Prevalence of lower extremity peripheral arterial disease among diabetic patients and its relationship with quality of life (qol) in primary care: a single centre experience

Ab Hamid, Nurhayati and K. A., Nur Diyana and M. S., Muhaimin and Othman, Faidzal and Mahno, Noor Ezmas and Abdul Rahman, Muhammad Norhisham Azmi and Ahmad, Azrin Waheedy and Othman, Ahmad Faidzal (2019) Prevalence of lower extremity peripheral arterial disease among diabetic patients and its relationship with quality of life (qol) in primary care: a single centre experience. International Medical Journal Malaysia, 18 (Supplementary Issue 1). p. 1. ISSN 18234631 E-ISSN 1823-4631

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Abstract

Introduction: Peripheral Occlusive Arterial Disease (POAD) is an important cardiovascular morbidity especially among diabetics. The goal of the treatment is to improve patients’ quality of life (QoL) starting by quantifying the disease burden in our population especially among high risk group such as diabetics. Materials and Methods: This cross-sectional study aims to provide a data on the prevalence of POAD among diabetic population in a primary health care in Kuantan and its’ effects on the patient’s QoL. Additionally, we examined for any other stipulated associated factors that may have contributed towards the development of POAD. We applied a universal sampling for the purpose of patient selection. POAD is universally defined as ankle-brachial index (ABI) of lower than 0.9. Individuals were assessed on validated Malay version of WHOQOL BREF to assess their QoL parameters. P value of <0.05 considered as statistically significant. This study was registered with the National Medical Research Register (NMRR registration no. 17-1375-35710). Results: The prevalence of PAD among diabetic patients in Klinik Kesihatan (Local General Practitioner) Jaya Gading, Kuantan was found to be 20%. We found a significant relationship between lower levels of education (p = 0.016), older age group (p = 0.02) and lower economic class (p = 0.03) with the presence of POAD among diabetics. The presence of POAD has a significant adverse effect on QoL evidenced by lower Physical Domain (p=0.001), Psychological Domain (p=0.066), Social Domain (p=0.005), and Environmental Domain (p=0.027) scores using validated WHOQOL BREF questionnaires. Conclusion: The significant prevalence of POAD among diabetics prompts a greater urgency for early detection to prevent the development of its’ associated morbidity and deterioration of their QoL.

Item Type:	Article (Journal)
Additional Information:	6610/69348
Uncontrolled Keywords:	Peripheral Arterial Disease, Diabetes Mellitus, Quality of Life, Primary Care, WHOQOL BREF, ABI
Subjects:	R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Surgery
Depositing User:	Dr Noor Ezmas Mahno
Date Deposited:	04 Jul 2019 16:23
Last Modified:	24 Nov 2019 21:28
URI:	http://irep.iium.edu.my/id/eprint/69348

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