Cultura

Assessment Of Prevalence Of Kidney Issues And Risk Factors Among Saudi Adults In KSA

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Eman AbdulAziz Balbaid, Ahmad Abdulbasit Baharith, Afnan Abdullah Al-Jehani, Raghad Saeed Almuidh, Feras Yaseen Ahmed, Hoda Jehad Abousada, Ghadah Fayadh Alrwaili, Yasamiyan Hashm Alshmrani
Saud Zabn Hamood, Razan Mohammed Bahkali, Faisal Salah Alzahrani, Manar Khidhran Almaliki, Saeed Abdullah AlGhamdi, Amro Taimor Nawawi, Faisal Adeeb Alzamil

Abstract

Objective:

The main objectives of the study are as follows:

  1. To count the number of adults in different parts of Saudi Arabia who have kidney-related health problems, including those who are not yet diagnosed.
    To find and examine the main clinical, lifestyle, and demographic risk factors for renal disease in Saudi adults.
  2. To assess healthcare-seeking behaviors and public awareness of kidney disease, its symptoms, prevention, and treatment.
  3. To investigate differences in risk profiles and prevalence by location, offering information for focused public health initiatives.

Methods: It will be performed on the chosen cases from the study's prospective sample. To determine the level of precision of the statistical tools and even the patient selection criteria based on inclusion and exclusion criteria, a pilot research including 10% of the respondents may be carried out. The pilot study will be conducted according to the aforementioned procedure, and the results will be examined. Additionally, the viability, duration, and manner will be assessed. The necessary changes will be described. The study tool should at least be pretested if this isn't possible.

Results: The study included 660 participants. The study included 660 participants. The most frequent Age among them was 18-28 years old (n=329, 49.8%), followed by 40-49 and 50 -59 years old (n=98, 14.8%), then 29-39 years old (n=88, 13.3%). The most frequent gender among study participants was male (n= 399, 60.5%), and female (n= 261, 39.5%). The most frequent nationality among study participants was Saudi (n= 510, 77.3%), followed by non-Saudi (n= 150, 22.7%). Educational level among study participants, with most of them having a university degree (n=495, 75%), followed by Secondary (n=146, 22.1%), then Primary (n=15, 2.3%), and at least no formal education (n=4, 0.6%). The smoker of study participants most of them were Non-Smokers (n=505, 76.5%), followed by smokers (n=11, 17%), then Former smokers (n=43, 6.5%). Participants were asked if they drink alcohol. Most of them had never drunk alcohol (n=630, 95.5%), followed by Sometimes (n=26, 3.9%), then Regularly (n=4, 0.6%). Participants were asked if they drink 2L of water. Most of them had drunk less than 2L (n=391, 59.2%), followed by drunk 2L (n=269, 40.8%). Participants were asked about their stress level in general. The most frequent was moderate stress (n= 378, 57.3%), followed by high (n= 153, 23.2%), then low (n=129, 19.5%). Participants take painkillers; most of them said Rarely (n=231, 35%), followed by Never (n=223, 33.8%), then Sometimes (n=176, 26.7%), and yes, frequently (n=30, 4.5%). Physical activity was average among most of the participants. No activity (n= 393, 59.5%) and yes, 267 participants (40.5%).

Conclusion: The study results showed that most participants were between 18 and 28 years old. The majority were Saudi nationals and male. Most participants reported no family history of kidney issues and had low levels of physical activity. Additionally, moderate stress levels were common among the respondents. These findings indicate that demographic and lifestyle factors significantly impact the risk of kidney disease, emphasizing the need for public health awareness and preventive interventions.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty