Avaliação dos fatores preditores de comprometimento cognitivo em pacientes atendidos no serviço de geriatria de um hospital universitário no nordeste brasileiro
DOI:
https://doi.org/10.47385/cadunifoa.v19.n54.4993Keywords:
Declínio cognitivo normal, Comprometimento cognitivo, Demência, Fatores preditoresAbstract
Cognitive changes are common throughout old age. Identifying the fine line between cognitive decline and cognitive impairment (CI) is a major challenge. The presence of cognitive predictors may help us in the evaluation, through a specific screening test, of elderly people with cognitive impairment, treated at the geriatrics service of the University Hospital of the Federal University of Maranhão, which is the objective of this study. This is a cross-sectional, descriptive and quantitative study through the review of 251 medical records with collection of demographic, clinical and therapeutic information, as well as comprehensive geriatric assessment (CGA). According to the criteria of this research, 213 records were excluded. Using the 10-point Cognitive Screener (10-CS) cognitive screening instrument, we identified 20 patients without cognitive impairment (CI) and 18, suggestive of CI. All patients with CI were independent in activities of daily living (ADLs), being classified as having mild cognitive impairment (MCI). In these patients, the predictors of age, education, altered sleep and other comorbidities demonstrated statistical significance (p<0.05). The identification of these patients in this geriatrics service brings us the possibility of preventive interventions and control of cognitive predictors through interdisciplinary actions that could help prevent the progression of decline and promote neuropsychological rehabilitation.
Keywords: Normal cognitive decline; Cognitive impairment; Dementia; Predicting factors.
Downloads
References
ALJEAIDI, Muhamad S.; TAN, Edwin CK. The association between polypharmacy and cognitive ability in older adults: A national cohort study. Research in Social and Administrative Pharmacy, [S. l.], v. 18, n. 3, p. 2505–2509, 2022. DOI: 10.1016/j.sapharm.2021.04.018. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S1551741121001595.
APOLINARIO, Daniel; LICHTENTHALER, Daniel Gomes; MAGALDI, Regina Miksian; SOARES, Aline Thomaz; BUSSE, Alexandre Leopold; DAS GRACAS AMARAL, Jose Renato; JACOB-FILHO, Wilson; BRUCKI, Sonia Maria Dozzi. Using temporal orientation, category fluency, and word recall for detecting cognitive impairment: the 10-point cognitive screener (10-CS). International Journal of Geriatric Psychiatry, [S. l.], v. 31, n. 1, p. 4–12, 2016. DOI: 10.1002/gps.4282. Disponível em: https://onlinelibrary.wiley.com/doi/10.1002/gps.4282.
AUBIN, Gabrielle; PHILLIPS, Natalie; JAISWAL, Atul; JOHNSON, Aaron Paul; JOUBERT, Sven; BACHIR, Vanessa; KEHAYIA, Eva; WITTICH, Walter. Visual and cognitive functioning among older adults with low vision before vision rehabilitation: A pilot study. Frontiers in Psychology, [S. l.], v. 14, 2023. DOI: 10.3389/fpsyg.2023.1058951.
BERNARDIN, Florent; MAHEUT-BOSSER, Anne; PAILLE, François. Cognitive impairments in alcohol-dependent subjects. Frontiers in PsychiatryFrontiers Research Foundation, , 2014. DOI: 10.3389/fpsyt.2014.00078.
CAFFÒ, Alessandro Oronzo; SPANO, Giuseppina; TINELLA, Luigi; LOPEZ, Antonella; RICCIARDI, Elisabetta; STASOLLA, Fabrizio; BOSCO, Andrea. The Prevalence of Amnestic and Non-Amnestic Mild Cognitive Impairment and Its Association with Different Lifestyle Factors in a South Italian Elderly Population. International Journal of Environmental Research and Public Health, [S. l.], v. 19, n. 5, 2022. DOI: 10.3390/ijerph19053097.
CASANOVA, Ramon; SALDANA, Santiago; LUTZ, Michael W.; PLASSMAN, Brenda L.; KUCHIBHATLA, Maragatha; HAYDEN, Kathleen M. Investigating Predictors of Cognitive Decline Using Machine Learning. The Journals of Gerontology: Series B, [S. l.], v. 75, n. 4, p. 733–742, 2020. DOI: 10.1093/geronb/gby054.
CÉSAR-FREITAS, Karolina Gouveia et al. Follow-up of participants with subjective cognitive decline from Tremembé epidemiologic study, Brazil. Dementia & Neuropsychologia, [S. l.], v. 17, 2023. DOI: 10.1590/1980-5764-dn-2022-0064. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642023000100308&tlng=en.
DIAS, Bruno Meireles; MELO, Denise Mendonça De. Avaliação neuropsicológica e demências em idosos: uma revisão da literatura. Cadernos de Psicologia, [S. l.], v. 2, n. 3, p. 64–84, 2020. Disponível em: http://seer.uniacademia.edu.br/index.php/cadernospsicologia/article/view/2624.
DOMINGUEZ, Ligia J.; VERONESE, Nicola; VERNUCCIO, Laura; CATANESE, Giuseppina; INZERILLO, Flora; SALEMI, Giuseppe; BARBAGALLO, Mario. Nutrition, physical activity, and other lifestyle factors in the prevention of cognitive decline and dementia. NutrientsMDPI, , 2021. DOI: 10.3390/nu13114080.
EGUCHI, Yoko; MATSUMOTO, Sachiko; NIIMURA, Hidehito. Cognitive function and independence in the oldest-old: review study based on aging in place. PSYCHOLOGIA, [S. l.], v. 65, n. 1, p. 2022-B029, 2023. DOI: 10.2117/psysoc.2022-B029. Disponível em: https://www.jstage.jst.go.jp/article/psysoc/65/1/65_2022-B029/_article.
EL HARSI, EL Mahjoub; BENKSIM, Abdelhafid; CHERKAOUI, Mohamed. Cognitive complaints in older adults in primary care and associated factors. Dementia e Neuropsychologia, [S. l.], v. 17, 2023. DOI: 10.1590/1980-5764-DN-2022-0096.
RABELO, Doris Firmino. Comprometimento Cognitivo Leve em Idosos: avaliação, fatores associados e possibilidades de intervenção. Revista Kairós Gerontologia, São Paulo, v. 12, n. 2, p. 65–79, 2009. DOI: https://doi.org/10.23925/2176-901X.2009v12i2p%25p.
FORLENZA, Orestes V.; DINIZ, Breno S.; STELLA, Florindo; TEIXEIRA, Antonio L.; GATTAZ, Wagner F. Mild cognitive impairment (part 1): Clinical characteristics and predictors of dementia. Revista Brasileira de Psiquiatria, [S. l.], v. 35, n. 2, p. 178–185, 2013. DOI: 10.1590/1516-4446-2012-3503.
FUENTES, Daniel; MALLOY-DINIZ, Leandro F.; CAMARGO, Candida Helena Pires De; COSENZA, Ramon M. Neuropsicologia Teoria e Prática. 2. ed. Porto Alegre: Artmed, 2014.
GAO, Fan et al. Sleep disturbance is associated with mild cognitive impairment: a community population-based cross-sectional study. BMC Public Health, [S. l.], v. 22, n. 1, 2022. DOI: 10.1186/s12889-022-14391-3.
HILL, Nikki L.; BHARGAVA, Sakshi; BROWN, Monique J.; KIM6, Hyejin; BHANG, Iris; MULLIN, Kaitlyn; PHILLIPS, Kathleen; MOGLE, Jacqueline. Cognitive complaints in age-related chronic conditions: A systematic review. PLoS ONE, [S. l.], v. 16, n. 7 July, 2021. DOI: 10.1371/journal.pone.0253795.
JIAO, Dandan et al. Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships. Healthcare, [S. l.], v. 11, n. 13, p. 1933, 2023. DOI: 10.3390/healthcare11131933. Disponível em: https://www.mdpi.com/2227-9032/11/13/1933.
JONGSIRIYANYONG, Sukanya; LIMPAWATTANA, Panita. Mild Cognitive Impairment in Clinical Practice: A Review Article. American Journal of Alzheimer’s Disease and other DementiasSAGE Publications Inc., , 2018. DOI: 10.1177/1533317518791401.
KHEZRIAN, Mina; MCNEIL, Christopher J.; MYINT, Phyo K.; MURRAY, Alison D. The association between polypharmacy and late life deficits in cognitive, physical and emotional capability: a cohort study. International Journal of Clinical Pharmacy, [S. l.], v. 41, n. 1, p. 251–257, 2019. DOI: 10.1007/s11096-018-0761-2.
KRYSCIO, R. J.; SCHMITT, F. A.; SALAZAR, J. C.; MENDIONDO, M. S.; MARKESBERY, W. R. Risk factors for transitions from normal to mild cognitive impairment and dementia. Neurology, [S. l.], v. 66, n. 6, p. 828–832, 2006. DOI: 10.1212/01.wnl.0000203264.71880.45. Disponível em: https://www.neurology.org/doi/10.1212/01.wnl.0000203264.71880.45.
LIVINGSTON, Gill et al. Dementia prevention, intervention, and care. The LancetLancet Publishing Group, , 2017. DOI: 10.1016/S0140-6736(17)31363-6.
MA, Yanjun; LIANG, Lirong; ZHENG, Fanfan; SHI, Le; ZHONG, Baoliang; XIE, Wuxiang. Association between Sleep Duration and Cognitive Decline. JAMA Network Open, [S. l.], v. 3, n. 9, p. E2013573, 2020. DOI: 10.1001/jamanetworkopen.2020.13573.
MACHADO, Juliana Costa; RIBEIRO, Rita de Cássia Lanes; COTTA, Rosângela Minardi Mitre; LEAL, Paulo Fernando da Glória. Declínio cognitivo de idosos e sua associação com fatores epidemiológicos em Viçosa, Minas Gerais. Revista Brasileira de Geriatria e Gerontologia, [S. l.], v. 14, n. 1, p. 109–121, 2011. DOI: 10.1590/S1809-98232011000100012.
MURMAN, Daniel. The Impact of Age on Cognition. Seminars in Hearing, [S. l.], v. 36, n. 03, p. 111–121, 2015. DOI: 10.1055/s-0035-1555115. Disponível em: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1555115.
PAULA, Tereza Cristina Martins De; MARQUES, Ana Paula de Oliveira; LEAL, Márcia Carrera Campos; CAVALCANTI, Belvania Ramos Ventura da Silva. Prevalência e fatores associados ao declínio cognitivo em idosos longevos assistidos na saúde suplementar. International Journal of Development Research, [S. l.], v. 15, n. 3, p. 57947–57951, 2022. DOI: 10.37118/ijdr.25051.08.2022. Disponível em: https://www.journalijdr.com/sites/default/files/issue-pdf/25051.pdf.
RANDHI, Bhawna et al. Sleep Disorders in Mild Cognitive Impairment. Cureus, [S. l.], 2023. DOI: 10.7759/cureus.36202.
R
OBERTS, Rosebud O.; CHA, Ruth H.; MIELKE, Michelle M.; GEDA, Yonas E.; BOEVE, Bradley F.; MACHULDA, Mary M.; KNOPMAN, David S.; PETERSEN, Ronald C. Risk and protective factors for cognitive impairment in persons aged 85 years and older. Neurology, [S. l.], v. 84, n. 18, p. 1854–1861, 2015. DOI: 10.1212/WNL.0000000000001537. Disponível em: https://www.neurology.org/doi/10.1212/WNL.0000000000001537.
SABIA, Séverine; ELBAZ, Alexis; DUGRAVOT, Aline; HEAD, Jenny; SHIPLEY, Martin; HAGGER-JOHNSON, Gareth; KIVIMAKI, Mika; SINGH-MANOUX, Archana. Impact of smoking on cognitive decline in early old age: The Whitehall II cohort study. Archives of General Psychiatry, [S. l.], v. 69, n. 6, p. 627–635, 2012. DOI: 10.1001/archgenpsychiatry.2011.2016.
SACHDEVA, Ankur; CHANDRA, Mina; CHOUDHARY, Mona; DAYAL, Prabhoo; ANAND, Kuljeet Singh. Alcohol-related dementia and neurocognitive impairment: A review study. International Journal of High Risk Behaviors and AddictionKowsar Medical Institute, , 2016. DOI: 10.5812/ijhrba.27976.
SCHENKMAN, Margaret L.; BOWMAN, James P.; GISBERT, Robyn L.; BUTLER, Russell B. Neurociência clínica e reabilitação. Barueri, SP: Manole, 2016.
SHAIK, Muhammad Amin; CHAN, Qun Lin; XU, Jing; XU, Xin; HUI, Richard Jor Yeong; CHONG, Steven Shih Tsze; CHEN, Christopher Li-Hsian; DONG, YanHong. Risk Factors of Cognitive Impairment and Brief Cognitive Tests to Predict Cognitive Performance Determined by a Formal Neuropsychological Evaluation of Primary Health Care Patients. Journal of the American Medical Directors Association, [S. l.], v. 17, n. 4, p. 343–347, 2016. DOI: 10.1016/j.jamda.2015.12.007. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S1525861015007562.
SMID, Jerusa et al. Declínio cognitivo subjetivo, comprometimento cognitivo leve e demência - diagnóstico sindrômico: recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Dementia & Neuropsychologia, [S. l.], v. 16, n. 3 suppl 1, p. 1–24, 2022. DOI: 10.1590/1980-5764-dn-2022-s101pt.
VANZELER, Maria Luzinete Alves. Neuropsicologia e diagnóstico diferencial nos declínios cognitivos e processos demenciais no idoso. Revista Científica Multidisciplinar Núcleo do Conhecimento, [S. l.], p. 30–54, 2020. DOI: 10.32749/nucleodoconhecimento.com.br/psicologia/declinios-cognitivos.
VARADARAJ, Varshini; MUNOZ, Beatriz; DEAL, Jennifer A.; AN, Yang; ALBERT, Marilyn S.; RESNICK, Susan M.; FERRUCCI, Luigi; SWENOR, Bonnielin K. Association of Vision Impairment with Cognitive Decline across Multiple Domains in Older Adults. JAMA Network Open, [S. l.], v. 4, n. 7, 2021. DOI: 10.1001/jamanetworkopen.2021.17416.
WESTRA, Henny A. Comparing the predictive capacity of observed in-session resistance to self-reported motivation in cognitive behavioral therapy. Behaviour Research and Therapy, [S. l.], v. 49, n. 2, p. 106–113, 2011. DOI: 10.1016/j.brat.2010.11.007. Disponível em: http://dx.doi.org/10.1016/j.brat.2010.11.007.
ZHANG, Jing Jing; WU, Zhao Xia; TAN, Wei; LIU, Dan; CHENG, Gui Rong; XU, Lang; HU, Fei Fei; ZENG, Yan. Associations among multidomain lifestyles, chronic diseases, and dementia in older adults: a cross-sectional analysis of a cohort study. Frontiers in Aging Neuroscience, [S. l.], v. 15, 2023. DOI: 10.3389/fnagi.2023.1200671.
ZHENG, Hui; CAGNEY, Kathleen; CHOI, Yoonyoung. Predictors of cognitive functioning trajectories among older Americans: A new investigation covering 20 years of age- and non-age-related cognitive change. PLOS ONE, [S. l.], v. 18, n. 2, p. e0281139, 2023. DOI: 10.1371/journal.pone.0281139.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Cadernos UniFOA
![Creative Commons License](http://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Declaração de Transferência de Direitos Autorais - Cadernos UniFOA como autor(es) do artigo abaixo intitulado, declaro(amos) que em caso de aceitação do artigo por parte da Revista Cadernos UniFOA, concordo(amos) que os direitos autorais e ele referentes se tornarão propriedade exclusiva desta revista, vedada qualquer produção, total ou parcial, em qualquer outra parte ou meio de divulgação, impressa ou eletrônica, sem que a prévia e necessária autorização seja solicitada e, se obtida, farei(emos) constar o agradecimento à Revista Cadernos UniFOA, e os créditos correspondentes. Declaro(emos) também que este artigo é original na sua forma e conteúdo, não tendo sido publicado em outro periódico, completo ou em parte, e certifico(amos) que não se encontra sob análise em qualquer outro veículo de comunicação científica.
O AUTOR desde já está ciente e de acordo que:
- A obra não poderá ser comercializada e sua contribuição não gerará ônus para a FOA/UniFOA;
- A obra será disponibilizada em formato digital no sítio eletrônico do UniFOA para pesquisas e downloads de forma gratuita;
- Todo o conteúdo é de total responsabilidade dos autores na sua forma e originalidade;
- Todas as imagens utilizadas (fotos, ilustrações, vetores e etc.) devem possuir autorização para uso;
- Que a obra não se encontra sob a análise em qualquer outro veículo de comunicação científica, caso contrário o Autor deverá justificar a submissão à Editora da FOA, que analisará o pedido, podendo ser autorizado ou não.
O AUTOR está ciente e de acordo que tem por obrigação solicitar a autorização expressa dos coautores da obra/artigo, bem como dos professores orientadores antes da submissão do mesmo, se obrigando inclusive a mencioná-los no corpo da obra, sob pena de responder exclusivamente pelos danos causados.