Introduction
Materials and methods
Results
SHAABAN | RAMADAN | SHAWAL | Chi-square | p value | |||||
---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||||
Age group | 18–39 | 17 | 28.8% | 17 | 42.5% | 9 | 26.5% | 5.789 | 0.215 |
40–59 | 24 | 40.7% | 8 | 20.0% | 11 | 32.4% | |||
60 + | 18 | 30.5% | 15 | 37.5% | 14 | 41.1% | |||
Total | 59 | 100.0% | 40 | 100.0% | 34 | 100.0% | |||
Mean ± SD | 48.53 ± 17.26 | ||||||||
Minimum | 18 | ||||||||
Maximum | 72 | ||||||||
Median | 54 | ||||||||
Interquartile range | 31 | ||||||||
Gender | Male | 28 | 47.5% | 25 | 62.5% | 19 | 55.9% | 2.229 | 0.328 |
Female | 31 | 52.5% | 15 | 37.5% | 15 | 44.1% | |||
Total | 59 | 100.0% | 40 | 100.0% | 34 | 100.0% | |||
Other Diseases | Yes | 38 | 64.4% | 24 | 60.0% | 23 | 67.6% | 0.477 | 0.788 |
No | 21 | 35.6% | 16 | 40.0% | 11 | 32.4% | |||
Total | 59 | 100.0% | 40 | 100.0% | 34 | 100.0% |
Total of ER visits | Diabetic Emergencies | % of ER visits by patients with diabetes | % of ER visits among diabetic patients during 3 lunar months | P value | |
---|---|---|---|---|---|
SHAABAN | 8547 | 59 | 0.7% | 44.4 | 0.001* |
RAMADAN | 8177 | 40 | 0.5% | 30.1 | |
SHAWAL | 7774 | 34 | 0.4% | 25.6 | |
Total | 24,498 | 133 | 0.5% | 100 |
SHAABAN | RAMADAN | SHAWAL | Total | Chi-square | p value | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | N | % | ||||
Type of Antidiabetic medications | OHA | 7 | 12.1% | 1 | 2.5% | 0 | 0.0% | 8 | 6.1 | 12.9 | 0.045* |
Insulin | 39 | 67.2% | 31 | 77.5% | 28 | 84.8% | 98 | 74.8 | |||
Mixed | 11 | 19.0% | 7 | 17.5% | 2 | 6.1% | 20 | 15.3 | |||
None | 1 | 1.7% | 1 | 2.5% | 3 | 9.1% | 5 | 3.8 | |||
Total | 58 | 100.0% | 40 | 100.0% | 33 | 100.0% | 131 | 100 | |||
Type of Diabetes | Type I | 15 | 25.4% | 16 | 40.0% | 15 | 45.5% | 46 | 34.8 | 31.48 | 0.001* |
Type II | 42 | 71.2% | 19 | 47.5% | 8 | 24.2% | 69 | 52.3 | |||
GDM | 2 | 3.4% | 1 | 2.5% | 0 | 0.0% | 3 | 2.3 | |||
Not Known | 0 | 0.0% | 4 | 10.0% | 10 | 30.3% | 14 | 10.6 | |||
Total | 59 | 100.0% | 40 | 100.0% | 33 | 100.0% | 132 | 100 | |||
Arrival Time at ER | Day shift | 24 | 40.7% | 16 | 40.0% | 9 | 26.5% | 49 | 36.8 | 23.33 | 0.001* |
Evening shift | 26 | 44.1% | 12 | 30.0% | 4 | 11.8% | 42 | 31.6 | |||
Night shift | 9 | 15.3% | 12 | 30.0% | 21 | 61.8% | 42 | 31.6 | |||
Total | 59 | 100.1% | 40 | 100.0% | 34 | 100.1% | 133 | 100 | |||
Precipitating factors | Missed Dose | 12 | 20.3% | 4 | 10.3% | 2 | 6.3% | 18 | 13.8 | 20.51 | 0.025* |
Infection | 15 | 25.4% | 13 | 33.3% | 20 | 62.5% | 48 | 36.9 | |||
No Obvious cause | 16 | 27.1% | 9 | 23.1% | 7 | 21.9% | 32 | 24.6 | |||
First time | 3 | 5.1% | 1 | 2.6% | 1 | 3.1% | 5 | 3.8 | |||
Missed Meal | 0 | 0.0% | 2 | 5.1% | 1 | 3.1% | 3 | 2.3 | |||
Ischemia/infarction | 13 | 22.0% | 10 | 25.6% | 1 | 3.1% | 24 | 18.5 | |||
Intra-Abdominal Sepsis | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% | 0 | 0.0 | |||
Total | 59 | 99.9% | 39 | 100.0% | 32 | 100.0% | 130 | 100 | |||
Clinical presentation | Hypoglycemia | 1 | 1.7% | 1 | 2.5% | 2 | 5.9% | 4 | 3.0 | 1.355 | 0.852 |
Hyperglycemia | 43 | 72.9% | 29 | 72.5% | 24 | 70.6% | 96 | 72.2 | |||
DKA | 15 | 25.4% | 10 | 25.0% | 8 | 23.5% | 33 | 24.8 | |||
Total | 59 | 100.0% | 40 | 100.0% | 34 | 100.0% | 133 | 100 | |||
Final Diagnosis in the ER | Admitted to hospital | 43 | 72.9% | 20 | 50.0% | 18 | 52.9% | 81 | 60.9 | 11.822 | 0.159 |
Refer to another facility | 0 | 0.0% | 2 | 5.0% | 1 | 2.9% | 3 | 2.3 | |||
Rejection of treatment | 1 | 1.7% | 0 | 0.0% | 1 | 2.9% | 2 | 1.5 | |||
Death | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% | 0 | 0.0 | |||
Discharge from ER | 13 | 22.0% | 18 | 45.0% | 13 | 38.2% | 44 | 33.1 | |||
Admitted to ICU | 2 | 3.4% | 0 | 0.0% | 1 | 2.9% | 3 | 2.3 | |||
Admitted to CCU | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% | 0 | 0.0 | |||
Total | 59 | 100.0% | 40 | 100.0% | 34 | 99.8% | 133 | 100 |
RAMADAN | SHAABAN | Chi-square | p value | ||||
---|---|---|---|---|---|---|---|
n | % | n | % | ||||
Type of Antidiabetic medications | OHA | 1 | 2.5% | 7 | 12.1% | 3.102 | 0.376 |
Insulin | 31 | 77.5% | 39 | 67.2% | |||
Mixed | 7 | 17.5% | 11 | 19.0% | |||
None | 1 | 2.5% | 1 | 1.7% | |||
Total | 40 | 100% | 59 | 100% | |||
Type of Diabetes | Type I | 16 | 40.0% | 15 | 25.4% | 9.750 | 0.021* |
Type II | 19 | 47.5% | 42 | 71.2% | |||
GDM | 1 | 2.5% | 2 | 3.4% | |||
Not Known | 4 | 10.0% | 0 | 0.0% | |||
Total | 40 | 100% | 59 | 100% | |||
Arrival Time at ER | Day shift | 16 | 40.0% | 24 | 40.7% | 3.675 | 0.159 |
Evening shift | 12 | 30.0% | 26 | 44.1% | |||
Night shift | 12 | 30.0% | 9 | 15.3% | |||
Total | 40 | 100% | 59 | 100% | |||
Precipitating factors | Missed Dose | 4 | 10.3% | 12 | 20.4% | 5.648 | 0.342 |
Infection | 13 | 33.3% | 15 | 25.4% | |||
No Obvious cause | 9 | 23.1% | 16 | 27.1% | |||
First time | 1 | 2.6% | 3 | 5.1% | |||
Missed Meal | 2 | 5.1% | 0 | 0.0% | |||
Ischemia/infection | 10 | 25.6% | 13 | 22.0% | |||
Intra-Abdominal Sepsis | 0 | 0.0% | 0 | 0.0% | |||
Total | 39 | 100% | 59 | 100% | |||
Clinical presentation | Hypoglycemia | 1 | 2.5% | 1 | 1.7% | 0.079 | 0.961 |
Hyperglycemia | 29 | 72.5% | 43 | 72.9% | |||
DKA | 10 | 25.0% | 15 | 25.4% | |||
Total | 40 | 100% | 59 | 100% | |||
Final Diagnosis in the ER | Admitted to hospital | 20 | 50.0% | 43 | 72.9% | 10.961 | 0.027* |
Refer to another facility | 2 | 5.0% | 0 | 0.0% | |||
Rejection of treatment | 0 | 0.0% | 1 | 1.7% | |||
Death | 0 | 0.0% | 0 | 0.0% | |||
Discharge from ER | 18 | 45.0% | 13 | 22.0% | |||
Admitted to ICU | 0 | 0.0% | 2 | 3.4% | |||
Admitted to CCU | 0 | 0.0% | 0 | 0.0% | |||
Total | 40 | 100% | 59 | 100% |
RAMADAN | SHAWAL | Chi-square | p value | ||||
---|---|---|---|---|---|---|---|
n | % | n | % | ||||
Type of Antidiabetic medications | OHA | 1 | 2.5% | 0 | 0.0% | 4.299 | 0.231 |
Insulin | 31 | 77.5% | 28 | 84.8% | |||
Mixed | 7 | 17.5% | 2 | 6.1% | |||
None | 1 | 2.5% | 3 | 9.1% | |||
Total | 40 | 100% | 33 | 100% | |||
Type of Diabetes | Type I | 16 | 40.0% | 15 | 45.5% | 7.483 | 0.058* |
Type II | 19 | 47.5% | 8 | 24.2% | |||
GDM | 1 | 2.5% | 0 | 0.0% | |||
Not Known | 4 | 10.0% | 10 | 30.3% | |||
Total | 40 | 100% | 33 | 100% | |||
Arrival Time at ER | Day shift | 16 | 40.0% | 9 | 26.5% | 7.981 | 0.018* |
Evening shift | 12 | 30.0% | 4 | 11.8% | |||
Night shift | 12 | 30.0% | 21 | 61.8% | |||
Total | 40 | 100% | 34 | 100% | |||
Precipitating factors | Missed Dose | 4 | 10.3% | 2 | 6.3% | 9.501 | 0.091 |
Infection | 13 | 33.3% | 20 | 62.5% | |||
No Obvious cause | 9 | 23.1% | 7 | 21.9% | |||
First time | 1 | 2.6% | 1 | 3.1% | |||
Missed Meal | 2 | 5.1% | 1 | 3.1% | |||
Ischemia/infection | 10 | 25.6% | 1 | 3.1% | |||
Intra-Abdominal Sepsis | 0 | 0.0% | 0 | 0.0% | |||
Total | 39 | 100% | 32 | 100% | |||
Clinical presentation | Hypoglycemia | 1 | 2.5% | 2 | 5.9% | 0.544 | 0.762 |
Hyperglycemia | 29 | 72.5% | 24 | 70.6% | |||
DKA | 10 | 25.0% | 8 | 23.5% | |||
Total | 40 | 100% | 34 | 100% | |||
Final Diagnosis in the ER | Admitted to hospital | 20 | 50.0% | 18 | 52.9% | 2.777 | 0.596 |
Refer to another facility | 2 | 5.0% | 1 | 2.9% | |||
Rejection of treatment | 0 | 0.0% | 1 | 2.9% | |||
Death | 0 | 0.0% | 0 | 0.0% | |||
Discharge from ER | 18 | 45.0% | 13 | 38.4% | |||
Admitted to ICU | 0 | 0.0% | 1 | 2.9% | |||
Admitted to CCU | 0 | 0.0% | 0 | 0.0% | |||
Total | 40 | 100% | 34 | 100% |
SHAABAN | RAMADAN | SHAWAL | F | p value | |
---|---|---|---|---|---|
Mean ± SD | Mean ± SD | Mean ± SD | |||
Length of stay in hospital | 4.16 ± 7.94 | 2.73 ± 5.97 | 10.59 ± 37.03 | 1.658 | 0.195 |
Plasma glucose | 20.93 ± 10.34 | 22.97 ± 10.85 | 20.18 ± 8.03 | 0.812 | 0.446 |
Sodium | 133.05 ± 4.87 | 133.05 4.87 | 132.18 ± 4.19 | 0.332 | 0.718 |
Potassium | 4.50 ± 0.70 | 4.77 ± 0.63 | 4.56 ± 0.53 | 2.257 | 0.109 |
Urea | 8.83 ± 7.12 | 7.90 ± 4.30 | 8.63 ± 5.28 | 0.309 | 0.735 |
Venous PH | 7.29 ± 0.12 | 7.20 ± 0.46 | 7.23 ± 0.24 | 0.599 | 0.552 |
RAMADAN | SHAABNAN | t | p value | |
---|---|---|---|---|
Mean ± SD | Mean ± SD | |||
length of stay in hospital | 2.73 ± 5.97 | 4.16 ± 7.94 | −0.967 | 0.336 |
plasma glucose | 22.97 ± 10.85 | 20.93 ± 10.34 | 0.943 | 0.348 |
sodium | 133.05 4.87 | 133.05 ± 4.87 | 0.347 | 0.729 |
potassium | 4.77 ± 0.63 | 4.50 ± 0.70 | 1.991 | 0.049 |
urea | 7.90 ± 4.30 | 8.83 ± 7.12 | −0.746 | 0.457 |
venous PH | 7.20 ± 0.46 | 7.29 ± 0.12 | −0.979 | 0.332 |
RAMADAN | SHAWAL | t | p value | |
---|---|---|---|---|
Mean ± SD | Mean ± SD | |||
length of stay in hospital | 2.73 ± 5.97 | 10.59 ± 37.03 | −1.325 | 0.189 |
plasma glucose | 22.97 ± 10.85 | 20.18 ± 8.03 | 1.236 | 0.220 |
sodium | 133.05 4.87 | 132.18 ± 4.19 | 0.820 | 0.415 |
potassium | 4.77 ± 0.63 | 4.56 ± 0.53 | 1.534 | 0.129 |
urea | 7.90 ± 4.30 | 8.63 ± 5.28 | −0.656 | 0.514 |
venous PH | 7.20 ± 0.46 | 7.23 ± 0.24 | −0.292 | 0.771 |