Đánh giá hiệu quả bảng câu hỏi sàng lọc người có nguy cơ mắc tiền đái tháo đường và đái tháo đường để tầm soát bệnh tiền đái tháo đường tại Khoa Khám bệnh, Bệnh viện quận Tân Phú

Prediabetes represents a critical global and national health challenge, often remaining asymptomatic yet posing a high risk for progression to type 2 diabetes and various cardiovascular complications. Early identification and intervention are paramount to mitigate these adverse health outcomes and reduce the overall burden on healthcare systems. Effective and accessible screening tools are therefore essential for timely diagnosis, enabling the implementation of preventive strategies. This study aims to evaluate the effectiveness of a specific screening questionnaire designed for individuals at risk of prediabetes and diabetes within an outpatient department setting at Tan Phu District Hospital, providing crucial insights for clinical practice and public health initiatives.

Primary care physicians, public health practitioners, nurses, and healthcare administrators involved in diabetes screening and prevention programs, particularly in outpatient and community health settings.

This study comprehensively evaluated a screening questionnaire for the early detection of prediabetes among at-risk individuals presenting at the Outpatient Department of Tan Phu District Hospital. Employing a cross-sectional, prospective design, the research included 287 patients from March to September 2023. Data collection involved fasting blood glucose measurements and structured interviews using the questionnaire, with subsequent analysis conducted via Stata 15.1 software. The findings revealed a substantial prevalence of prediabetes at 35.89%. Significant risk factors associated with a higher likelihood of prediabetes included a family history of diabetes, hypertension, physical inactivity, and elevated Body Mass Index (BMI) categories (23-<25, 25-<30, and ≥30). The screening questionnaire demonstrated robust diagnostic performance, evidenced by an Area Under the Receiver Operating Characteristic Curve (ROC-AUC) of 0.758. At an optimal cut-off point of 5, the questionnaire achieved a sensitivity of 74.76%, a negative predictive value (NPV) of 83.65%, a positive predictive value (PPV) of 60.16%, and an overall accuracy of 73.17%. While specificity was not explicitly detailed at this cut-off point in the abstract, the robust ROC-AUC value suggests a reasonable balance. These results strongly indicate that this screening questionnaire is an effective and reliable tool for identifying undiagnosed prediabetes in clinical practice, making it highly applicable in primary and community health settings to facilitate timely intervention and improve patient outcomes.