,Sinshaw Sofonyas Silesh4,Lechebo Tsion Andrias7,Alemneh Zekarias Tadele8

Affiliation:

1. Arsi University

2. St. Paul’s Hospital Millennium Medical College

3. Ambo University Referral Hospital

4. Addis Ababa University

5. Menilik II Medical and Health Science College

6. Zewditu Memorial Hospital

7. The Ethiopian private Hospitals and Centers Association

8. Aksum University Comprehensive Specialized Hospital

Abstract

Abstract

Background Diabetic retinopathy is a microvascular complication of diabetes mellitus that is among the leading causes of irreversible blindness worldwide. There is a growing concern about diabetic retinopathy in Ethiopia associated with the increasing prevalence of diabetes. Limited studies have been conducted in Ethiopia that evaluated the magnitude of diabetic retinopathy and its associated factors among patients with type 2 diabetes. Thus, we aimed to assess the magnitude of diabetic retinopathy and its associated factors among patients with type 2 diabetes on follow-up at the diabetic clinic of Asella Referral and Teaching Hospital. Methodology: An institution-based cross-sectional study involving 428 patients with type 2 diabetes was conducted at the diabetic clinic of Asella Referral and Teaching Hospital. Participants were selected using a systematic random sampling technique. A descriptive analysis was performed to determine the prevalence of diabetic retinopathy. Bivariate binary logistic regression and multivariable logistic regression were conducted to determine factors associated with diabetic retinopathy, at α = 0.05 using adjusted odds ratio with 95% confidence interval. Result Of the 428 participants, 53 (12.4%) had diabetic retinopathy (95% CI: 9.4, 15.9). Dyslipidemia (AOR = 2.538, 95% CI: 1.190, 5.412), poor medication adherence (AOR = 3.706, 95% CI: 1.730, 7.940), presence of other complications of diabetes (AOR = 2.537, 95% CI: 1.10, 5.850) were factors associated with diabetic retinopathy. Furthermore, those who exercise regularly (AOR = 0.048, 95% CI: 0.004, 0.565) had lower odds of having retinopathy than their counterpart. Conclusion The prevalence of diabetic retinopathy in this study is lower than previous studies. Dyslipidemia, regular exercise, medication adherence, and the presence of other diabetic complications were factors significantly associated with diabetic retinopathy. Health education is recommended to promote exercise self-care and diabetes medication adherence. Early screening for other comorbidities and diabetes complications is also recommended.

Publisher

Springer Science and Business Media LLC

Reference31 articles.

1. Screening for diabetic retinopathy: new perspectives and challenges;Vujosevic S;Lancet Diabetes Endocrinol,2020

2. Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis;Teo ZL;Ophthalmology,2021

3. Federation ID. IDF diabetes atlas 10th edition. https://diabetesatlasorg/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.

4. The prevalence of macro and microvascular complications of DM among patients in Ethiopia 1990–2017: Systematic review;Bekele BB;Diabetes metabolic syndrome,2019

5. Education MH. Harrison's principle of Internal Medicine 21th ed: McGraw Hill Education.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3