Elbarsha Abdulwahab, Elhemri Maisoon, Lawgaly Sami A, Rajab Ashraf, Almoghrabi Badia, Elmehdawia Rafik Ramadan
Dr. Abdulwahab Elbarsha, Department of Medicine, Benghazi Medical Center,, Second Ring Road, Foyhat,, Benghazi, Libya
Ann Saudi Med. 2018 Sep-Oct;38(5):344-351. doi: 10.5144/0256-4947.2018.344.
Fasting during Ramadan is a challenge for Muslim patients with diabetes and for their healthcare providers. However, data on the effects of Ramadan fasting on hospital admissions and outcomes in patients with diabetes are scarce.
Evaluate the characteristics of patients with diabetes admitted during the fasting month of Ramadan compared with the non-fasting month of Dhu al-Qidah.
A retrospective cohort study medical record review.
A university teaching hospital.
We reviewed the records of all patients with diabetes admitted to the medical department at Benghazi Medical Center, including medical ward, intensive care unit and coronary care unit, during the months of Ramadan and Dhu al-Qidah, 2016. We compared differences in reasons for admission, length of stay and in-hospital mortality between patients admitted during Ramadan and Dhu al-Qidah and between patients who were fasting at time of admission during Ramadan and those who were not.
Main reason for admission, length of stay and in-hospital mortality rate.
402 patients with diabetes.
During Ramadan, 186 patients were admitted compared with 216 during Dhul al-Qidah. There was no statistically significant difference in reasons for admission, length of hospital stay, or in-hospital mortality (borderline for mortality, P=.078), between patients with diabetes admitted during Ramadan and Dhu al-Qidah. Of those admitted in Ramadan, 59.1% were fasting on admission. Fasting patients admitted during Ramadan had a significantly higher proportion of the diseases of the circulatory system when compared with non-fasting patients (39.4% vs. 23.6%, P=.028) while in-hospital mortality was higher in non-fasting patients (29.2% vs. 8.7%, P less than .001). There was no significant difference in length of stay between fasting and non-fasting patients.
The frequency of admissions for most medical con.ditions were not changed during Ramadan but the frequency of acute coronary syndrome was higher in those who were fasting on admission. Patients with diabetes who were not fasting on admission had more high-risk features that prevented them from fasting and therefore are at increased risk of in-hospital mortality.
Single center and retrospective.
None.
斋月期间禁食对糖尿病穆斯林患者及其医护人员来说是一项挑战。然而，关于斋月禁食对糖尿病患者住院率及预后影响的数据却很匮乏。
评估斋月禁食期间与非禁食的祖勒·盖德月相比，糖尿病住院患者的特征。
一项回顾性队列研究，进行病历审查。
一家大学教学医院。
我们回顾了2016年斋月和祖勒·盖德月期间入住班加西医疗中心内科（包括普通病房、重症监护病房和冠心病监护病房）的所有糖尿病患者的病历。我们比较了斋月和祖勒·盖德月期间住院患者以及斋月期间入院时禁食患者与非禁食患者之间的入院原因、住院时间和院内死亡率的差异。
入院主要原因、住院时间和院内死亡率。
402例糖尿病患者。
斋月期间有186例患者入院，而祖勒·盖德月期间有216例。斋月期间和祖勒·盖德月期间入院的糖尿病患者在入院原因、住院时间或院内死亡率方面（死亡率接近临界值，P = 0.078）无统计学显著差异。在斋月期间入院的患者中，59.1%入院时正在禁食。与非禁食患者相比，斋月期间入院的禁食患者循环系统疾病的比例显著更高（39.4%对23.6%，P = 0.028），而非禁食患者的院内死亡率更高（29.2%对8.7%，P小于0.001）。禁食患者和非禁食患者的住院时间无显著差异。
斋月期间大多数疾病的入院频率没有变化，但入院时禁食的患者急性冠脉综合征的频率更高。入院时未禁食的糖尿病患者有更多高危特征，这使他们无法禁食，因此院内死亡风险增加。
单中心且为回顾性研究。
无。
