Emergency department visits in African Americans with mild cognitive impairment and diabetes.
Emergency department visits in African Americans with mild cognitive impairment and diabetes.
复制标题
DOI：
10.1016/j.jdiacomp.2021.107905
复制
发表时间：
2021-05
影响因子：
3
通讯作者：
Casten RJ
中科院分区：
文献类型：
--
作者：
Rovner BW;Casten RJ
痴呆、糖尿病和非裔美国人种族是与急诊科（ED）使用独立相关的三个因素。这项研究验证了一种假设，即患有轻度认知障碍（MCI）和糖尿病控制不良的非裔美国人使用ED与认知功能恶化有关。本研究通过对一项为期一年的随机对照试验（N = 101）的基线数据的二次数据分析，研究了患有轻度认知障碍和糖尿病的非裔美国人使用ED的差异。在一年中，49/92的参与者（53.3%）至少有一次急诊科就诊。在基线时，有意外ED访问的参与者的受教育年数明显减少；在评估工作记忆、精神运动速度和复杂扫描的神经心理测试中得分较低；糖尿病相关人际困扰得分较高；糖尿病药物依从性较低；与没有ED就诊的参与者相比，血红蛋白A1c水平更高（所有比较p≤0.05）。该研究确定了患有轻度认知障碍和糖尿病的老年非裔美国人ED就诊的多种危险因素。有针对性的干预措施可能是必要的，以减少对急诊科护理的需要在高危人群。
Dementia, diabetes, and African American race are three factors that are independently associated with emergency department (ED) use. This study tested the hypothesis that ED use is associated with worse cognitive function in African Americans with Mild Cognitive Impairment (MCI) and poorly controlled diabetes. This study examined differences in ED use among African Americans with MCI and diabetes in a secondary data analysis of baseline data from a one-year randomized controlled trial (N = 101). Over one year, 49/92 participants (53.3%) had at least one ED visit. At baseline, participants who had an incident ED visit had significantly fewer years of education; lower scores on neuropsychological tests assessing working memory, psychomotor speed, and complex scanning; higher diabetes-related interpersonal distress scores; lower adherence to a diabetes medication; and higher hemoglobin A1c levels compared to participants with no ED visits (p ≤ 0.05 for all comparisons). This study identified multiple risk factors for ED visits in older African Americans with MCI and diabetes. Targeted interventions may be necessary to reduce the need for ED care in high risk populations.
登录
查看更多内容
影响因子：
120.7
作者：
Tang, Ning;Stein, John;Gonzales, Ralph
通讯作者：
Gonzales, Ralph
影响因子：
2.6
作者：
Unverzagt, Frederick W.;Gao, Sujuan;Hendrie, Hugh C.
通讯作者：
Hendrie, Hugh C.
DOI：
10.1016/j.jalz.2011.03.008
发表时间：
2011-05
期刊：
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子：
--
作者：
Albert MS;DeKosky ST;Dickson D;Dubois B;Feldman HH;Fox NC;Gamst A;Holtzman DM;Jagust WJ;Petersen RC;Snyder PJ;Carrillo MC;Thies B;Phelps CH
通讯作者：
Phelps CH
影响因子：
16.2
作者：
Parrinello CM;Rastegar I;Godino JG;Miedema MD;Matsushita K;Selvin E
通讯作者：
Selvin E
影响因子：
4.2
作者：
Strom, Joni L.;Egede, Leonard E.
通讯作者：
Egede, Leonard E.