Concomitant macro and microvascular complications in diabetic nephropathy
المؤلفون المشاركون
Allam, Awatif A.
al-Wakil, Jamal S.
al-Suwayda, Abd al-Karim Umar
al-Harbi, Ali
Isnani, Arthur C.
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 20، العدد 3 (30 يونيو/حزيران 2009)، ص ص. 402-409، 8ص.
الناشر
تاريخ النشر
2009-06-30
دولة النشر
السعودية
عدد الصفحات
8
التخصصات الرئيسية
الموضوعات
الملخص EN
To determine the prevalence of concomitant microvascular and macrovascular complications of diabetic nephropathy we retrospectively reviewed the medical records of all 1,952 type 2 diabetic patients followed-up at Security Forces Hospital, Riyadh, Saudi Arabia from January 1989 to December 2004.
There were 626 (32.1%) patients (294 (47%) were males) who developed diabetic nephropathy.
Their mean age was 66.9 ± 11.4 years, mean duration of diabetes was 15.4 ± 7.5 years, mean age at the onset of nephropathy was 61.5 ± 12.4 years, and mean duration of nephropathy was 3.9 ± 3.8 years.
Concomitant diabetic complications included cataract (38.2%), acute coronary syndrome (36.1%), peripheral neuropathy (24.9%), myocardial infarction (24.1%), background retinopathy (22.4%), stroke (17.6%), proliferative retinopathy (11.7%), foot infection (7.3%), limb amputation (3.7%) and blindness (3%).
Hypertension was documented in 577 (92.2%) patients, dyslipidemia in 266 (42.5%) and mortality from all causes in 86 (13.7%).
There were 148 (23.6%) patients with one complication, 81 (12.9%) with two, 83 (13.3%) with three, and 61 (9.7%) with four or more.
Deterioration of glomerular filtration rate was observed in 464 (74%) patients and doubling of serum creatinine in 250 (39.9%), while 95 (15.2%) developed end-stage renal disease (ESRD) at the end of study and 79 (12.6%) required dialysis.
Complications were significantly more prevalent among males with greater number reaching ESRD level than females (P< 0.05).
Relative risks of developing complications were significant after the onset of nephropathy; ACS (1.41), MI (1.49), stroke (1.48), diabetic foot (1.6), amputation (1.58) and death (1.93).
We conclude that complications of diabetes are aggressive and progressive including high prevalence of diabetic nephropathy.
Careful monitoring and proper institution of management protocols should be implemented to identify diabetic patients at high risk for complications and mitigate progression into ESRD.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Wakil, Jamal S.& al-Suwayda, Abd al-Karim Umar& Isnani, Arthur C.& al-Harbi, Ali& Allam, Awatif A.. 2009. Concomitant macro and microvascular complications in diabetic nephropathy. Saudi Journal of Kidney Diseases and Transplantation،Vol. 20, no. 3, pp.402-409.
https://search.emarefa.net/detail/BIM-36741
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Wakil, Jamal S.…[et al.]. Concomitant macro and microvascular complications in diabetic nephropathy. Saudi Journal of Kidney Diseases and Transplantation Vol. 20, no. 3 (Sep. 2009), pp.402-409.
https://search.emarefa.net/detail/BIM-36741
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Wakil, Jamal S.& al-Suwayda, Abd al-Karim Umar& Isnani, Arthur C.& al-Harbi, Ali& Allam, Awatif A.. Concomitant macro and microvascular complications in diabetic nephropathy. Saudi Journal of Kidney Diseases and Transplantation. 2009. Vol. 20, no. 3, pp.402-409.
https://search.emarefa.net/detail/BIM-36741
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 408-409
رقم السجل
BIM-36741
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر