A prospective comparison of the AUSDRISK and HbA1c for persons with spinal cord injury

Field	Value	Language
dc.contributor.author	Jannings, W	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.date.issued	2016-03-01	en_US
dc.identifier.citation	Australian Journal of Advanced Nursing, 2016, 33 (3), pp. 13 - 20	en_US
dc.identifier.issn	0813-0531	en_US
dc.identifier.uri	http://hdl.handle.net/10453/120294
dc.description.abstract	© 2016, Australian Nursing Federation. All rights reserved. Objective The primary object of this study was to determine the validity of the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) for predicting the development of type 2 diabetes in persons with spinal cord injury (SCI). Design and setting The prospective comparative study (December 2013-March 2014) collected data on AUSDRISK and haemoglobin A1c (HbA1c) in participants’ homes. Participants Participation rate was 67% (n=79). Study criteria: over 18 years of age, a SCI for more than 12 months, living at home, wheelchair dependant and no diabetes diagnosis. Main outcome measures AUSDRISK sensitivity and specificity in predicting incident type 2 diabetes in persons with SCI. Results Of the 79 participants, 81% were male, mean age was 53 years (SD 14.14) with 23.2years (median 23; SD +/- 13.2yrs) since injury. There was a positive correlation between length of time since SCI and risk score (AUSDRISK) (r =. 242, p =. 032). Participants with high AUSDRISK scores had higher HbA1c% (5.38 versus 5.2, p =. 026) level. The high risk classification explained a moderate amount of HbA1c % (area under curve =. 651; 95% CI. 53 -. 77). The level of HbA1c which had the highest sensitivity (.59) and specificity (.73) for risk classification was 5.25%. Waist circumference and physical activity items require further powered studies to determine if appropriately weighted. Conclusion Comparing the AUSDRISK with HbA1c assays, the AUSDRISK can predict type 2 diabetes risk in a person with SCI, although further powered studies are needed to be undertaken, to refine the predictive capacity of the tool.	en_US
dc.relation.ispartof	Australian Journal of Advanced Nursing	en_US
dc.subject.classification	Nursing	en_US
dc.title	A prospective comparison of the AUSDRISK and HbA1c for persons with spinal cord injury	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	33	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	33	en_US

Abstract:

© 2016, Australian Nursing Federation. All rights reserved. Objective The primary object of this study was to determine the validity of the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) for predicting the development of type 2 diabetes in persons with spinal cord injury (SCI). Design and setting The prospective comparative study (December 2013-March 2014) collected data on AUSDRISK and haemoglobin A1c (HbA1c) in participants’ homes. Participants Participation rate was 67% (n=79). Study criteria: over 18 years of age, a SCI for more than 12 months, living at home, wheelchair dependant and no diabetes diagnosis. Main outcome measures AUSDRISK sensitivity and specificity in predicting incident type 2 diabetes in persons with SCI. Results Of the 79 participants, 81% were male, mean age was 53 years (SD 14.14) with 23.2years (median 23; SD +/- 13.2yrs) since injury. There was a positive correlation between length of time since SCI and risk score (AUSDRISK) (r =. 242, p =. 032). Participants with high AUSDRISK scores had higher HbA1c% (5.38 versus 5.2, p =. 026) level. The high risk classification explained a moderate amount of HbA1c % (area under curve =. 651; 95% CI. 53 -. 77). The level of HbA1c which had the highest sensitivity (.59) and specificity (.73) for risk classification was 5.25%. Waist circumference and physical activity items require further powered studies to determine if appropriately weighted. Conclusion Comparing the AUSDRISK with HbA1c assays, the AUSDRISK can predict type 2 diabetes risk in a person with SCI, although further powered studies are needed to be undertaken, to refine the predictive capacity of the tool.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/43966