People with type 2 diabetes and screen-detected cognitive impairment use acute health care services more often: observations from the COG-ID study

Jolien Janssen, Paula S. Koekkoek, Cog-ID Study Grp, Geert Jan Biessels, L. Jaap Kappelle, Guy E. H. M. Rutten, Jolien Janssen, Paula S. Koekkoek, Minke Kooistra, Guy E. H. M. Rutten, Geert Jan Biessels, L. Jaap Kappelle, Esther van den Berg, J. Matthijs Biesbroek, Onno Groeneveld

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Abstract

BackgroundPatients 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.MethodsPeople with type 2 diabetes70years 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 2years prior to and 2years after screening and compared to screen negatives.Results154 participants (38% female, mean age 76.75.2years, diabetes duration 8.7 +/- 8.2years) 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 4years, 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 4years, p

Original languageEnglish
Article number21
Number of pages10
JournalDIABETOLOGY & METABOLIC SYNDROME
Volume11
DOIs
Publication statusPublished - 22 Feb 2019

Bibliographical note

Funding
EFSD/Lilly Mental Health and Diabetes programme of the European Foundation for the Study of Diabetes (EFSD). The funder of the study had no role in study design, data collection, data interpretation, data analysis, or writing of the report.

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