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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/86965/ http://psasir.upm.edu.my/id/eprint/86965/1/Older%20age%20and%20duration%20of%20exposure%20to%20type%202%20diabetes.pdf |
| _version_ | 1848860332181684224 |
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| author | Safri, Lenny Suryani Tan, Henry Chor Lip Saripan, M. Iqbal K., Krishnan Md Idris, Mohamad Aziman Harunarashid, Hanafiah |
| 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 |
| building | UPM Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-15T12:43:33Z |
| format | Article |
| id | upm-86965 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:43:33Z |
| publishDate | 2020 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-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 |
| 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 |
| 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_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_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_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 |
| url | http://psasir.upm.edu.my/id/eprint/86965/ http://psasir.upm.edu.my/id/eprint/86965/ http://psasir.upm.edu.my/id/eprint/86965/1/Older%20age%20and%20duration%20of%20exposure%20to%20type%202%20diabetes.pdf |