Cognitive screening among older adults with diabetes across diverse clinic settings
Authors' conclusion
Our study shows that cognitive screening can help identify at risk older adults with diabetes. Thus, yearly screening should be part of routine diabetes care.
Study context
- Population
- Patients aged ≥65 years with diabetes in one large healthcare systemscreened
- Participants
- 198 patients
- Exposure
- Cognitive screening across endocrine (Endo), geriatric (Geri) and Geri-Endo clinics
- Gerin = 32
- Geri-Endon = 86
- Outcome
- Cognitive screening (Mini-Cog) and risk factors of lower scores
Methodological detailsthree clinic types, adjusted multivariate logistic regression
- Three clinic types
- Adjusted multivariate logistic regression
Main finding
As reported in the abstract
- Age > 75 years associated with lower Mini-Cog scores
- p = 0.0105
- Previous cardiovascular (CV) events associated with lower Mini-Cog scores
- p = 0.0006
- BMI < 30 associated with lower Mini-Cog scores
- p = 0.0115
Observational data: associations, not effects.
Further findings
Clinical characteristics by clinic
- Geri-Endo and Geri: higher prevalence of hypertension and CV events
- Endo and Geri-Endo: longer diabetes duration, higher incidence of hypoglycemia, more insulin use
Original publication
Cognitive screening among older adults with diabetes across diverse clinic settings. Diabetes Res Clin Pract. Published 24 November 2022. doi:10. 1016/ j. diabres. 2022. 110184
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