Diabetes related amputations in Pacific Islands countries: A root cause analysis of precipitating events

Tin, Si Thu Win; Gadabu, Eva; Iro, George; Tasserei, John; Colagiuri, Ruth

doi:10.1016/j.diabres.2013.03.012

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…In 2013 researchers reported that Vanuatu health services for diabetes were ‘highly centralised, underresourced and have only intermittent access to specialist services,’ which our current findings confirm 21 . The call is for comprehensive services by trained doctors and nurses, which are available and accessible throughout the country.…”

Section: Discussionsupporting

confidence: 74%

“…In 2013 researchers reported that Vanuatu health services for diabetes were 'highly centralised, underresourced and have only intermittent access to specialist services,' which our current findings confirm. 21 The call is for comprehensive services by trained doctors and nurses, which are available and accessible throughout the coun- However, not addressing the issue will clearly cost more. In 2016, diabetes and other NCDs, including cancer cardiovascular and chronic respiratory disease, accounted for 52% of premature deaths in adult males and 60% in females.…”

Section: Discussionmentioning

confidence: 99%

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A qualitative study of patient perspectives of diabetes and diabetic retinopathy services in Vanuatu

Ofanoa

Aitip²,

Ram

et al. 2021

Health Prom J of Aust

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Diabetes mellitus is major world problem, rapidly approaching epidemic proportions. It is estimated that 415 million people are affected worldwide. 1 It is a particular health challenge in the Pacific Islands, with a prevalence of over 20% in some nations. One of the most frequent complications is diabetic retinopathy (DR), which is the most common cause of blindness in the working age population.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

A qualitative study of patient perspectives of diabetes and diabetic retinopathy services in Vanuatu

Ofanoa

Aitip²,

Ram

et al. 2021

Health Prom J of Aust

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“…For example, the prevalence of foot ulcer in Nauru was 8.6% at baseline and 4.9% at follow-up, and in the Solomon Islands was 7.4% at baseline and 4.4% at follow-up. This represents a positive outcome of the foot care intervention that was implemented in both countries by taking into consideration the findings of key precipitating events and factors preceding diabetes related amputations reported for PICs [25] . Indeed, had there been no intervention, it is likely that diabetes related foot problems and other diabetes complication rates would have been higher over a 15 month period.…”

Section: Discussionmentioning

confidence: 95%

Comparing metabolic control and complications in type 2 diabetes in two Pacific Islands at baseline and following diabetes care intervention

Tin

Laesango

Gadabu³

et al. 2016

Journal of Clinical & Translational Endocrinology

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HighlightsGlycaemic control improved and mean HbA1c decreased significantly in study subjects.Mean blood pressure was reduced significantly in study subjects in the Solomon Islands.The percentage of subjects achieving recommended clinical targets increased.A trend towards lower complications rates of foot problem was observed.Effort to strengthen the quality and accessibility of diabetes care is needed.

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“…These barriers could also result in failure to meet patient’s medical needs within the appropriate time frame, ultimately leading to life-threatening complications. A study conducted in three Pacific Island countries, namely, Solomon Islands, Vanuatu, and Nauru, noted that traditional medicine is the most significant reason for amputation and delayed treatment of individuals with diabetic foot sepsis [ 23 ]. Prospective studies may be conducted to examine the cultural norms of using traditional medicine as an initial treatment for people with sepsis in Western Samoa.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Sepsis Continuum in Patients With Type 2 Diabetes Mellitus at Tupua Tamasese Meaole Hospital in Samoa

D'Almeida¹,

Moodley²,

Lameko³

et al. 2021

Cureus

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BackgroundIndividuals with longstanding type 2 diabetes mellitus (T2DM) have a significantly higher risk for infection caused by immune dysfunction, resulting in sepsis continuum (sepsis, severe sepsis, and septic shock) if not adequately addressed. In sepsis, organ dysfunction occurs because the host's response to infection is impaired, more so in severe sepsis. In septic shock, persistent hypotension happens, requiring vasopressors despite aggressive fluid management. The internal medicine (IM) ward plays a critical part in managing patients with sepsis. However, the prevalence of sepsis has been investigated extensively in an intensive care unit (ICU) setting instead of the IM ward. This study aimed to determine the prevalence rates of sepsis, severe sepsis, and septic shock in patients with T2DM admitted at an IM ward in Samoa. MethodsThis retrospective hospital record-based study was conducted over four months on 100 patients with T2DM admitted to the IM ward within the sepsis continuum. Participants were selected by convenience sampling, and the diagnosis was determined from the admission notes. ResultsThe prevalence rates of sepsis, severe sepsis, and septic shock in patients with T2DM admitted to the IM ward were 80%, 12%, and 8%, respectively. ConclusionThe most frequent presentation in individuals with T2DM who are within the sepsis continuum upon admission to the IM ward was sepsis, followed by severe sepsis and septic shock.

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Diabetes related amputations in Pacific Islands countries: A root cause analysis of precipitating events

Cited by 14 publications

References 18 publications

A qualitative study of patient perspectives of diabetes and diabetic retinopathy services in Vanuatu

A qualitative study of patient perspectives of diabetes and diabetic retinopathy services in Vanuatu

Comparing metabolic control and complications in type 2 diabetes in two Pacific Islands at baseline and following diabetes care intervention

Prevalence of Sepsis Continuum in Patients With Type 2 Diabetes Mellitus at Tupua Tamasese Meaole Hospital in Samoa

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