دورية أكاديمية
Magnitude of missed opportunities for prediabetes screening among non-diabetic adults attending the family practice clinic in Western Nigeria: Implication for diabetes prevention.
| العنوان: | Magnitude of missed opportunities for prediabetes screening among non-diabetic adults attending the family practice clinic in Western Nigeria: Implication for diabetes prevention. |
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| المؤلفون: | Ojo OS; Department of Family Medicine, Federal Medical Centre, Abeokuta. ojo_teenager@yahoo.com., Egunjobi AO, Fatusin AJ, Fatusin BB, Ojo OO, Ololade FA, Eruzegbua PA, Afolabi OA, Adesokan AA |
| المصدر: | South African family practice : official journal of the South African Academy of Family Practice/Primary Care [S Afr Fam Pract (2004)] 2020 Aug 20; Vol. 62 (1), pp. e1-e10. Date of Electronic Publication: 2020 Aug 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AOSIS Publishing Country of Publication: South Africa NLM ID: 9701104 Publication Model: Electronic Cited Medium: Internet ISSN: 2078-6204 (Electronic) Linking ISSN: 20786190 NLM ISO Abbreviation: S Afr Fam Pract (2004) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Durbanville, Cape Town] : AOSIS Publishing Original Publication: Cramerview : The Academy, [1994- |
| مواضيع طبية MeSH: | Diabetes Mellitus*/diagnosis , Prediabetic State*/diagnosis, Adult ; Ambulatory Care Facilities ; Cross-Sectional Studies ; Family Practice ; Humans ; Nigeria |
| مستخلص: | Background: For many decades, hypertension guidelines recommended dual-arm blood pressure measurement. However, this practice is poor in Nigeria and its significance is largely unidentified. Hence, this study was done to determine the point prevalence of inter-arm blood pressure difference and its relationship with hypertension and diabetes mellitus. Methods: A cross-sectional study was conducted among 214 respondents at the general outpatient clinic of a tertiary hospital in Nigeria. Demographic characteristics and anthropometric indices were obtained. Blood pressure readings were obtained through sequentially repeated measurements in respondents' arms. Results: One-hundred and eighty-six respondents had complete data given a completion rate of 86.9%. Systolic blood pressure was higher on the right and left arm in 102 (54.8%) and 56 (30.1%) of the respondents, respectively. Diastolic blood pressure was higher on the right and left arm in 73 (39.2%) and 63 (33.9%) of the respondents, respectively. The overall prevalence of significant systolic inter-arm difference (≥ 10 mmHg) and diastolic inter-arm difference (≥ 10 mmHg) were 24.2% and 18.8%, respectively. Significant systolic inter-arm difference (p = 0.033) and diastolic inter-arm difference (p = 0.01) were significantly more among respondents with hypertension and/or diabetes mellitus. Conclusion: The blood pressure readings in both arms were different among the majority of the respondents, being higher on the right arm in many of them. The prevalence of significant inter-arm difference was high in the unselected primary care patients studied especially among patients with hypertension and/or diabetes mellitus. Blood pressure measurement in both arms should become a routine practice during initial patients' visits in primary care. |
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| فهرسة مساهمة: | Keywords: diabetes; family practice clinic; missed diagnosis; missed opportunity; prediabetes; primary care; primary care physicians |
| تواريخ الأحداث: | Date Created: 20200908 Date Completed: 20211207 Latest Revision: 20240403 |
| رمز التحديث: | 20240403 |
| مُعرف محوري في PubMed: | PMC8378168 |
| DOI: | 10.4102/safp.v62i1.5082 |
| PMID: | 32896139 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2078-6204 |
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| DOI: | 10.4102/safp.v62i1.5082 |