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2017, Number 1

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Gaceta Médica Espirituana 2017; 19 (1)

Characterization of geriatric patients with vascular dementia. Sancti Spíritus

Pérez RM, García ZJJ, Martínez BEJ, Valdivia CS, Borroto CI, Pedraza NH
Full text How to cite this article

Language: Spanish
References: 24
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Key words:

cerebrovascular disease, cerebral stroke, vascular dementia, aged, degree of dependence.

ABSTRACT

Background: Vascular dementia is a disabling condition in aged. Objective: To characterize the geriatric patients suffering from vascular dementia, attended at the cerebrovascular disease clinic of the General Provincial Hospital "Camilo Cienfuegos" from Sancti Spíritus. Methodology: A descriptive study was carried out in 102 patients with vascular dementia from a population of 621 aged from January 2008 to December 2012. The time of evolution between cerebrovascular disease and the appearance of dementia was determined. Topography of the stroke, extent and degree of dependence; as well as the age and color of the skin. Results: Male patients (66.7 %) and those with black skin (81.4 %) predominated. There was a slight influx in those who developed the disease between 3 and 5 years (46.1 %). Cortical (77.5 %) and multiple (75.5 %) strokes were the majority, and patients with validation impairment predominated (56.9 %). Conclusions: The clinical spectrum is the fundamental tool in the diagnosis and management of patients with vascular dementia, where the time of evolution and race are relevant, but not the imaging studies that require more detailed investigations.


REFERENCES

  1. Reiman EM. Alzheimer's disease and other dementias: advances in 2013. Lancet Neurol [Internet]. 2014 Jan [cited: 2016/11/18];13(1):3-5. Available from: http://www.sciencedirect.com/science?_ob=PdfExcerptURL&_imagekey=1-s2.0-S1474442213702576-main.pdf&_piikey=S1474442213702576&_cdi=272647&_orig=article&_zone=centerpane&_fmt=abst&_eid=1-s2.0-S1474442213702576&_user=12977074&md5=c47db372d53bfda5d918e052a4cdb8cf&ie=/excerpt.pdf

  2. Knopman DS, Jack CR, Wiste HJ. Short-term clinical outcomes for stages of NIA-AA preclinical Alzheimer disease. Neurology [Internet]. 2012 May [cited: 2016/11/18];78(20):1576-82. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3348848/

  3. Samarasekera N, Al-Shahi Salman R, Huitinga I, Klioueva N, McLean CA, Kretzschmar H. et al. Brain banking for neurological disorders. Lancet Neurol. 2013 Nov;12(11):1096-105. Available from: http://www.sciencedirect.com/science/article/pii/S1474442213702023

  4. Ballard C, Corbett A, Jones EL. Dementia: challenges and promising developments. Lancet Neurol [Internet]. 2011 Jan [cited: 2016/11/18]; 10(1):7-9.Available from: http://www.sciencedirect.com/science/article/pii/S1474442210703045

  5. Rossor MN, Fox NC, Mummery CJ, Schott JM, Warren JD. The diagnosis of young-onset dementia. Lancet Neurol [Interne]. 2010 Aug [cited: 2016/11/ 10];9(8):793-806. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947856/

  6. Mangialasche F, Solomon A, Winblad B, Mecocci P, Kivipelto M. Alzheimer's disease: clinical trials and drug development. Lancet Neurol [Interne]. 2010 Jul [cited: 2016/11/ 10]; 9(7):702-16. Available from: http://www.sciencedirect.com/science/article/pii/S1474442210701198

  7. Vos S, Xiong Ch, Jelle Visser P, Jasielec MS, Hassenstab J, et al. Preclinical Alzheimer's disease and its outcome: a longitudinal cohort study. Lancet Neurol [Interne]. 2013 Oct [cited: 2016/11/ 10];12(10):957-65. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3904678/.

  8. Formiga F, Fort I, Robles MJ, Riu S, Rodríguez D, Sabartes O. Aspectos diferenciales de comorbilidad en pacientes ancianos con demencia tipo Alzheimer o con demencia vascular. Rev Neurol [Internet]. 2008 Ene [citado:2016/11/10];46(2):72-76. Available from: http://pesquisa.bvsalud.org/bvsvs/resource/es/ibc-65956

  9. Boxer AL, Knopman DS, Kaufer, Grossman M, Onyike Ch, et al. Memantine in patients with frontotemporal lobar degeneration: a multicentre, randomised, double-blind, placebo-controlled trial. Rev Neurol [Internet]. 2008 Ene [citado:2016/11/10];46(2):72-76. Available from: http://pesquisa.bvsalud.org/bvsvs/resource/es/ibc-65956

  10. Hennerici M. What are the mechanisms for post-stroke dementia? Lancet Neurol [Interne]. 2009 Nov [citado: 2016/11/10];8(11):973–975. Available from: http://thelancet.com/journals/laneur/article/PIIS1474-4422(09)70261-3/fulltext

  11. Vellas B1, Coley N, Ousset PJ, Berrut G, Dartigues JF, Dubois B, et al. Long-term use of standardised ginkgo biloba extract for the prevention of Alzheimer's disease (GuidAge): a randomised placebo-controlled trial. Lancet Neurol [Interne]. 2012 Oct ;11 [citado: 2016/11/10]; (10):851-9. Available from: http://www.sciencedirect.com/science/article/pii/S1474442212702065

  12. Barnes DE, Yaffe K. The projected effect of risk factor reduction on Alzheimer's disease prevalence. Lancet Neurol [Interne]. . 2011 Sep [cited: 2016/11/10];10(9):819-28 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647614/

  13. Pendlebury ST, Rothwell PM. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol [Internet]. 2009 Nov [cited: 2016/11/10];8(11):1006-18. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19782001

  14. Ávila M, Roca AC, Blanco K. Manejo en la atención primaria de personas con deterioro cognitivo. Correo Científico Médico de Holguín [Internet]. 2007 [citado: 2016/11/13];11(4 Suppl.1). Disponible en: http://www.cocmed.sld.cu/no114sp/ns114rev5.htm

  15. Formiga F, Fort I, Robles MJ, Barranco E, Espinosa MC, Riu S. Aspectos comorbilidad en pacientes ancianos con demencia. Diferencias por edad y género. Rev Clin Esp [Internet]. 2007 [citado: 2016/11/13]; 207(10):495-500. Disponible en: http://www.revclinesp.es/es/aspectos-comorbilidad-pacientes-ancianos-con/articulo/13111547/

  16. Pérez M. Las intervenciones dirigidas a los cuidadores de los adultos mayores con Enfermedad de Alzheimer. Rev haban cienc méd [Internet]. 2008 Jul-sep [Citado: 2015 /11/15]; 7(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2008000300009

  17. Whitmer RA, Mayeda ER, Quesenberry CP, Glymou WL. Ethnic and racial disparities in ten-year cumulative prevalence of dementia and alzheimer's disease. Alzheimer's and Dementia [Internet]. 2014 July [cited: 2016/11/13];10(4):152. Available from: http://www.alzheimersanddementia.com/article/S1552-5260(14)00249-0/pdf

  18. Martín Carrasco Martín M Actualización en el manejo de las demencias en atención primaria. Monográfico- Salud mental en atención primaria. Jano Extra de octubre n.º 1.714;2008. Disponible en: http://www.sld.cu/galerias/pdf/sitios/gericuba/actualizacion_demencia_en_aps.pdf

  19. Smith E, Schneider JA, Wardlaw JM, Greenberg SM. Cerebral microinfarcts: the invisible lesions. Lancet Neurol [Internet]. 2012 Mar [cited: 2016/11/13];11(3):272-82. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359329/

  20. Rodríguez García PL. Examen clínico del paciente con ictus. Rev Cubana Neurol Neurocir [Internet]. 2011 [citado: 2016/11/13];1(1):74–89.Disponible en: https://dialnet.unirioja.es/descarga/articulo/4790508.pdf

  21. Romero Cabrera AJ. Asistencia clínica al adulto mayor. La Habana: Editorial Ciencia Médicas; 2012. Disponible en: http://www.bvs.sld.cu/libros/asistencia_clinica_adulto_mayor/asistencia_clinica_completo.pdf

  22. Espín A. Escuela de Cuidadores como programa psicoeducativo para cuidadores informales de adultos mayores con demencia. Rev Cubana Salud Pública [Internet]. [citado: 2016 jun 11];35(2). Disponible from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662009000200019

  23. Romero AJ, Fernández E, López J, Sust J, Cordero JR. Actualización en diagnóstico y manejo de las demencias. Aportes prácticos en nuestro contexto. Revista Finlay [Internet]. 2012 [citado: 2016 Mar 16]; 2(1):55. Disponible en: http://www.revfinlay.sld.cu/index.php/finlay/article/view/76/1271

  24. Da Costa L, Brum AK. Chaves SP, Peçanha da Cruz TJ, Silva de Andrade F. Programa para cuidadores de ancianos con demencia: Un relato de experiencia. Enferm glob [Internet]. 2011[citado 2016/11/13];10(22).Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412011000200016




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