Background: Chronic complications
reduce quality of life, increases diabetes related mortality and overburden the
public health services. This study aims to assess the prevalence of chronic complications
and its associated factors among diabetic patients at Nigist Eleni Mohammed
Memorial Hospital, Hossana, South Ethiopia.
Method and Materials: We conducted a hospital based cross-sectional
study. A simple random sampling technique was used to select 266 participants
from the follow up clinic of the hospital. Data were collected using semi structured
questionnaire, weight, height, waist and hip circumference measurements and
patients chart review. Descriptive statistics was used to describe the study
variable. Bivariate and multivariate logistic regression analysis was used to
identify factors associated with chronic diabetic complications. Result: Out of 247 diabetic
subjects, 114 (46.2%) were found to have at least one chronic complication that
included, hypertension
59 (23.9%), diabetes related eye disease 29 (11.7%), neuropathy 25 (10.1%) and
nephropathy 16 (6.5%). Compared to age group 15 - 29 there was higher risk of
chronic complications for those who were in age groups 45 - 64, [AOR = 2.50, (95% CI):
(1.20, 5.22)] and ≥65 years, [AOR = 7.18, (95% CI): (2.10, 24.87)]. Duration of diabetes
> 10 years
[AOR = 2.87, (95% CI): (1.20, 6.88)], and not performing self-monitoring of blood
glucose, [AOR
= 15.22, (95% CI): (3.07, 75.48)] were also strongly associated with chronic
complications of diabetes mellitus. Conclusion and Recommendation: Considerable
number of diabetic participants in this study area had at least one chronic complication.
Attention should be given to older diabetic patients and longer diabetic duration.
Diabetic education should focus on health benefit of self-monitoring of blood
glucose.
Cite this paper
Tesfaye, D. J. , Tessema, F. and Taha, M. (2015). Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia. Open Access Library Journal, 2, e1218. doi: http://dx.doi.org/10.4236/oalib.1101218.
Sarah, W.,
Gojka, R.,
Anders, G.,
Richard, S.
and Hilary, K.
(2004) Global
Prevalence of Diabetes, Estimates for the Year 2000 and Projections for 2030. Diabetes Care, 27, 1047-1053. http://dx.doi.org/10.2337/diacare.27.5.1047
Sicree, R.,
Shaw, J.
and Zimmet (2009) The
Global Burden: Diabetes and Impaired Glucose Tolerance. Diabetes Atlas, IDF. 4th Editions.
International Diabetes Federation, Brussels.
Ducorps, M., Ndong, W., Jupkwo, B., Belmejdoud, G., Poirier, J.M., Watkins, P. and Alemu, S. (2003) Delivery of diabetes care in Ethiopia: An
experience from Gondar. Ethiopian Medical
Journal, 41, 9-17.
Victoria, H.
and Reimar, W. (2011) Ole H and Nicolai L. Diabetes in Sub Saharan
Africa 1999-2011: Epidemiology and Public Health Implications. A Systematic
Review. BMC Public Health, 11, 564. http://dx.doi.org/10.1186/1471-2458-11-564
Feleke, Y. and Enquselassie, F. (2005) An Assessment of the Health Care System for Diabetes
in Addis Ababa. Ethiopian Journal of
Health Development, 19, 203-210.
Dawit, W., Leja, H., and Kifle, W. (2010) Patterns of Diabetic Complications at Jimma
University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Sciences, 20, 33-39.
Gudina, E.K., Amade, S.T., Tesfamichael, F.A. and Ram, R. (2011) Assessment of Quality of Care Given to Diabetic
Patients at Jimma University Specialized Hospital Diabetes Follow-Up Clinic,
Jimma, Ethiopia. BMC
Endocrine Disorders, 11, 19. http://dx.doi.org/10.1186/1472-6823-11-19
Feleke, Y. and Enquselassie, F. (2007) Cost of Hospitalization of Diabetic Patients
Admitted at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Ethiopian Medical Journal, 45, 275-282.
Tamba, S.M.,
Ewane, M.E.,
Bonny, A.,
Nkidiaka Muisi, C., Nana, E., Ellon, A., Mvogo, C.E. and
Mandengue, S.H. (2013) Micro and Macrovascular Complications of
Diabetes Mellitus in Cameroon: Risk Factors and Effect of Diabetic Check-Up—A
Monocentric Observational Study. Pan
African Medical Journal, 15, 141. http://dx.doi.org/10.11604/pamj.2013.15.141.2104
Liu, Z.L.,
Fu, C.W.,
Wang, W.B.
and Xu, B. (2010) Prevalence
of Chronic Complications of Type 2 Diabetes Mellitus in Outpatients—A
Cross-Sectional Hospital Based Survey in Urban China. Health and Quality of Life Outcomes, 8, 62. http://www.hqlo.com/content/8/1/62 http://dx.doi.org/10.1186/1477-7525-8-62
Roaeid, R. and
Kadiki, O.
(2011) Prevalence
of Long-Term Complications among Type 2 Diabetic Patients in Benghazi, Libya. Journal of Diabetology, 3, 5.
Orchard, T.J., Dorman, J.S., Maser, R.E., Becker, D.J., Drash, A.L., Ellis, D., LaPorte, R.E. and Kuller, L.H. (1990) Prevalence of Complications in IDDM by Sex and
Duration: Pittsburgh Epidemiology of Diabetes Complications Study II. Diabetes, 39, 1116-1124. http://dx.doi.org/10.2337/diab.39.9.1116
Giday, A.,
Wolde, M. and Yihdego, D. (2010) Hypertension,
Obesity and Central Obesity in Diabetics and Non-Diabetics in Southern Ethiopia. Ethiopian Journal of Health Development, 24, 145-147.
Adem, A., Demis, T. and Feleke, Y. (2011) Trend of Diabetic Admissions
in Tikur Anbessa and St. Paul’s University Teaching Hospitals from January
2005-December 2009, Addis Ababa, Ethiopia. Ethiopian Medical Journal, 49, 231- 238.
Deborah, J., Sarah, E. and Russell, E. (2000) The Summary of Diabetes Self-Care Activities
Measure: Results from 7 studies and a revised scale. Diabetes Care, 23, 943-950.
Ejigu, A. (2000) Pattern
of Chronic Complication of Diabetic Patients in Menilik II hospital, Ethiopia. Ethiopian Journal of Health Development, 14, 113-116.
Struijs, J.N., Baan, C.A., Schellevis, F.G., Westert, G.P. and van den Bos, G.A.M. (2006) Comorbidity in Patients with Diabetes Mellitus:
Impact on Medical Health Care Utilization. BMC
Health Services Research, 6, 84. http://dx.doi.org/10.1186/1472-6963-6-84
Kerr, E.A.,
Heisler, M.,
Krein, S.L.,
Kabeto, M.,
Langa, K.M.,
Weir, D. and Piette, J.D. (2007) Beyond
Comorbidity Counts: How Do Comorbidity Type and Severity Influence Diabetes Patients’
Treatment Priorities and Self-Management? Journal
of General Internal Medicine, 22, 1635-1640. http://dx.doi.org/10.1007/s11606-007-0313-2
Martin, S.,
Schneider, B.,
Heinemann, L.,
Lodwig, V.,
Kurth, H.,
Kolb, H.
and Scherbaum, W. (2006) Self-Monitoring
of Blood Glucose in Type 2 Diabetes and Long-Term Outcome: An Epidemiological
Cohort Study. Diabetologia, 49,
271-278. http://dx.doi.org/10.1007/s00125-005-0083-5
Franciosi, M., Pellegrini, F., De Berardis, G., Belfiglio, M., Cavaliere, D., Di Nardo, B., Greenfield, S., Kaplan, S.H., Sacco, M., Tognoni, G., Valentini, M. and Nicolucci, A. (2001) The Impact of Blood Glucose Self-Monitoring on
Metabolic Control and Quality of Life in Type 2 Diabetic Patients. Diabetes
Care, 24, 1870-1877. http://dx.doi.org/10.2337/diacare.24.11.1870