Prevalence of peripheral arterial diseaseand associated factors among diabetic patients on follow up at Saint Paul’s Hospital Millennium Medical College

Abstract

Abstract Introduction The epidemiological transition that is happening in Ethiopia: a disease burden transition from predominantly infectious disease to non-communicable disease.as result CVD is among the five leading cause of age standardized mortality. Global attention has been devoted to understanding CVD; however little observance has been dedicated to PAD AS few epidemiological studies have been conducted especially in low or middle income countries. In the present study we made an attempt to evaluate the prevalence of PAD among patient with diabetes mellitus. Objective The aim of this study was to determine the prevalence of peripheral arterial disease (PAD) and associated factors among patient on follow up at diabetic clinic at st.paul’s Hospital millennium medical college (SPHMMC). Method and material Cross sectional observational study was conducted among 213 diabetic patients seen at sphmmcout patient department clinic from February 2018 to march 2018. Data was collected by the investigator using questionnaires for cardiovascular risk factor and for intermittent claudication with Edinburgh claudication assessment tool.ankle brachial index (ABI) was measured using portable Doppler ultrasound and ABI≤0.9was defined as PAD. Descriptivestatics and binary logistic regression were used for data analysis and interpretation. Results The overall prevalence of PAD was 66(31%). Intermittent claudication was present in only 2.3%of PAD patients. Prevalence of PAD was two times more common in hypertensive diabetic patients with statistically advanced age and exercise less than 3 week was predictive of PAD (OR 1.71;95% CI1(0.508-3.265) and (OR4.875(1.657-14.340)respectively. Conclusion This study documents high prevalence of PAD among diabetic patients on follow up claudication symptoms were not sensitive for determining PAD. Strategies for aggressive ABI screening should be emphasized in diabetic patients.