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CPS1494 Senthilvel V. et al.
                                Assessment of prevalence and associated risk
                                factors of diabetic retinopathy among known
                                Type II Diabetic Mellitus patients in a territory
                                care hospital in Kochi Kerala:  Hospital based

                                             cross sectional study
                                                                               3
                                                           2
                       Senthilvel Vasudevan , Amitha Prasad , Sumathi Senthilvel , Jayanthi
                                           1
                                                 Sureshbabu  4
                  1 Assistant Professor of Statistics, Department of Pharmacy Practice, College of Pharmacy, King
                           Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
                    2 Final Year Student, Department of Biostatistics, Amrita Institute of Medical Sciences and
                   Research Centre, Amrita Vishwa Vidyapeetham, AIMS-Ponekkara, Kochi, Kerala, South India.
                       3 Formerly Assistant Professor in Nursing, Amrita College of Nursing, Amrita Vishwa
                                Vidyapeetham, AIMS-Ponekkara, Kochi, Kerala, South India.
                    4 Formerly Tutor in Medical Entomology, Pondicherry Institute of Medical Sciences, Kalapet,
                                              Puducherry, South India.

                  Abstract
                  Background:  Diabetic Mellitus is a metabolic disorder and it affects about
                  180 million people worldwide.  Diabetic Retinopathy is considered to be the
                  main  morbidity  as  it  threatens  vision  in  human  beings.  Objectives:  To
                  determine the prevalence of Diabetic Retinopathy and to find the associated
                  risk  factors  of  DR  among  known  Type  II  DM  patients.  Materials  and
                  Methods:  A  hospital-based  cross-sectional  study  was  conducted  among
                  Type II DM patients with and without DR in the department of Endocrinology
                  with a sample size of 150 with DM patients in 2018.  Data were expressed as
                  Mean±SD, proportions, Chi-Square, t-test test and Binary Logistic Regression
                  analysis.  Results: Out of 350 patients were screened in our study.  In that, 200
                  were DM patients 150 were identified as Type II DM as per inclusion criteria.
                  Among 150 Diabetic patients, 39(26%) patients had Diabetic Retinopathy and
                  111(74%)  patients  were  not  having  Diabetic  Retinopathy.  The  association
                  between  groups  (with  and  no  DR)  and  duration  of  DM  were  very  highly
                  significant  with  p-value<0.01. DR  prevalence  is  higher  in  female  when
                  compared  with  male  population.  Conclusion:  From  our  study,  we  have
                  concluded that DR is strongly associated with HbA1c, FBS, duration of DM,
                  medication, duration of hypertension and smoking.  Hence, there is a need for
                  regular  screening  check-up  once  in  a  year  for  retinopathy  with  properly
                  trained ophthalmologist to prevent diabetic retinopathy or to prolong or to
                  escape from the vision loss.

                  Keywords
                  type II diabetic mellitus; diabetic retinopathy; prevalence; risk factors; Kochi



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