Document Details
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Document Type |
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Thesis |
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Document Title |
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Risk Factors of Carpal Tunnel Syndrome Among Patients Attending the Outpatients Clinics of King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia: A Case-Control Study عوامل الخطر لمتلازمة النفق الرسغي بين مراجعين العيادات الخارجية في مستشفى الملك فيصل التخصصي ومركز الأبحاث في الرياض: دراسة الحالات والشواهد |
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Subject |
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Faculty of medicine |
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Document Language |
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Arabic |
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Abstract |
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Background: Carpal tunnel syndrome (CTS) is considered the most common entrapment neuropathy in the upper extremity. The median nerve is compressed and damaged as a result of increased pressure in the carpal tunnel, causing paresthesia and pain in the affected hand. It is known to be a multifactorial disease that raises medical and nonmedical risk factors. The aim of the current study was to determine the risk factors of CTS among patients attending King Faisal Specialist Hospital & Research Centre in Riyadh.
Methodology: A retrospective case-control study was conducted. CTS cases were identified using the International Classification of Diseases (ICD) for patients attending the Family Medicine and Polyclinics Department. All medical records of patients above the age of 18 years old who were diagnosed with CTS from 2015 to 2021 were reviewed. The selected cases were evaluated by physical examination and confirmed by a nerve conduction study. Cases and controls were matched by age, gender, and nationality, with a case-to-control ratio of 1:2.
Results: The study recruited 432 subjects, 144 cases and 288 controls, with a mean age of 53.38 ± 12.20 years for the cases and 53.80 ± 12.27 years for the controls. The majority of subjects were female (84.7%) and of Saudi nationality (68.3%). There was a significant difference in body mass index, employment status, number of years of employment, occupation, mean systolic blood pressure, mean low-density lipoprotein cholesterol level, and mean blood urea level between cases and controls (p < 0.05). Laboratory tests that were found to be significantly associated with CTS in univariate analysis were thyroid-stimulating hormone crude odds ratio (COR; 0.828), and urea level COR (0.802). In fully adjusted analyses, obesity (adjusted odds ratio [AOR] = 3.080), chronic kidney disease (AOR = 3.629), and corticosteroid use (AOR = 0.470) were also significantly associated with the odds ratio of CTS.
Conclusion: Similar to the findings of other studies, this study identified several potential risk factors for the occurrence of CTS. More large-scale longitudinal studies are required to establish a precise causal association.
Key words: Carpal Tunnel Syndrome, Risk Factors, Primary Health Care, Saudi Population, Case Control. |
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Supervisor |
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Prof. Dr. Bahaa Abdulrahman Abaalkhail |
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Thesis Type |
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Master Thesis |
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Publishing Year |
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1444 AH
2022 AD |
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Co-Supervisor |
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Prof. Dr. Nahla Khamis Ibrahim |
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Added Date |
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Monday, February 27, 2023 |
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Researchers
| ياسر عبدالله الانديجاني | Alendijani, Yaser Abdullah | Researcher | Master | |
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