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[对文章《老年人认知障碍的相关危险因素:横断面研究》的评论]

[Comment on article: "Risk factors associated with cognitive impairment in older adults: cross-sectional study"].

作者信息

Boyzo-Jimenez Carlos Gustavo, Melgoza-Toral Ipsae Edith

机构信息

Centro Médico ABC Santa Fe, Departamento de Geriatría. Ciudad de México, México.

Centro Médico ABC Santa Fe, Departamento de Medicina Preventiva. Ciudad de México, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2024 Mar 4;62(2):1-2. doi: 10.5281/zenodo.10711179.

DOI:10.5281/zenodo.10711179
PMID:39504389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129563/
Abstract

In patients with mild cognitive impairment, the activities of basic and instrumented daily living are preserved, this distinguishes it from major cognitive impairment. In the baseline state of the cross-sectional study on risk factors associated with cognitive impairment, patients with dependence in basic daily living activities were observed, so it is possible to incur an incorrect attribution of this factor, since functional dependence is usually a consequence of cognitive impairment and not one of the factors that precede it, so an-error is made when using the diagnostic criteria for mild cognitive impairment. Cross-sectional studies identify risk factors by reconstructing phenomenology, which can lead to attributing as a cause a factor that, in reality, is a consequence of the outcome.

摘要

在轻度认知障碍患者中,基本日常生活活动和工具性日常生活活动的能力得以保留,这使其有别于重度认知障碍。在关于认知障碍相关危险因素的横断面研究的基线状态下,观察到了在基本日常生活活动方面存在依赖的患者,因此有可能对该因素进行错误归因,因为功能依赖通常是认知障碍的结果,而非其先前的因素之一,所以在使用轻度认知障碍的诊断标准时会出现错误。横断面研究通过重构现象学来识别危险因素,这可能导致将实际上是结果的因素归因于原因。

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Rev Med Inst Mex Seguro Soc. 2024 Mar 4;62(2):1-2. doi: 10.5281/zenodo.10711179.
2
[Answer to "Comment on article: "Risk factors associated with cognitive impairment in older adults: cross-sectional study""].[对“关于文章《老年人认知障碍的相关危险因素:横断面研究》的评论”的回复]
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本文引用的文献

1
[Risk factors associated with cognitive impairment in aged: Cross-sectional study].[老年人认知障碍相关危险因素:横断面研究]
Rev Med Inst Mex Seguro Soc. 2023 Oct 2;61(Suppl 3):S395-S406. doi: 10.5281/zenodo.8319815.
2
Diagnosis and Treatment for Mild Cognitive Impairment: A Systematic Review of Clinical Practice Guidelines and Consensus Statements.轻度认知障碍的诊断与治疗:临床实践指南与共识声明的系统评价
Front Neurol. 2021 Oct 12;12:719849. doi: 10.3389/fneur.2021.719849. eCollection 2021.
3
Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population.85岁及以上人群的年龄相关疾病及其临床和公共卫生影响
Front Public Health. 2017 Dec 11;5:335. doi: 10.3389/fpubh.2017.00335. eCollection 2017.
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[Clinical research XII. From the clinical judgment to the transversal design].[临床研究十二。从临床判断到横向设计]
Rev Med Inst Mex Seguro Soc. 2012 Nov-Dec;50(6):641-4.
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The Global Deterioration Scale for assessment of primary degenerative dementia.用于评估原发性退行性痴呆的总体衰退量表。
Am J Psychiatry. 1982 Sep;139(9):1136-9. doi: 10.1176/ajp.139.9.1136.