Finnish risk score for detection of dysglycemia in adults in the Family Medicine Unit

  • Gabriela García-Morales Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar número 26, Jefatura de Medicina Familiar. Acapulco de Juárez, Guerrero, México. https://orcid.org/0000-0002-9814-5202
  • Miriam Casarrubias-Martínez Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar número 29, Jefatura de Medicina Familiar. Acapulco de Juárez, Guerrero, México. https://orcid.org/0009-0008-6116-3141
  • Víctor F Herrera-Reyes Instituto Mexicano del Seguro Social, Hospital General de Zona y Medicina Familiar número 1, Jefatura de Medicina Familiar. Chetumal, Quintana Roo, México https://orcid.org/0009-0008-1477-1590
  • Yuliana García-Jiménez Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar número 26, Medicina Familiar. Acapulco de Juárez, Guerrero, México. https://orcid.org/0000-0002-8974-0157
  • Josue Rosaliano-Salinas Instituto Mexicano del Seguro Social, Hospital General Regional número 1, Coordinación Clínica de Auxiliares de Diagnóstico. Acapulco de Juárez, Guerrero, México. https://orcid.org/0009-0008-3353-7142
Keywords: Risk Assessment, Diabetes Mellitus, Screening, Area Under Curve

Abstract

Objective: to establish the discriminative capacity of the Finnish risk score for dysglycemia in users of a family medicine unit located in the suburbs of the State of Guerrero, Mexico. Material and methods: We conducted a cross-sectional study from March to December 2021 in a Family Medicine Unit. With prior informed consent, we applied the Finnish risk score for the detection of dysglycemia to 200 people between the ages of 20 and 60, we obtained somatometric measurements and fasting plasma glucose figures. We estimated sensitivity, specificity, positive and negative predictive value, positive and negative likelihood ratio, and calculated the area under the curve (AUC) to estimate the discriminative ability of the risk score, where the reference test was fasting glucose. We performed bivariate analysis to identify factors associated with dysglycemia, obtaining Odds Ratio (OR) and 95% confidence intervals (95%CI). Result: The occurrence of dysglycemia was 26.5% (53/200). The AUC of the ROC curve of the Finnish score for dysglycemia was 0.65 (95%CI 0.57-0.74). The factors associated with diabetes were ≥40 years (OR 2.1; 95%CI 1.1-3.9), body mass index ≥25 Kg/m2 (OR 2.8; 95%CI 1.2-6.7) and suffering from arterial hypertension (OR 2.2; 95%CI 1.1 -4.4). Conclusions: The FINDRISC was shown by AUC to be a poor tool for detecting people at risk of suffering from dysglycemia, in a population attached to a suburban medical unit

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Published
2023-10-30
How to Cite
1.
García-Morales G, Casarrubias-Martínez M, Herrera-Reyes VF, García-Jiménez Y, Rosaliano-Salinas J. Finnish risk score for detection of dysglycemia in adults in the Family Medicine Unit. Acta Med Peru [Internet]. 2023Oct.30 [cited 2024Jul.12];40(3). Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/2618
Section
ORIGINAL ARTICLES