M M Ahmed

King Abdulaziz University, Djidda, Makkah, Saudi Arabia

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Publications (7)10.93 Total impact

  • M.M. Ahmed · S.M. Bahlas
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    ABSTRACT: Hospital readmissions within 30 days of initial discharge occur frequently. In studies of elderly patients receiving Medicare, readmissions have been associated with poor-quality inpatient care, ineffective hospital-to-home transitions, patient characteristics, disease burden, and socioeconomic status. Among adult family medicine patients spanning a wide age range, we hypothesize that previous hospitalizations, length of stay, number of discharge medications, medical comorbidities, and patient demographics are associated with a greater risk of hospital readmission within 30 days. A retrospective case-control study of 253 family medicine inpatients was conducted to determine the factors associated with 30-day re-admission. Odds ratio and one sample T-test were computed to determine the risk factors for unscheduled re-admittance. The results indicated that Patients who were admitted again in 30 days had additional related morbidities (2.1 vs 1.2; P <.0001), and the characteristic associated morbidities of congestive heart failure, coronary artery disease, chronic obstructive pulmonary ailment, presence of a psychiatric disorder and recent cancer were all additionally widespread amongst cases. Also the study results indicated that unscheduled re-admittance is related to patient's features. Patients with heart disease, cancer, pneumonia, septicaemia and liver diseases were more prone to admitted again. The proportion of re-admittance was associated with extended stay in the hospital, increased morbidity rate and hospital expenses.
    No preview · Article · Jan 2014

  • No preview · Conference Paper · May 2012

  • No preview · Conference Paper · May 2012
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    D H Akbar · M M Ahmed · J Al-Mughales
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    ABSTRACT: Diabetes mellitus and thyroid disease are common endocrine disorders in the general population. To investigate the association between thyroid dysfunction, thyroid autoimmunity and Saudi type 2 diabetics, a random sample of 100 Saudi type 2 diabetics and 100 age- and sex-matched controls were studied. The mean age was 54 years for diabetics and 55 years for controls while the male:female ratios were 1:1.6 and 1:14 respectively. GAD65ab were found in 26% diabetics and 2% controls (p=0.001). Thyroid autoimmunity were detected in 10% diabetics vs. 5% controls (p=0.05), while thyroid dysfunction was found in 16% and 7% respectively (p=0.03). In GAD65ab-positive diabetics, thyroid autoimmunity was observed in 27% vs. 4% GAD65ab-negative diabetics (p=0.02) and thyroid dysfunction was reported in 42% and 7% respectively. We conclude that thyroid dysfunction and autoimmunity are common in Saudi type 2 diabetics. Further studies are needed on the cost effectiveness of thyroid screening in diabetics.
    Full-text · Article · Jun 2006 · Acta Diabetologica
  • D H Akbar · M M Ahmed · A A Algamdi
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    ABSTRACT: To determine frequency of cardiovascular risk factors in Saudi and non-Saudi diabetics, we studied patients attending King Abdulaziz University Hospital for follow-up in the period January 1997 to December 2001. Cardiovascular risk factors, including hypertension, hyperlipidaemia, obesity and smoking, were studied as well as degree of blood glucose control. Of 1122 patients in the study, 48% were Saudis and 52% non-Saudis. No statistically significant difference was found for prevalence of cardiovascular risk factors between the two groups. Correlation of each of the risk factors to patient's age showed significant correlation to hypertension and smoking.
    No preview · Article · Sep 2003 · Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ
  • D.H. Akbar · M.M. Ahmed
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    ABSTRACT: To determine the clinical profile of hypothyroidism at King Ab dulaziz University Hospital (KAUH) and to report on any differences between males and females, medical reports of patients diagnosed as hypothyroidism >18 years at KAUH in the period between January 1997 to December 1999 were studied. The following data were collected, age, sex, symptoms and signs of hypothyroidism, cause, presence of hyperlipidemia before treatment, results of hormonal investigations and thyroid antibodies, dose of thyroxin replacement. A total of 306 were studied. 273 (89%) were females with M:F ratio 1:8. Spontaneous primary hypothyroidism was found in 247(90%) females versus 20(61%) males while post radiotherapy was found in 8(24%) males versus 12(4%) females and post surgey was a cause in 5(15%) males versus 9 (3%) females (p-value 0.001, 0.02, 0.03 respectively). Constipation, depression and weight gain was found more in females, 36% versus 18%, 8% in females only, 31% versus 18% respectively (p-value 0.003, 0.001, 0.04). Our study showed that primary spontaneous hypothyroidism is the commonest cause of hypothyroidism in females while post ablation hypothyroidism is more common in males. Depression, constipation and weight gain were the presenting symptoms more common in females compared to males.
    No preview · Article · Jul 2003
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    M M Ahmed · D H Akbar · A R Al-Shaikh
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    ABSTRACT: To study the incidence of deep vein thrombosis and pulmonary embolism at King Abdul Aziz University Hospital. To determine the risk factors, use of different diagnostic modalities, treatment given and to compare our findings with those reported in the literature. Retrospective study which included all cases of deep vein thrombosis and pulmonary embolism admitted to the medical ward of King Abdul Aziz University Hospital during the period between January 1994 till March 1999 were analyzed. Total of 75 patients were diagnosed to have deep vein thrombosis with mean age of 44.16 +/- 14.5 years and male:female ratio of 1:2. Doppler ultrasound was used for the diagnosis in 56 of 75 patients (75%). Pulmonary embolism as a complication of deep vein thrombosis developed in 24 of 75 patients (32%). Prolonged immobilization was found to be the most common risk factor 17 of 75 (23%). All the patients were treated with conventional heparin followed by warfarin. As discussed, our results are comparable with those reported in the literature. Post operative patients who are anticipated to have prolonged immobilization should receive prophylactic anti coagulation with subcutaneous heparin. Thrombophillia screening should be reserved for those with recurrent deep vein thrombosis or patients with positive family history.
    Full-text · Article · Sep 2000 · Saudi medical journal

Publication Stats

45 Citations
10.93 Total Impact Points

Institutions

  • 2012
    • King Abdulaziz University
      • Department of Internal Medicine
      Djidda, Makkah, Saudi Arabia
  • 2006
    • King Abdulaziz Medical City in Jeddah
      Djidda, Makkah, Saudi Arabia