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Predictive Score of Prolonged Poor Glycemic Control in Type 2 Diabetic Patients Followed in Hospital in Burkina Faso

Received: 11 September 2022    Accepted: 5 October 2022    Published: 18 October 2022
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Abstract

Introduction: Achieving and maintaining optimal glycemic targets can be difficult because of several factors that make uncontrolled diabetes a public health problem. The objective of this study was to propose a predictive score for prolonged poor glycemic control in the type 2 diabetes cohort. Methodology: This was a secondary data analysis of a cross-sectional study. The dependent variable was prolonged poor glycemic control. The modality of the variable with the lowest adjusted OR in the model was assigned a point. The points of the other modalities were weighted proportionally to this variable. Logistic regression was performed and tested by a ROC curve. Results: 270 patients were included in the study. In multivariate analysis, low educational level (OR=8.34, CI95% [1.97-35.22]); family support for diabetes management (OR=0.65, CI95% [0.45-0.94]); abdominal obesity (OR=2.27, CI 95% [1.08-4.77]); a history of hospitalization (OR=7.39, CI95% [2.97-18.39]); poor adherence to treatment (OR=2.97, CI 95% [1.42-6.18]); and microangiopathy (OR=5.05, CI 95% [2.36-10.81]) were factors independently associated with prolonged poor diabetes control. A score greater than or equal to 45 was found in this study. The sensitivity and the specificity in our study were respectively 78.89% and of 84.51% with a good performance (AUC= 0.87). Conclusion: The Predictive score is made up of a triad of patient, family and caregiver factors. All of these components are modifiable factors.

Published in American Journal of Internal Medicine (Volume 10, Issue 5)
DOI 10.11648/j.ajim.20221005.12
Page(s) 96-102
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Predictive Score, Prolonged Poor Glycemic Control, Type 2 Diabetes, Ouagadougou

References
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  • APA Style

    Solo Traoré, Lassané Zoungrana, Yempabou Sagna, Constant Boyo Paré, Desiré Lucien Dabourou, et al. (2022). Predictive Score of Prolonged Poor Glycemic Control in Type 2 Diabetic Patients Followed in Hospital in Burkina Faso. American Journal of Internal Medicine, 10(5), 96-102. https://doi.org/10.11648/j.ajim.20221005.12

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    ACS Style

    Solo Traoré; Lassané Zoungrana; Yempabou Sagna; Constant Boyo Paré; Desiré Lucien Dabourou, et al. Predictive Score of Prolonged Poor Glycemic Control in Type 2 Diabetic Patients Followed in Hospital in Burkina Faso. Am. J. Intern. Med. 2022, 10(5), 96-102. doi: 10.11648/j.ajim.20221005.12

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    AMA Style

    Solo Traoré, Lassané Zoungrana, Yempabou Sagna, Constant Boyo Paré, Desiré Lucien Dabourou, et al. Predictive Score of Prolonged Poor Glycemic Control in Type 2 Diabetic Patients Followed in Hospital in Burkina Faso. Am J Intern Med. 2022;10(5):96-102. doi: 10.11648/j.ajim.20221005.12

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  • @article{10.11648/j.ajim.20221005.12,
      author = {Solo Traoré and Lassané Zoungrana and Yempabou Sagna and Constant Boyo Paré and Desiré Lucien Dabourou and Daniel Zemba and Réné Bognounou and Nomwindé Christèle Joëlle Ouédraogo and Amsa Ouédraogo and Wind-La-Sida Abd-El-Aziz Ouédraogo and Yacouba Zoungrana and Hervé Tiéno and Oumar Guira},
      title = {Predictive Score of Prolonged Poor Glycemic Control in Type 2 Diabetic Patients Followed in Hospital in Burkina Faso},
      journal = {American Journal of Internal Medicine},
      volume = {10},
      number = {5},
      pages = {96-102},
      doi = {10.11648/j.ajim.20221005.12},
      url = {https://doi.org/10.11648/j.ajim.20221005.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20221005.12},
      abstract = {Introduction: Achieving and maintaining optimal glycemic targets can be difficult because of several factors that make uncontrolled diabetes a public health problem. The objective of this study was to propose a predictive score for prolonged poor glycemic control in the type 2 diabetes cohort. Methodology: This was a secondary data analysis of a cross-sectional study. The dependent variable was prolonged poor glycemic control. The modality of the variable with the lowest adjusted OR in the model was assigned a point. The points of the other modalities were weighted proportionally to this variable. Logistic regression was performed and tested by a ROC curve. Results: 270 patients were included in the study. In multivariate analysis, low educational level (OR=8.34, CI95% [1.97-35.22]); family support for diabetes management (OR=0.65, CI95% [0.45-0.94]); abdominal obesity (OR=2.27, CI 95% [1.08-4.77]); a history of hospitalization (OR=7.39, CI95% [2.97-18.39]); poor adherence to treatment (OR=2.97, CI 95% [1.42-6.18]); and microangiopathy (OR=5.05, CI 95% [2.36-10.81]) were factors independently associated with prolonged poor diabetes control. A score greater than or equal to 45 was found in this study. The sensitivity and the specificity in our study were respectively 78.89% and of 84.51% with a good performance (AUC= 0.87). Conclusion: The Predictive score is made up of a triad of patient, family and caregiver factors. All of these components are modifiable factors.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Predictive Score of Prolonged Poor Glycemic Control in Type 2 Diabetic Patients Followed in Hospital in Burkina Faso
    AU  - Solo Traoré
    AU  - Lassané Zoungrana
    AU  - Yempabou Sagna
    AU  - Constant Boyo Paré
    AU  - Desiré Lucien Dabourou
    AU  - Daniel Zemba
    AU  - Réné Bognounou
    AU  - Nomwindé Christèle Joëlle Ouédraogo
    AU  - Amsa Ouédraogo
    AU  - Wind-La-Sida Abd-El-Aziz Ouédraogo
    AU  - Yacouba Zoungrana
    AU  - Hervé Tiéno
    AU  - Oumar Guira
    Y1  - 2022/10/18
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajim.20221005.12
    DO  - 10.11648/j.ajim.20221005.12
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 96
    EP  - 102
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20221005.12
    AB  - Introduction: Achieving and maintaining optimal glycemic targets can be difficult because of several factors that make uncontrolled diabetes a public health problem. The objective of this study was to propose a predictive score for prolonged poor glycemic control in the type 2 diabetes cohort. Methodology: This was a secondary data analysis of a cross-sectional study. The dependent variable was prolonged poor glycemic control. The modality of the variable with the lowest adjusted OR in the model was assigned a point. The points of the other modalities were weighted proportionally to this variable. Logistic regression was performed and tested by a ROC curve. Results: 270 patients were included in the study. In multivariate analysis, low educational level (OR=8.34, CI95% [1.97-35.22]); family support for diabetes management (OR=0.65, CI95% [0.45-0.94]); abdominal obesity (OR=2.27, CI 95% [1.08-4.77]); a history of hospitalization (OR=7.39, CI95% [2.97-18.39]); poor adherence to treatment (OR=2.97, CI 95% [1.42-6.18]); and microangiopathy (OR=5.05, CI 95% [2.36-10.81]) were factors independently associated with prolonged poor diabetes control. A score greater than or equal to 45 was found in this study. The sensitivity and the specificity in our study were respectively 78.89% and of 84.51% with a good performance (AUC= 0.87). Conclusion: The Predictive score is made up of a triad of patient, family and caregiver factors. All of these components are modifiable factors.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Internal Medicine Department, Ziniaré Regional Hospital Center, Ziniaré, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Higher Institute of Health Sciences, Nazi Boni University, Bobo Dioulasso, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Research Institute in Health Sciences, Ouagadougou, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Internal Medicine Department, Ziniaré Regional Hospital Center, Ziniaré, Burkina Faso

  • Internal Medicine Department, Ziniaré Regional Hospital Center, Ziniaré, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Unit of Training and Research in Health Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

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