Cover Image

Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution

Aims: To evaluate the incidence and risk factors for carotid artery stenosis amongst asymptomatic type 2 diabetes from a single Malaysian tertiary institution.Methods: This is a prospective cross-sectional study of asymptomatic type 2 diabetics selected from the outpatient ophthalmology and endocrin...

Full description

Saved in:
Bibliographic Details
Main Authors: Safri, Lenny Suryani, Tan, Henry Chor Lip, Saripan, M. Iqbal, K., Krishnan, Md Idris, Mohamad Aziman, Harunarashid, Hanafiah
Format: Article
Language:English
Published: Elsevier 2020
Online Access:http://psasir.upm.edu.my/id/eprint/86965/1/Older%20age%20and%20duration%20of%20exposure%20to%20type%202%20diabetes.pdf
http://psasir.upm.edu.my/id/eprint/86965/
https://www.sciencedirect.com/science/article/pii/S1751991819304012?via%3Dihub
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.upm.eprints.86965
record_format eprints
spelling my.upm.eprints.869652022-09-05T03:11:50Z http://psasir.upm.edu.my/id/eprint/86965/ Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution Safri, Lenny Suryani Tan, Henry Chor Lip Saripan, M. Iqbal K., Krishnan Md Idris, Mohamad Aziman Harunarashid, Hanafiah Aims: To evaluate the incidence and risk factors for carotid artery stenosis amongst asymptomatic type 2 diabetes from a single Malaysian tertiary institution.Methods: This is a prospective cross-sectional study of asymptomatic type 2 diabetics selected from the outpatient ophthalmology and endocrine clinics for carotid duplex ultrasound scanning performed by a single radiologist. The duplex ultrasound criteria were based on the North American Symptomatic Carotid Endarterectomy Trial (NASCET) classification of carotid artery stenosis. Univariate and multivariate analysis was performed to identify possible risk factors of carotid artery stenosis.Results: Amongst the 200 patients, the majority were males (56%) and Malay predominance (58.5%). There were 12/200 patients (6%) with mean age of 69.2 years identified to have carotid artery stenosis. Univariate analysis of patients with asymptomatic carotid artery stenosis identified older age of 69.2 years (p = 0.027) and duration of exposure to diabetes of 17.9 years (p = 0.024) as significant risk factors.Conclusion: Patients with longer exposure of diabetes and older age were risk factors of carotid artery stenosis in asymptomatic type 2 diabetics. These patients should be considered for selective screening of carotid artery stenosis during primary care visit for early identification and closer surveillance for stroke prevention. Elsevier 2020-08-01 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/86965/1/Older%20age%20and%20duration%20of%20exposure%20to%20type%202%20diabetes.pdf Safri, Lenny Suryani and Tan, Henry Chor Lip and Saripan, M. Iqbal and K., Krishnan and Md Idris, Mohamad Aziman and Harunarashid, Hanafiah (2020) Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution. Primary Care Diabetes, 14 (4). 364 - 369. ISSN 1751-9918 https://www.sciencedirect.com/science/article/pii/S1751991819304012?via%3Dihub
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Aims: To evaluate the incidence and risk factors for carotid artery stenosis amongst asymptomatic type 2 diabetes from a single Malaysian tertiary institution.Methods: This is a prospective cross-sectional study of asymptomatic type 2 diabetics selected from the outpatient ophthalmology and endocrine clinics for carotid duplex ultrasound scanning performed by a single radiologist. The duplex ultrasound criteria were based on the North American Symptomatic Carotid Endarterectomy Trial (NASCET) classification of carotid artery stenosis. Univariate and multivariate analysis was performed to identify possible risk factors of carotid artery stenosis.Results: Amongst the 200 patients, the majority were males (56%) and Malay predominance (58.5%). There were 12/200 patients (6%) with mean age of 69.2 years identified to have carotid artery stenosis. Univariate analysis of patients with asymptomatic carotid artery stenosis identified older age of 69.2 years (p = 0.027) and duration of exposure to diabetes of 17.9 years (p = 0.024) as significant risk factors.Conclusion: Patients with longer exposure of diabetes and older age were risk factors of carotid artery stenosis in asymptomatic type 2 diabetics. These patients should be considered for selective screening of carotid artery stenosis during primary care visit for early identification and closer surveillance for stroke prevention.
format Article
author Safri, Lenny Suryani
Tan, Henry Chor Lip
Saripan, M. Iqbal
K., Krishnan
Md Idris, Mohamad Aziman
Harunarashid, Hanafiah
spellingShingle Safri, Lenny Suryani
Tan, Henry Chor Lip
Saripan, M. Iqbal
K., Krishnan
Md Idris, Mohamad Aziman
Harunarashid, Hanafiah
Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
author_facet Safri, Lenny Suryani
Tan, Henry Chor Lip
Saripan, M. Iqbal
K., Krishnan
Md Idris, Mohamad Aziman
Harunarashid, Hanafiah
author_sort Safri, Lenny Suryani
title Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
title_short Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
title_full Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
title_fullStr Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
title_full_unstemmed Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
title_sort older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention - a experience single institution
publisher Elsevier
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/86965/1/Older%20age%20and%20duration%20of%20exposure%20to%20type%202%20diabetes.pdf
http://psasir.upm.edu.my/id/eprint/86965/
https://www.sciencedirect.com/science/article/pii/S1751991819304012?via%3Dihub
_version_ 1743108537515507712
score 13.211869

Similar Items