DIABETES-MELLITUS IN THE-GAMBIA, WEST-AFRICA

被引:16
作者
ROLFE, M [1 ]
TANG, CM [1 ]
WALKER, RW [1 ]
BASSEY, E [1 ]
GEORGE, M [1 ]
机构
[1] ROYAL VICTORIA HOSP,BANJUL,SENEGAMBIA
关键词
THE GAMBIA; PREVALENCE; OBESITY; FOOT INFECTION; HEALTH BUDGET;
D O I
10.1111/j.1464-5491.1992.tb01823.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A register of diabetic patients attending the Royal Victoria Hospital, Banjul, The Gambia, was kept and data on hospital admissions recorded over a 1-year period. Two hundred and sixty-nine patients (110 men, 159 women) were registered of whom 66 (25%) were receiving insulin. Seventy-five patients (28%: 40 men, 35 women) were newly diagnosed. There were significant differences in age (p < 0.001) and obesity (p < 0.001) between men and women and between patients with different types of diabetes. There were 95 hospital admissions (5.2%) related to diabetes, as were a fifth of medical out-patient attendances. Ketoacidosis was the major cause of death while foot infections were more common (p < 0.01) in women. Diabetes imposed a heavy burden on the health services of The Gambia, a small developing country in West Africa; more than 3.6% of the annual health budget was spent on the treatment of diabetic patients.
引用
收藏
页码:484 / 488
页数:5
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