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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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2022-07-01
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5462 |
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| author | Jorge Luis Anaya González Francisco López-Muñoz Erlen Carmona Alvarez-Builla Adriana Edit Miniet Castillo Laudelina Moreira Tusell |
| author_facet | Jorge Luis Anaya González Francisco López-Muñoz Erlen Carmona Alvarez-Builla Adriana Edit Miniet Castillo Laudelina Moreira Tusell |
| author_sort | Jorge Luis Anaya González |
| collection | DOAJ |
| description | <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> |
| format | Article |
| id | doaj-art-649002f606ae41e7b73c3a94b6b5dfa9 |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2022-07-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-649002f606ae41e7b73c3a94b6b5dfa92025-01-30T21:28:59ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2022-07-012046076162157Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosisJorge Luis Anaya González0Francisco López-Muñoz1Erlen Carmona Alvarez-Builla2Adriana Edit Miniet Castillo3Laudelina Moreira Tusell4Universidad Camilo José Cela. MadridUniversidad Camilo José Cela. MadridUniversidad Técnica del Norte. IbarraUniversidad Técnica del Norte. IbarraHospital del Instituto Ecuatoriano de Seguridad Social. Ibarra<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>http://medisur.sld.cu/index.php/medisur/article/view/5462pronósticoneurocisticercosisneuroimagendemenciapruebas de estado mental y demencia |
| spellingShingle | Jorge Luis Anaya González Francisco López-Muñoz Erlen Carmona Alvarez-Builla Adriana Edit Miniet Castillo Laudelina Moreira Tusell Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis Medisur pronóstico neurocisticercosis neuroimagen demencia pruebas de estado mental y demencia |
| title | Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis |
| title_full | Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis |
| title_fullStr | Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis |
| title_full_unstemmed | Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis |
| title_short | Proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis |
| title_sort | proposal for a predictive scale of cognitive impairment in adult patients with neurocysticercosis |
| topic | pronóstico neurocisticercosis neuroimagen demencia pruebas de estado mental y demencia |
| url | http://medisur.sld.cu/index.php/medisur/article/view/5462 |
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