Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis
<p><strong>Background</strong>: cognitive impairment in patients with neurocysticercosis is frequent, therefore, it is very useful to have prognostic instruments to establish a better management of it.<br /><strong>Objective</strong>: to propose a predictive scale...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2022-07-01
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| Series: | Medisur |
| Subjects: | |
| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5462 |
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| Summary: | <p><strong>Background</strong>: cognitive impairment in patients with neurocysticercosis is frequent, therefore, it is very useful to have prognostic instruments to establish a better management of it.<br /><strong>Objective</strong>: to propose a predictive scale of cognitive impairment in adult patients with neurocysticercosis.<br /><strong>Methods</strong>: study with a correlational, prospective and cross-sectional design, which included 93 patients with neurocysticercosis. <span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="es" data-phrase-index="0" data-number-of-phrases="1"><span class="Q4iAWc">Through data provided by previous research, the variables related to the appearance of cognitive impairment were selected in the bivariate analysis (p<0.05).</span></span></span> As a multivariate analysis technique, a multidimensional scaling (PROXSCAL) was performed (s-stress < 0.001 and Tucker's congruence coefficient > 0.999). The prognostic performance of each of the variables was determined by means of sensitivity, specificity, and positive and negative predictive values, with their respective 9 5% confidence intervals.<br /><strong>Results</strong>: a scale with a dichotomous format was developed, which included 7 factors (4 clinical and 3 tomographic), with which a score of 0 to 7 points was obtained for the prediction of cognitive impairment in adult patients with neurocysticercosis, with a probability of: 0-1 point: 75.3 %; 2-3 points: 95 %; ≥ 4 points: 96 %.<strong><br />Conclusion</strong>: the proposed instrument has an acceptable prognostic accuracy; it is simple, reproducible and requires little time for its application. This score can improve the quality of care for patients with neurocysticercosis, since it allows guiding the management of this condition</p> |
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| ISSN: | 1727-897X |