التفاصيل البيبلوغرافية
| العنوان: |
People with type 2 diabetes and screen-detected cognitive impairment use acute health care services more often: Observations from the COG-ID study |
| المؤلفون: |
Janssen, Jolien, Koekkoek, Paula S., Biessels, Geert Jan, Kappelle, L. Jaap, Rutten, Guy E.H.M., Kooistra, Minke, Van Den Berg, Esther, COG-ID study group |
| المساهمون: |
HAG Hart- Vaatziekten, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Circulatory Health, HAG Diabetes, Zorglijn AN/AAN Medisch, Brain, ZL Algemene Neurologie Medisch, ZL Cerebrovasculaire Ziekten Medisch, HAG Zorginnovatieonderzoek, Projectafdeling VCI, Opleiding Neurologie |
| سنة النشر: |
2019 |
| مصطلحات موضوعية: |
Acute health care services, Cognitive impairment, Diabetes, Falls, General practice, Screening, Internal Medicine, Endocrinology, Diabetes and Metabolism, Journal Article |
| الوصف: |
Background: Patients with type 2 diabetes have an increased risk of cognitive impairment which can lead to impaired diabetes self-management and an increased risk of diabetes-related complications. Routine screening for cognitive impairment in elderly patients with type 2 diabetes is therefore increasingly advocated. The aim of this study is to investigate whether people with type 2 diabetes and screen-detected cognitive impairment use acute health care services more often than patients not suspected of cognitive impairment. Methods: People with type 2 diabetes ≥ 70 years were screened for cognitive impairment in primary care. Diagnoses in screen positives were established at a memory clinic. Information about acute health care use was collected for 2 years prior to and 2 years after screening and compared to screen negatives. Results: 154 participants (38% female, mean age 76.7 ± 5.2 years, diabetes duration 8.7 ± 8.2 years) were included, 37 patients with cognitive impairment, 117 screen negatives. A higher percentage of participants with cognitive impairment compared to screen negative patients used acute health care services; this difference was significant for general practitioner's out of hours services (56% versus 34% used this service over 4 years, p = 0.02). The mean number of acute health care visits was also higher in those with cognitive impairment than in screen negatives (2.2 ± 2.8 versus 1.4 ± 2.2 visits in 4 years, p < 0.05; 1.4 ± 2.2 versus 0.7 ± 1.5 visits in 2 years after screening, p = 0.03). Factors that could have played a role in this increased risk of acute health care services use were a low educational level, the presence of depressive symptoms (CES-D score ≥ 16), self-reported problems in self-care and self-reported problems in usual activities. Conclusions: People with type 2 diabetes and screen-detected cognitive impairment use acute health care services more often. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
image/pdf |
| اللغة: |
English |
| تدمد: |
1758-5996 |
| العلاقة: |
https://dspace.library.uu.nl/handle/1874/379360Test |
| الإتاحة: |
https://dspace.library.uu.nl/handle/1874/379360Test |
| حقوق: |
info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: |
edsbas.BF78D69F |
| قاعدة البيانات: |
BASE |
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