糖尿病患者血糖管理不当导致微血管和大血管并发症,随后导致高发病率和死亡率。此外,糖尿病独立增加认知障碍并发痴呆的发生。有关认知障碍程度的科学证据将为确定医疗保健需求和规划有效的医疗保健服务提供坚实的基础。尽管如此,没有关于非洲糖尿病患者认知障碍患病率和相关因素的全面数据.
■为了确定这篇评论的相关文章,我们搜索了PubMed,科克伦图书馆,科学直接,非洲在线期刊,谷歌学者。提取后,数据被导入到Stata软件版本11(StataCorp.,TX,美国)进行进一步分析。随机效应模型,特别是DerSimonian和Laird(D+L)混合估计方法,由于所包括的文章之间的高度异质性而使用。使用Begg和Egger回归检验来确定发表偏倚的证据。还进行了亚组分析和敏感性分析以处理异质性。
■非洲糖尿病患者的认知障碍合并患病率为43.99%(95%CI:30.15-57.83,p<0.001)。根据我们的分析,小学教育水平[汇总比值比(POR)=6.08,95%CI:3.57-10.36,I2=40.7%],糖尿病控制不佳(POR=5.85,95%CI:1.64-20.92,I2=87.8%),年龄在60岁以上(POR=3.83,95%95%CI:1.36-10.79,I2=63.7%),糖尿病病程大于10年(POR=1.13;95%CI:1.07~1.19,I2=0.0%)是糖尿病患者认知损害的相关因素。
■根据我们的系统评价,糖尿病患者的认知障碍患病率很高(43.99%).发现认知障碍与小学教育水平等因素有关,糖尿病控制不佳,年龄在60岁以上,和糖尿病持续时间超过10年。开发合适的风险评估工具对于有效解决不受控制的高血糖至关重要。
■https://www.crd.约克。AC.英国/普劳里,标识符CRD42024561484。
UNASSIGNED: Inappropriate management of blood sugar in patients with diabetes mellitus leads to micro-vascular and macro-vascular complications, subsequently leading to high morbidity and mortality rates. In addition, diabetes independently increases the occurrence of cognitive impairment complicated by dementia. Scientific evidence on the magnitude of cognitive impairment will provide a sound basis for the determination of healthcare needs and the planning of effective healthcare services. Despite this, there are no comprehensive data on the prevalence and associated factors of cognitive impairment among patients with diabetes in Africa.
UNASSIGNED: To identify relevant articles for this
review, we searched PubMed, Cochrane Library, Science Direct, African Journals Online, and Google Scholar. After extraction, the data were imported into Stata software version 11 (Stata Corp., TX, USA) for further analysis. The random-effects model, specifically the DerSimonian and Laird (D+L) pooled estimation method, was used due to the high heterogeneity between the included articles. Begg\'s and Egger\'s regression tests were used to determine the evidence of publication bias. Sub-group analyses and sensitivity analyses were also conducted to handle heterogeneity.
UNASSIGNED: The pooled prevalence of cognitive impairment among patients with diabetes in Africa is found to be 43.99% (95% CI: 30.15-57.83, p < 0.001). According to our analysis, primary level of education [pooled odds ratio (POR) = 6.08, 95% CI: 3.57-10.36, I 2 = 40.7%], poorly controlled diabetes mellitus (POR = 5.85, 95% CI: 1.64-20.92, I 2 = 87.8%), age above 60 years old (POR = 3.83, 95% 95% CI: 1.36-10.79, I 2 = 63.7%), and diabetes duration greater than 10 years (POR = 1.13; 95% CI: 1.07-1.19, I 2 = 0.0%) were factors associated with cognitive impairment among patients with diabetes.
UNASSIGNED: Based on our systematic
review, individuals with diabetes mellitus exhibit a substantial prevalence rate (43.99%) of cognitive impairment. Cognitive impairment was found to be associated with factors such as primary level of education, poorly controlled diabetes mellitus, age above 60 years, and diabetes duration greater than 10 years. Developing suitable risk assessment tools is crucial to address uncontrolled hyperglycemia effectively.
UNASSIGNED: https://www.crd.york.ac.uk/prospero, identifier CRD42024561484.