Deterioro cognitivo en pacientes con enfermedad coronaria: relación con variables clínicas / Cognitive impairment in patients with coronary disease: Relationship with clinical variables
Med. clín (Ed. impr.)
; 143(3): 109-112, ago. 2014. tab
Article
in Spanish
| IBECS
| ID: ibc-125539
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Fundamentos y objetivo:
La enfermedad coronaria puede actuar como factor de riesgo cognitivo. Se ha estudiado en pacientes programados para cirugía coronaria la presencia de deterioro cognitivo leve disejecutivo. Pacientes ymétodo:
Se ha evaluado en 35 pacientes la función ejecutiva (Trail Making Test). Se clasificaron en grupos con rendimiento normal o con deterioro, estudiándose su relación con otras variables (Mann-Whitney, ji al cuadrado y análisis de regresión múltiple).Resultados:
El grupo con deterioro disejecutivo (n = 7; 20%) presentó mayor grado de angina (odds ratio [OR] 1,4, intervalo de confianza del 95% [IC 95%] 1,1-2,6; p = 0,04), enfermedad de 3 vasos (OR 1,3, IC 95% 1,08-3,6; p = 0,04) e índice de masa corporal (OR 1,56, IC 95% 1,16-3,65; p = 0,03), y menor presión arterial diastólica (OR 1,56, IC 95% 1,2-2,98; p = 0,02), hemoglobina (OR 2,03, IC 95% 1,18-4,05; p = 0,02) y hematocrito (OR 2,45, IC 95% 1,67-3,99; p < 0,001); estas variables resultaron significativas del rendimiento en el test como variable dependiente (R2 = 0,62).Conclusiones:
Se muestra una importante prevalencia de deterioro cognitivo leve disejecutivo asociado a factores de riesgo cardiovascular. Se recomienda realizar una valoración cognitiva prequirúrgica y un seguimiento posterior por las posibles complicaciones neurológicas posquirúrgicas (AU)ABSTRACT
Background and objectives:
Coronary disease has been associated with cognitive disorders. We studied the presence of dysexecutive mild cognitive impairment in patients scheduled for coronary surgery. Patients andmethods:
The executive function of 35 patients was evaluated (Trail Making Test). They were classified into 2 groups normal performance or cognitive impairment, and we assessed the relationship with others variables (Mann-Whitney, chi-square and multiple regression analysis).Results:
The dysexecutive cognitive impairment group (n = 7; 20%) showed greater degree of angina (odds ratio [OR] 1.4, 95% confidence interval [95% CI] 1.1-2.6; P = .04), 3-vessels coronary artery disease (OR 1.3, 95% CI 1.08-3.6; P = .04) and body mass index (OR 1.56, 95% CI 1.16-3.65; P = .03) and lower diastolic blood pressure (OR 1.56, 95% CI 1.2-2.98; P = .02), hemoglobin (OR 2.03, 95% CI 1.18-4.05; P = .02) and hematocrit (OR 2.45, 95% CI 1.67-3.99; P < .001); these variables proved to be significant in the test performance considered as a dependent variable (R2 = 0.62).Conclusions:
We found a significant prevalence of dysexecutive mild cognitive impairment, which was associated with cardiovascular risk factors. We recommend assessment and monitoring of cognitive performance for probable neurological complications after cardiac surgery (AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Cognition Disorders
/
Coronary Disease
/
Cognitive Dysfunction
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Med. clín (Ed. impr.)
Year:
2014
Document type:
Article
Institution/Affiliation country:
Hospital Comarcal de La Axarquía/España
/
Hospital Regional Universitario Carlos Haya/España
/
Hospital Universitario Virgen de la Victoria/España
/
Universidad de Málaga/España