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Table 3 Clinical characteristics of diabetic with ER visits during the three lunar months (n = 133)

From: The impact of Ramadan on visits related to diabetes emergencies at a tertiary care center

 

SHAABAN

RAMADAN

SHAWAL

Total

Chi-square

p value

n

%

n

%

n

%

N

%

Type of Antidiabetic medications

OHA

7

12.1%

1

2.5%

0

0.0%

8

6.1

12.9

0.045*

Insulin

39

67.2%

31

77.5%

28

84.8%

98

74.8

Mixed

11

19.0%

7

17.5%

2

6.1%

20

15.3

None

1

1.7%

1

2.5%

3

9.1%

5

3.8

Total

 

58

100.0%

40

100.0%

33

100.0%

131

100

 

Type of Diabetes

Type I

15

25.4%

16

40.0%

15

45.5%

46

34.8

31.48

0.001*

Type II

42

71.2%

19

47.5%

8

24.2%

69

52.3

GDM

2

3.4%

1

2.5%

0

0.0%

3

2.3

Not Known

0

0.0%

4

10.0%

10

30.3%

14

10.6

Total

 

59

100.0%

40

100.0%

33

100.0%

132

100

 

Arrival Time at ER

Day shift

24

40.7%

16

40.0%

9

26.5%

49

36.8

23.33

0.001*

Evening shift

26

44.1%

12

30.0%

4

11.8%

42

31.6

Night shift

9

15.3%

12

30.0%

21

61.8%

42

31.6

Total

 

59

100.1%

40

100.0%

34

100.1%

133

100

 

Precipitating factors

Missed Dose

12

20.3%

4

10.3%

2

6.3%

18

13.8

20.51

0.025*

Infection

15

25.4%

13

33.3%

20

62.5%

48

36.9

No Obvious cause

16

27.1%

9

23.1%

7

21.9%

32

24.6

First time

3

5.1%

1

2.6%

1

3.1%

5

3.8

Missed Meal

0

0.0%

2

5.1%

1

3.1%

3

2.3

Ischemia/infarction

13

22.0%

10

25.6%

1

3.1%

24

18.5

Intra-Abdominal Sepsis

0

0.0%

0

0.0%

0

0.0%

0

0.0

Total

 

59

99.9%

39

100.0%

32

100.0%

130

100

 

Clinical presentation

Hypoglycemia

1

1.7%

1

2.5%

2

5.9%

4

3.0

1.355

0.852

Hyperglycemia

43

72.9%

29

72.5%

24

70.6%

96

72.2

DKA

15

25.4%

10

25.0%

8

23.5%

33

24.8

Total

 

59

100.0%

40

100.0%

34

100.0%

133

100

 

Final Diagnosis in the ER

Admitted to hospital

43

72.9%

20

50.0%

18

52.9%

81

60.9

11.822

0.159

Refer to another facility

0

0.0%

2

5.0%

1

2.9%

3

2.3

Rejection of treatment

1

1.7%

0

0.0%

1

2.9%

2

1.5

Death

0

0.0%

0

0.0%

0

0.0%

0

0.0

Discharge from ER

13

22.0%

18

45.0%

13

38.2%

44

33.1

Admitted to ICU

2

3.4%

0

0.0%

1

2.9%

3

2.3

Admitted to CCU

0

0.0%

0

0.0%

0

0.0%

0

0.0

Total

 

59

100.0%

40

100.0%

34

99.8%

133

100

 
  1. Pearson Chi-square test, *significant at P-value less than 0.05