WITHDRAWN: Incidence and Predictors of Cardiovascular Disease Among Type 1 and Type 2 Diabetes Mellitus in Tertiary Health Care Setting of Ethiopia: 8-Year Retrospective Follow Up Study.

Abstract

Background: Cardiovascular disease (CVD) is a major cause of death and disability among people with diabetes in the world and it is being a major barrier to sustainable human development. Despite, CVDs have continued to devastate human survival, few studies in Ethiopia have focused on its prevalence which alone are insufficient to assess the risk of incident cardiovascular events. Therefore, we determined the incidence and predictors of cardiovascular disease among diabetic patients.Methods: A retrospective cohort study was conducted on 399 randomly selected diabetes patients. Data were entered using Epi-Data and analyzed using Stata version 14. Multivariable Weibull proportional hazards regression analysis was used to identify the predictors of CVDs (namely, coronary heart disease (CHD), stroke, and peripheral arterial disease (PAD)) at 5% level of significance. Results: After a median follow-up of 5.9 years, the overall incidence rate of CVD per 100 person–years was 2.71 (95% CI: 16.9–17.6). The Multivariable survival analysis showed a significant association of CKD; (Adjusted Hazard Ratio (AHR) (95%CI) 2.53 [1.36, 4.72]), Systolic blood pressure (SBP) >/= 140; (AHR (95%CI) (4.30 [2.12, 8.73]) and triglyceride >/= 200 mg/dl; (AHR (95%CI) (5.10 [2.02, 12.89]) with risk of incident CVD.Conclusion: CVD is being a public health problem among diabetic patients in Ethiopia. SBP >/= 140, chronic kidney disease and high triglyceride were independent predictors of new CVD among diabetic patients. These findings emphasize the need of attention for CVD patients with CKD and HTN comorbidities and longer follow up period using prospective study design to determine the long-term effects of predictors of CVD among diabetic patients.