Progression of impairment in patients with vascular cognitive impairment without dementia

被引:245
作者
Wentzel, C
Rockwood, K
MacKnight, C
Hachinski, V
Hogan, DB
Feldman, H
Ostbye, T
Wolfson, C
Gauthier, S
Verreault, R
McDowell, I
机构
[1] Dalhousie Univ, QEII Hlth Sci Ctr, Div Geriatr Med, Halifax, NS B3H 2E1, Canada
[2] Univ Western Ontario, London, ON, Canada
[3] Univ Calgary, Calgary, AB T2N 1N4, Canada
[4] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada
[5] McGill Univ, Montreal, PQ, Canada
[6] Univ Laval, Quebec City, PQ, Canada
[7] Univ Ottawa, Ottawa, ON K1N 6N5, Canada
[8] Duke Univ, Med Ctr, Durham, NC USA
关键词
D O I
10.1212/WNL.57.4.714
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Little is known about progression, short of dementia, in vascular cognitive impairment. In the Canadian Study of Health and Aging, 149 participants (79.3 +/- 6.7 years; 61%. women) were found to have vascular cognitive impairment, no dementia (CIND). After 5 years, 77 participants (52%) had died and 58 (46%) had developed dementia. Women were at greater risk of dementia (OR 2.1, 1.0 to 4.5). Of 32 participants alive without dementia, cognition had deteriorated in seven and improved in four. Half of those with vascular CIND developed dementia within 5 years, suggesting a target for preventive interventions.
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收藏
页码:714 / 716
页数:3
相关论文
共 10 条
[1]   COGNITIVE IMPAIRMENT IN THE NONDEMENTED ELDERLY - RESULTS FROM THE CANADIAN STUDY OF HEALTH AND AGING [J].
EBLY, EM ;
HOGAN, DB ;
PARHAD, IM .
ARCHIVES OF NEUROLOGY, 1995, 52 (06) :612-619
[2]   Prevalence and severity of cognitive impairment with and without dementia in an elderly population [J].
Graham, JE ;
Rockwood, K ;
Beattie, BL ;
Eastwood, R ;
Gauthier, S ;
Tuokko, H ;
McDowell, I .
LANCET, 1997, 349 (9068) :1793-1796
[3]   Standardization of the diagnosis of dementia in the Canadian Study of Health and Aging [J].
Graham, JE ;
Rockwood, K ;
Beattie, BL ;
McDowell, I ;
Eastwood, R ;
Gauthier, S .
NEUROEPIDEMIOLOGY, 1996, 15 (05) :246-256
[4]   VASCULAR DEMENTIA - A RADICAL REDEFINITION [J].
HACHINSKI, V .
DEMENTIA, 1994, 5 (3-4) :130-132
[5]  
MCDOWELL I, 1994, CAN MED ASSOC J, V150, P899
[6]  
McDowell I, 2000, NEUROLOGY, V55, P66
[7]   Mild cognitive impairment: conceptual basis and current nosological status [J].
Ritchie, K ;
Touchon, J .
LANCET, 2000, 355 (9199) :225-228
[8]   Prevalence and outcomes of vascular cognitive impairment [J].
Rockwood, K ;
Wentzel, C ;
Hachinski, V ;
Hogan, DB ;
MacKnight, C ;
McDowell, I .
NEUROLOGY, 2000, 54 (02) :447-451
[9]   CAMDEX - A STANDARDIZED INSTRUMENT FOR THE DIAGNOSIS OF MENTAL DISORDER IN THE ELDERLY WITH SPECIAL REFERENCE TO THE EARLY DETECTION OF DEMENTIA [J].
ROTH, M ;
TYM, E ;
MOUNTJOY, CQ ;
HUPPERT, FA ;
HENDRIE, H ;
VERMA, S ;
GODDARD, R .
BRITISH JOURNAL OF PSYCHIATRY, 1986, 149 :698-709
[10]  
TENG EL, 1987, J CLIN PSYCHIAT, V48, P314