Risk Factors and Severity of Diabetic Retinopathy in Maramureş
Journal Title: Applied Medical Informatics - Year 2009, Vol 24, Issue 1
Abstract
Aims: We looked for the factors which can be adjust in order to reduce the frequency and severity of diabetic retinopathy in Maramureş County, Romania. Methods: We done a cross-sectional study of 1269 persons with diabetes mellitus registered in the healthcare system in Maramureş. The signs of diabetic retinopathy were ascertained from retinal digital photographs. We analyzed different parameters: demographics (age, gender, smoking status, alcohol use, living areas, socioeconomic status); physical measurements (body mass index BMI, abdominal circumference); laboratory measurements (glycemic control, lipid profile, the degree of proteinuria) diabetes characteristics (duration, type, other complications) and characteristics of comorbid diseases. Results: The total number of patients with retinopathy was 246. From these 94 (38.2%) have mild non proliferative diabetic retinopathy (NPDR) 78 (31.7%) have moderate NPDR, 52 (21.1%) have severe NPDR and 22 (9.0%) have proliferative diabetic retinopathy (PDR). Among our patients 3.2% had maculopathy (0.6% mild, 0.6% moderate and 2.0% severe). The risk factors associated with severity of retinopahy were: diabetes duration (p=0.000), HbA1c (p=0.005), presence of nephropathy (p=0.004), presence of polineuropathy (p=0.002). Risk factors associated with severity of maculopathy was presence of nephropathy (p=0.000). Conclusions: A positive correlation between diabetes duration and diabetes control and severity of retinopathy was found. Severity of retinopathy was higher in the presence of nephropathy and polineuropathy. Severity of maculopathy was higher in the presence of nefropathy.
Authors and Affiliations
Mihaela MOCIRAN, Cristian DRAGOŞ, Nicolae HÂNCU
Keywords
Related Articles
- EP ID EP113168
- DOI -
- Views 77
- Downloads 0
Renal Tumor Cryoablation Planning. The Efficiency of Simulation on Reconstructed 3D CT Scan
[i]Introduction & Objective[/i]: Nephron-sparing surgical techniques risks are related to tumor relationships with adjacent anatomic structures. Complexity of the renal anatomy drives the interest to develop tools fo...
Satistical Graphical User Interface Plug-In for Survival Analysis in R Statistical and Graphics Language and Environment.
[i][b]Introduction[/b][/i]: R is a statistical and graphics language and environment. Although it is extensively used in command line, graphical user interfaces exist to ease the accommodation with it for new users. Rcmd...
Assessment of the Efficacy of Cardio-Metabolic Pathology Treatment and of the Medical Recommendations Adherence in a Military Population
[i][b]Aim[/b][/i]: To assess the efficacy of cardio-metabolic diseases treatment, the compliance to treatment, and to evaluate the obtained results compared to the previous published ones. [i][b]Methods[/b][/i][b][/b]:...
Analysis of the Legal Aspects Concerning Data Protection in Electronic Medical Registry
The European and national legislation establish legal aspects regarding personal data protection in electronic records. The protection of medical personal data can be improved in relation with development of new modaliti...
Computing tools for analysing the pathological levels of serum transaminases
Aim: Serum transaminases are frequently tested for diagnostic purposes by comparing them with the considered normal values. The aim of this study was to carry out a detailed analysis on the pathological values of serum t...