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Clinical utility of mental state screening as a predictor of intellectual outcomes 6 months after diagnosis of type 1 diabetes

机译:精神状态筛查可作为诊断1型糖尿病6个月后智力结局的指标

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Background Screening tests of basic cognitive status or mental state have been shown to predict mortality and functional outcomes in adults. This study examined the relationship between mental state and outcomes in children with type 1 diabetes. Objective We aimed to determine whether mental state at diagnosis predicts longer term cognitive function of children with a new diagnosis of type 1 diabetes. Methods Mental state of 87 patients presenting with newly diagnosed type 1 diabetes was assessed using the School-Years Screening Test for the Evaluation of Mental Status. Cognitive abilities were assessed 1 wk and 6 months postdiagnosis using standardized tests of attention, memory, and intelligence. Results Thirty-seven children (42.5%) had reduced mental state at diagnosis. Children with impaired mental state had poorer attention and memory in the week following diagnosis, and, after controlling for possible confounding factors, significantly lower IQ at 6 months compared to those with unimpaired mental state (p < 0.05). Conclusions Cognition is impaired acutely in a significant number of children presenting with newly diagnosed type 1 diabetes. Mental state screening is an effective method of identifying children at risk of ongoing cognitive difficulties in the days and months following diagnosis. Clinicians may consider mental state screening for all newly diagnosed diabetic children to identify those at risk of cognitive sequelae.
机译:基本的认知状态或精神状态的背景筛查测试已显示出可以预测成人的死亡率和功能结局。这项研究检查了1型糖尿病儿童的心理状态与预后之间的关系。目的我们旨在确定诊断时的精神状态是否可以预测患有1型糖尿病新诊断的儿童的长期认知功能。方法使用学年筛查测试评估新诊断为1型糖尿病的87例患者的心理状态。诊断后1周和6个月使用注意力,记忆力和智力的标准化测试评估认知能力。结果三十七名儿童(42.5%)在诊断时精神状态下降。精神状态受损的儿童在诊断后一周内的注意力和记忆力较差,并且在控制了可能的混杂因素之后,与精神状态未受损的儿童相比,6个月时的智商显着降低(p <0.05)。结论在许多刚诊断为1型糖尿病的儿童中,认知能力急剧下降。精神状态筛查是一种在诊断后数天和数月内识别有持续认知障碍风险的儿童的有效方法。临床医生可能会考虑对所有新诊断的糖尿病儿童进行精神状态筛查,以识别有认知后遗症风险的儿童。

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