Cognitive Impairment in People with Diabetes-Related Foot Ulceration

Journal of Clinical Medicine

Peter Gerry Fegan¹  Ashley Makepeace¹  Melanie S. Burkhardt¹  Ranita Siru¹  Emma J. Hamilton¹  Jonathan Hiew²  Laurens Manning³  Paul E. Norman³  Timothy M. E. Davis⁴  Wendy A. Davis⁴  David G. Bruce⁴  Jens Carsten Ritter⁵ 

[1] Department of Endocrinology and Diabetes, Fiona Stanley Hospital, Murdoch 6150, Australia;Department of Podiatry, Fiona Stanley Hospital, Murdoch 6150, Australia;Medical School, Fiona Stanley Hospital, University of Western Australia, Murdoch 6150, Australia;Medical School, Fremantle Hospital, University of Western Australia, Fremantle 6160, Australia;Multidisciplinary Diabetes Foot Unit, Fiona Stanley and Fremantle Hospitals Group, Murdoch 6150, Australia;

关键词: diabetes-related foot ulcer;    type 2 diabetes;    cognition;    self-care;   

DOI  :  10.3390/jcm10132808

来源: DOAJ

【 摘 要 】

Aims: To determine whether there is an excess of cognitive impairment in patients with type 2 diabetes and foot ulceration. Methods: 55 patients with type 2 diabetes and foot ulcers attending Multidisciplinary Diabetes Foot Ulcer clinics (MDFU cohort) were compared with 56 patients with type 2 diabetes attending Complex Diabetes clinics (CDC cohort) using commonly used screening tests for cognitive impairment (Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MOCA)), as well as foot self-care, mood and health literacy. MMSE was also compared between the MDFU cohort and a historical community-based cohort of patients with type 2 diabetes (FDS2 cohort). Results: Median MMSE scores were the same in all three groups (28/30). Median MOCA scores did not differ between the MDFU and CDC cohorts (25/30). There were no significant differences in the percentages of patients with MMSE ≤ 24 or MOCA ≤ 25 between MDFU and CDC cohorts (3.6% versus 10.7%, p = 0.27 and 56.4% versus 51.8%, p = 0.71, respectively), findings that did not change after adjustment for age, sex, education, diabetes duration, and random blood glucose. Conclusions: Using conventionally applied instruments, patients with type 2 diabetes and foot ulceration have similar cognition compared with patients without, from either hospital-based clinic or community settings.

【 授权许可】

Unknown