在接受糖尿病诊断的具有结构性血红蛋白乱的人群中慢性疾病的流行率:贝叶斯式方法
Maryory Galvis1,2, Juan D Díaz3, Daniel E Cuartas4
1Universidad del la Valle, Colombia.
Heliyon
|January 15, 2024
概括
包括HbC和HbS在内的结构性血红蛋白乱在哥伦比亚卡利测试的1.98%的患者中被发现. 在这些患者中,糖尿病和脏疾病经常同时发生,这凸显了积极预防策略的必要性.
科学领域:
- 血液学 血液学 血液学
- 遗传学 遗传学 是一个
- 公共卫生 公共卫生
背景情况:
- 结构性血红蛋白乱是罕见的,致命的遗传条件影响氧气运输.
- 血红蛋白S (HbS) 主要影响非洲裔遗产的个人.
- 哥伦比亚的卡利有相当多的非洲裔人口 (12.5%) 和已知的血红蛋白疾病发病率 (3.78%).
研究的目的:
- 为了确定血红蛋白C (HbC),HbS,HbF和HbA2变体的患病率.
- 评估患有这些血红蛋白变化的患者慢性疾病的患病率.
- 分析2015年至2019年间在卡利的一个高度复杂的医院的数据.
主要方法:
- 一项对15608名接受HbA1c测试的患者进行描述性观察性研究.
- 毛细管电泳用于HbA1c测量,间接诊断血红蛋白疾病.
- 用贝叶斯方法进行频率分析.
主要成果:
- 结构性血红蛋白乱的总体患病率为1.98%.
- 糖尿病和脏疾病的同时发生率在所有年龄组的HbC患者中最高.
- 研究变种的流行率超过了世卫组织1%的流行病学意义值.
结论:
- 在加利的HbC和HbS变种的流行值得注意.
- 在HbC和HbS患者中糖尿病和病的发病率较高,需要积极预防.
- 研究结果支持针对有风险人群的有针对性的公共卫生干预措施.
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