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- Title
Microalbuminuria in Paediatrics Diabetes.
- Authors
Pei Kwee LIM; Yuen Ching Angela HUI; Soo Ting Joyce LIM; Ngee LEK; Kok Peng Fabian YAP; VASANWALA, Rashida Farhad
- Abstract
Aim This study aims to assess the compliance of annual screening and the prevalence of microalbuminuria (MA) over 3 years in children with diabetes during which a new Annual Review clinic was introduced at our hospital in July 2014. Methods This is a longitudinal cohort study that includes type of diabetes, age at MA detection, duration from onset of diabetes and pubertal stages from 1st January 2014 to 31st December 2016. Baseline demographic data and urine sample for MA testing were collected and analysed. Results The screening rate for MA improved from 65% (n=170) in 2014, 85% (n=240) in 2015 and 80% (n=231) in 2016. Percentage of abnormal first urine sample was 18% (n=30) in 2014, 15% (n=37) in 2015 and 13% (n=31) in 2016. Prevalence of MA detected from the screening was 4.1 % (n=7) in 2014, 4.2% (n=10) in 2015 and 4.8% (n=11) in 2016. Mean age at MA detection was similar, 14.3y (SD=2.1) in 2014, 15.0y (SD=1.6) in 2015 and 14.4y (SD=2.6) in 2016. Mean duration of diabetes at MA detection was also similar 3.7y (SD=1.4) in 2014, 4.7y (SD=2.9) in 2015 and 4.1y (SD=2.4) in 2016. Mean HbA1c at MA detection was 8.5% (SD=3.5) in 2014, 8.9% (SD=2.9) in 2015 and 8.8% (SD=2.5) in 2016. One patient was found to have hypertension at MA detection in 2014. Conclusions There was an improvement in screening rate for MA which could be attributed to the implementation of an Annual Review Clinic in July 2014.
- Subjects
DIABETES complications; AGE distribution; ALBUMINURIA; AUDITING; AUTOMATION; GLYCOSYLATED hemoglobin; OUTPATIENT services in hospitals; HYPERTENSION; LABORATORIES; LONGITUDINAL method; MEDICAL screening; PATIENT compliance; PROFESSIONAL associations; PUBERTY; DISEASE duration; URINE collection &; preservation; DESCRIPTIVE statistics; ADOLESCENCE
- Publication
Singapore Nursing Journal, 2019, Vol 46, Issue 1, p7
- ISSN
0218-2475
- Publication type
Article