2024, Number 06
Cognitive impairment and level of functional disability in patients with history of cerebral vascular event, in the UMF62
Full text
Language: Spanish
References: 16
Page:
PDF size: 166.24 Kb.
ABSTRACT
Introduction: In Mexico, cerebrovascular disease affects 118 individuals per 100,000 inhabitants per year, making it the second leading cause of death and the primary cause of disability in Latin American countries. Therefore, my objective is to estimate the association between cognitive impairment and the level of disability in patients with a history of cerebrovascular events.Methods: An observational, analytical, cross-sectional, and prospective study was conducted on a sample of 115 patients selected through non-probabilistic convenience sampling, which was non-randomized. Patients diagnosed with cerebrovascular disease, affiliated with UMF62, of both sexes, who had provided informed consent, were included. A descriptive analysis of qualitative and quantitative variables was performed, along with an inferential analysis of cognitive impairment and functional disability variables using the Mann-Whitney U test, with a significance level set at p=<0.05.
Results: The presence of cognitive impairment resulted in a low level of physical dependence in 27.8% (32 patients), moderate in 18.3% (21 patients), severe in 3.5% (4 patients), and total in 6.1% (7 patients), compared to subjects without cognitive impairment inpatients with a history of cerebrovascular disease. Additionally, 2.6% (3 patients) showed independence.
Conclusions: It was concluded that the presence of diabetes mellitus and arterial hypertension are associated with a higher risk of presenting a degree of physical dependence secondary to cerebrovascular disease associated with cognitive impairment.
REFERENCES
Alessandro Lucas, Olmos Lisandro E, Bonamico Lucas, Muzio Diana M, Ahumada Martina H, Russo María Julieta et al. Rehabilitación multidisciplinaria para pacientes adultos con accidente cerebrovascular. Medicina (B. Aires) [Internet]. 2020 Febrero [citado el 13 abril 2024];80(1): 54-68. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S00257680202000010000&ng=es
Cañizares-Villalba MJ, Calderón-Salavarría K, Vásquez-Cedeño D. Mortalidad y discapacidad posterior a un primer episodio de enfermedad cerebrovascular en Guayaquil, Ecuador. Neurología argentina [Internet]. 2019 Mayo [citado el 13 abril 2024];11(2):61–6. Disponible en: http://dx.doi.org/10.1016/j.neuarg.2019.02.002
Li, Linxin. Risks of recurrent stroke and all serious vascular events after spontaneous intracerebral haemorrhage: pooled analyses of two population-based studies. The Lancet. Neurology [Internet]2021 Junio [citado el 13 abril 2024];20(6):437–47. Disponible en: http://dx.doi.org/10.1016/S1474-4422(21)00075-2
Flores-Sotres, M. Correlación entre la gravedad del evento vascular cerebral isquémico por la escala NI HSS y la discapacidad a las 24 horas y 30 días por la escala de Rankin en pacientes atendidos en el servicio de urgencias. Rev Educ Investig Emer [Internet] 2022 Marzo [citado el 13 abril 2024]; 4(2):151-156. Disponible en: http://dx.doi.org/10.24875/REIE.21000134
García Alfonso Carolina, Martínez Reyes Andrea, García Valentina, Ricaurte-Fajardo Andrés, Torres Isabel, Coral Juliana. Actualización en diagnóstico y tratamiento del ataque cerebrovascular isquémico agudo. Univ. Med.[Internet]. 2019 Septiembre [citado el 13 de Abril]; 60(3): 41-57. Disponible en:https://doi.org/10.11144/javeriana.umed60-3.actu
Choreño-Parra José Alberto, Carnalla-Cortés Martha, Guadarrama-Ortiz Parménides. Enfermedad vascular cerebral isquémica: revisión extensa de la bibliografía para el médico de primer contacto. Med. interna Méx.[revista en la Internet]. 2019 Febrero [citado el 13 de Abril];35(1): 61-79. Disponible en:https://doi.org/10.24245/mim.v35i1.2212
Meyer, B. C., & Lyden, P. D. The modified National Institutes of Health Stroke Scale: its time has come.International journal of stroke: official journal of the International Stroke Society, [Internet] 2009 [citado el 13 de Abril];4(4), 267–273.Disponible en:https://doi.org/10.1111/j.1747-4949.2009.00294.x
Sequeiros-Chirinos Joel Mario, Alva-Díaz Carlos A., Pacheco-Barrios Kevin, Huaringa-Marcelo Jorge, Huamaní Charles, Camarena-Flores Carla E. et al. Diagnóstico y tratamiento de la etapa aguda del accidente cerebrovascular isquémico: Guía de práctica clínica del Seguro Social del Perú (EsSalud). Acta Méd. Perú[Internet]. 2020 Enero [citadoel 13 de Abril];37(1): 54-73. Disponible en: http://dx.doi.org/10.35663/amp.2020.371.869