沙特阿拉伯阿卜哈市阿西尔地区阿西尔中心医院收治的创伤患者中糖尿病的患病率：横断面研究。
Prevalence of diabetes mellitus among traumatic patients admitted to Aseer Central Hospital, Aseer Region, Abha, Saudi Arabia: cross-sectional study.
作者信息
Al Saleh Majed Mohammed, Alasmari Bandar A, AlAmri Ali Mohammed, Mogbel Mohammed Mabkhoot, Alasmary Ali Saeed, Almonawar Alhussein Ali, Almontashri Saeed Doos S, Al Mojamad Hassan Mussa, Al Qahtani Turki Abdullah, Alshehri Abdulrahman Mohammed, Almoftery Ibrahim Mohammed I
机构信息
Ministry of Health, Joint Program of Family Medicine Abha Aseer Region, Abha, Saudi Arabia.
Head of Orthopedic Surgery Department Aseer Central Hospital Abha, Abha, Saudi Arabia.
出版信息
BMC Endocr Disord. 2025 May 7;25(1):122. doi: 10.1186/s12902-025-01949-6.
BACKGROUND
Traumatic injuries among patients with diabetes mellitus (DM) are associated with extended hospital stays and higher mortality rates.
OBJECTIVES
This study aimed to estimate the prevalence of DM among traumatic patients admitted to Aseer Central Hospital, Aseer Region, Saudi Arabia.
METHODS
A cross-sectional design was conducted among trauma casualties aged 18 years and older admitted to the Trauma Center of Asser Central Hospital, Abha, Saudi Arabia, for six months from July 1 to December 31, 2024. Data were collected using an interviewer-administered questionnaire. The questionnaire covered various aspects, including demographic information, smoking status, presence of chronic diseases, previous diabetes diagnoses, details of any accidents, diabetes diagnosis during the accident, and self-care practices.
RESULTS
Three hundred and eleven trauma casualties were included with a mean age of 46.7 ± 12.9. Of them, 60.8% were men. The study found that the prevalence of diabetes among trauma casualties was 8.7%, with 48.2% incidentally discovered during the current trauma. Among diagnosed patients, 33.3% had glycated hemoglobin (HbA1c) levels between 7.51-8.5%, 11.1% between 8.51-9.5%, and 22.2% exceeded 9.5%. The predictors of diabetes diagnosis included smoking (OR = 6.39, 95% CI = 2.08-19.63), lower levels of education levels (OR = 0.75, 95% CI = 0.58-0.96), and a positive family history (OR = 24.9, CI = 7.96-78.36).
CONCLUSIONS
The study found an 8.7% prevalence of diabetes among trauma casualties, with nearly half discovered during the event. Factors like smoking, education, and family history of diabetes were associated with diagnosis. Routine diabetes screening is crucial for early detection and management. Targeted interventions, such as multidisciplinary care teams and telemedicine, can improve diabetes management. Further research is needed to address cultural and socioeconomic factors.
背景
糖尿病（DM）患者的创伤性损伤与住院时间延长和死亡率升高有关。
目的
本研究旨在估计沙特阿拉伯阿西尔地区阿西尔中心医院收治的创伤患者中糖尿病的患病率。
方法
对2024年7月1日至12月31日期间在沙特阿拉伯阿卜哈市阿西尔中心医院创伤中心收治的18岁及以上创伤伤员进行了一项横断面研究。数据通过访员管理的问卷收集。问卷涵盖了各个方面，包括人口统计学信息、吸烟状况、慢性病的存在情况、既往糖尿病诊断、任何事故的细节、事故期间的糖尿病诊断以及自我护理习惯。
结果
共纳入311名创伤伤员，平均年龄为46.7±12.9岁。其中，60.8%为男性。研究发现，创伤伤员中糖尿病的患病率为8.7%，其中48.2%是在当前创伤期间偶然发现的。在已确诊的患者中，33.3%的糖化血红蛋白（HbA1c）水平在7.51 - 8.5%之间，11.1%在8.51 - 9.5%之间，22.2%超过9.5%。糖尿病诊断的预测因素包括吸烟（OR = 6.39，95%CI = 2.08 - 19.63）、较低的教育水平（OR = 0.75，95%CI = 0.58 - 0.96）和阳性家族史（OR = 24.9，CI = 7.96 - 78.36）。
结论
该研究发现创伤伤员中糖尿病的患病率为8.7%，近一半是在创伤事件期间发现的。吸烟、教育程度和糖尿病家族史等因素与诊断有关。常规糖尿病筛查对于早期发现和管理至关重要。多学科护理团队和远程医疗等有针对性的干预措施可以改善糖尿病管理。需要进一步研究以解决文化和社会经济因素。
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