The Incidence of Executive Cognitive Dysfunction Detected by a Bedside Executive Screening Tool (best) in a Cohort of Type 2 Diabetics Attending a Tertiary Diabetic Clinic
Year: 2010
Type: dissertation
Study design: Observational Study
Abstract: Aims: To determine whether impairment of the executive functioning domain of cognition \ncould be detected by a battery of simple bedside cognitive tests of executive function \nassociated with inadequate glycaemic control. \nMethods: People with type 2 diabetes attending a tertiary referral diabetic clinic who \nconsented to participate in the study underwent a brief battery of cognitive testing (the \nBedside Executive Screening Test) designed to detect executive function impairment. \nGlycaemic control was determined using glycated haemoglobin levels (HbA1c). Inadequate \nglycaemic control was defined as HbA1c ≥ 7.0%. \nResults: Executive function impairment was detected in 51 (52%) of the 98 study \nparticipants. The presence of executive function impairment was significantly associated \nwith poor glycaemic control (HbA1c ≥ 7.0%) (odds ratio 4.9, 95% confidence interval 1.3 – \n18.8, p=0.019). There were no significant differences between patients with and without \nexecutive function impairment with regard to age, target organ damage, patient reported \nadherence, and hypoglycaemic therapy. Patients with a lower level of education were more \nlikely to demonstrate executive impairment when glycaemic control was poor (p=0.013). \nConclusion: Executive function impairment is common in a population of people with \ndifficult-to-manage type 2 diabetes. The presence of executive impairment is significantly \nassociated with poor glycaemic control.
Authors: De Wet, Hayley Beryl
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2164487744