Five Verbal Screening Predicting Type 2 Diabetes Mellitus in General Population of 15 Years Old and Older of Surin Hospital’s Primary Care Network

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Choohong Mahantussanapong

Abstract

Background: Diabetes is a top health problem in the world and of Thailand due to the rapid increase in the type 2 diabetes mellitus. In addition to genetic factor, the age is in appropriate. Strength and lack of exercise are important contributing factors. Screening tests is useful for finding people who have no symptoms for diagnosis and treatment from the initial stage. In order to prevent complications, Thailand, a developing country for economy. The use of Five verbal screening tests to predict type 2 diabetes is the most cost effective and save time.
Objective: To investigate Five verbal screening predicting type 2 diabetes mellitus in general population of 15 years old and older of Surin Hospital’s primary care network.
Method: Cross sectional cohort study.
Materials: A study on the use of five verbal screening in screening for the general population of 15 years old and older for the prediction of type 2 diabetes mellitus in the primary care network of Surin Hospital. Period of study (1 September 2016 -1 December 2017) in the age of 15 and above 56,517, the normal group 49.989 is a diabetes group of 6,528.
Results: It found significant between diabetic and normal group (systolic blood pressure, body mass index, family history of diabetes, acanthosis nigrican, smoking). Relative risk between Five verbal screening and type 2 diabetes mellitus found that people obese have a relative risk of 0.932 (OR 0.932, 0.876-.992 95%CI), family history of diabetes is relative to the equivalent, 1.014 (OR 1.014, 1.009 – 1.020 95%CI) people with high blood pressure, with relative risk of equal 0.183 (OR .183, .177-.19095%CI) smoking with relative risk 1.125 equal (OR 1.125, 1.049-1.20795%CI)people with acanthosis nigican with a relative risk 1.014 times (OR 1.014, .953-1.079 95%CI) when the variable is taken into the equation multiple logistic regression, found smoking, family history of diabetes and high blood pressure can predict diabetes mellitus type 2 by smoking (p<0.009) with the 0.9 prediction power, the family history of diabetes (p<0.001) can predict 0.7 as much as obese (p<0.001) has a power predict 1.0 as high blood pressure (p<0.001)can predict up to 10.0 that acanthosis nigrican cannot to use in the prediction of diabetes. Considering the whole equation, Five verbal screening can predict type 2 diabetes mellitus in the age of 15 years and up to 0.2 times (p<0.001)
Conclusion: Five verbal screening is possible to predict the type 2 diabetes mellitus but the predicted power is relatively low. Therefore, it may not be suitable to be used as the main tool only in the screening, however, in the hospitals with limited personnel and medical supplies. Using Five verbal screening, it may be the right choice because of low cost and convenience save time.
Keywords: Five verbal screening, type 2 diabetes mellitus, primary care network

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References

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