Cognitive function is not associated with recurrent foot ulcers in patients with diabetes and neuropathy.
Diabetes Care
; 32(5): 894-6, 2009 May.
Article
em En
| MEDLINE
| ID: mdl-19244093
ABSTRACT
OBJECTIVE:
To study whether there is an association between cognitive impairment and the relapse rate of foot ulcers in diabetic patients and those with previous foot ulcers. RESEARCH DESIGN ANDMETHODS:
This single-center prospective study assessed the association of cognitive function and risk for ulcer relapse in 59 patients with diabetes (mean age 65.1 years, diabetes duration 16.5 years, and A1C 7.4%), peripheral neuropathy, and a history of foot ulceration. Premorbid and current cognitive functions were measured (multiple-choice vocabulary test [Lehrl], number-symbol test, mosaic test [HAWIE-R], and trail-making tests A and B [Reitan]). Prevalence of depression was evaluated retrospectively (diagnoses in patient files or use of antidepressive medication). Patients were re-examined after 1 year.RESULTS:
Three patients (5%) died during follow-up (one of sepsis and two of heart problems). The remaining 56 patients (48%) developed 27 new foot ulcerations (78% superficial ulcerations [Wagner stage 1]). Characteristics of patients with and without ulcer relapse were not different. In a binary logistic regression analysis, cognitive function is not predictive of foot reulceration.CONCLUSIONS:
Cognitive function is not an important determinant of foot reulceration.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Úlcera do Pé
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Cognição
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Pé Diabético
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Neuropatias Diabéticas
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Diabetes Care
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Alemanha