One-Year Analysis of Risk Factors Associated With Cognitive Impairment in Newly Diagnosed Epilepsy in Adults

A one-year study conducted to ascertain the prevalence and risk factors associated with helminth infection in Hangul Deer Cervus hanglu hanglu at Dachigam National Park revealed that 40.45% (89 of 220 samples) were infected with four helminth species including Heamonchus contortus, Trichuris ovis, Dictyocaulus viviparus, and Moneizia expansa. The study signified that the infection was more prevalent during the dry season (summer and autumn) as compared to the wet season (winter and spring). The overall prevalence of Heamonchus contortus was the highest (23.18%) followed by Trichuris ovis (8.18%), followed by Dictyocaulus viviparus (5.45%), and Moneizia expansa (3.63%). The present study should be of importance in conserving the erstwhile state animal, listed as Critically Engendered in 2017 by IUCN.

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Prevalence of Mild Cognitive Impairment in Rural Thai Older People, Associated Risk Factors and their Cognitive Characteristics

Dementia and Geriatric Cognitive Disorders Extra ◽

10.1159/000506279 ◽

2020 ◽

Vol 10 (1) ◽

pp. 38-45 ◽

Cited By ~ 2

Author(s):

Jiranan Griffiths ◽

Lakkana Thaikruea ◽

Nahathai Wongpakaran ◽

Peeraya Munkhetvit

Keyword(s):

Risk Factors ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Older People ◽

Significant Risk ◽

Depression Scale ◽

Cross Sectional ◽

Factors Associated ◽

Low Education ◽

Rural Thailand

Introduction: Mild cognitive impairment (MCI) is a transitional stage between normal cognition and dementia. A review showed that 10–15% of those with MCI annually progressed to Alzheimer’s disease. Objective: This study aimed to investigate the prevalence and risk factors associated with MCI as well as the characteristics of cognitive deficits among older people in rural Thailand. Methods: A cross-sectional study in 482 people who were 60 years old and over was conducted in northern Thailand. The assessments were administered by trained occupational therapists using demographic and health characteristics, Mental Status Examination Thai 10, Activities of Daily Living – Thai Assessment Scale, 15-item Geriatric Depression Scale and the Montreal Cognitive Assessment-Basic (MoCA-B, Thai version). Results: The mean age of MCI was 68.3 ± 6.82 years, and most had an education ≤4 years. The prevalence of MCI in older people was 71.4% (344 out of 482), and it increased with age. Low education and diabetes mellitus (DM) were the significant risk factors associated with cognitive decline. Older people with MCI were more likely to have an education ≤4 years (RR 1.74, 95% CI 1.21–2.51) and DM (RR 1.19, 95% CI 1.04–1.36) than those who did not. The 3 most common cognitive impairments according to MoCA-B were executive function (86%), alternating attention (33.1%) and delayed recall (31.1%). Conclusion: The prevalence of MCI in older Thai people in a rural area is high compared with that in other countries. The explanation might be due to low education and underlying disease associated with MCI. A suitable program that can reduce the prospects of MCI in rural Thailand is needed.

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A Systematic Review of Risk Factors Associated With Cognitive Impairment After Pediatric Critical Illness*

Pediatric Critical Care Medicine ◽

10.1097/pcc.0000000000001430 ◽

2018 ◽

Vol 19 (3) ◽

pp. e164-e171 ◽

Cited By ~ 16

Author(s):

Alicia G. Kachmar ◽

Sharon Y. Irving ◽

Cynthia A. Connolly ◽

Martha A. Q. Curley

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Cognitive Impairment ◽

Critical Illness ◽

Factors Associated

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Risk factors associated with cognitive impairment in patients after pediatric liver transplantation

Pediatric Transplantation ◽

10.1111/petr.13879 ◽

2020 ◽

Author(s):

Beatrix Eder ◽

Michael Melter ◽

Vanessa Gabler ◽

Robert Zant ◽

Birgit Knoppke

Keyword(s):

Risk Factors ◽

Liver Transplantation ◽

Cognitive Impairment ◽

Pediatric Liver Transplantation ◽

Factors Associated ◽

Pediatric Liver

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Incidence of and Risk Factors for Missing Events Due to Wandering in Community-dwelling Older People with Dementia and Mild Cognitive Impairment

10.21203/rs.3.rs-673163/v1 ◽

2021 ◽

Author(s):

seungwon Jeong ◽

Takao Suzuki ◽

Kiyoko Miura ◽

Takashi Sakurai

Keyword(s):

Risk Factors ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Recurrence Rate ◽

Community Dwelling ◽

Disease Assessment ◽

People With Dementia ◽

One Year ◽

The One

Abstract BackgroundThe burden of missing incidents is not only on the person with dementia, but also on their family, neighbors, and community. The extent to which dementia-related wandering and missing incidents occur in the community has not been evaluated thoroughly in the published literature. Therefore, we evaluated the incidence of and risk factors for missing events due to wandering.MethodsWe conducted a non-randomized prospective one-year follow-up cohort study based on symptom registration with missing events due to wandering as the endpoint. In the first consultation, 374 patients with dementia or mild cognitive impairment (MCI) and their caregivers who visited the National Center for Geriatrics and Gerontology in Japan were included. The incidence and recurrence rate of missing events were calculated. Participants were divided into (those with) dementia and (those with) MCI. Patients' basic and medical information was documented at baseline and after one year of follow-up. Furthermore, analysis of variance and logistic regression analysis were performed to clarify the risk factors associated with the missing event.ResultsAmong the 236 patients with dementia enrolled, 65 (27·5%) had a previous missing event at baseline, and 28 had a missing event during the one-year follow-up period (recurrence rate of 43·1%). Of the 171 who did not have a previous missing event at baseline, 23 had a missing event during the one-year follow-up period (incidence rate of 13·5%). The scores of Mini-Mental State Examination (MMSE), Dementia Behavior Disturbance Scale (DBD), and Alzheimer's Disease Assessment Scale (ADAS) were statistically significant as the risk factors for the incidence of wandering leading to a missing event (p<0·05).ConclusionsPrevention of missing event due to wandering requires focused attention on changes in the MMSE, DBD, ADAS scores, and the development of a social environment to support family caregivers.

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Living on the Edge of the Community: Factors Associated with Discontinuation of Community Living Among People with Cognitive Impairment

10.21203/rs.3.rs-87784/v1 ◽

2020 ◽

Author(s):

Chiaki Ura ◽

Tsuyoshi Okamura ◽

Mika Sugiyama ◽

Fumiko Miyamae ◽

Mari Yamashita ◽

...

Keyword(s):

Risk Factors ◽

Cognitive Impairment ◽

Multiple Logistic Regression Analysis ◽

Epidemiological Survey ◽

Community Living ◽

Baseline Survey ◽

Community Factors ◽

Factors Associated ◽

Rights Protection ◽

Term Insurance

Abstract BackgroundThe experiences of people with cognitive impairment in the real world have not been fully explored because of methodological difficulties. This study re-accessed people with cognitive impairment identified in a previous epidemiological survey to explore their current situation and the risk factors associated with all-cause discontinuation of community living.MethodsIn 2016, a three-step survey was conducted of 7,614 older residents. In the last step of the survey, a research team visited the homes of 198 participants with a Mini-Mental State Examination score <24. In 2019, we re-accessed these people. We ran a community space in the study area for 3 years to build partnerships with community residents and community workers, and were able to re-access the participants using multiple methods.ResultsWe found that 126 (63.6%) participants had continued living in the same community, but 58 (29.3%) had discontinued community living. Of these, 18 (9.1%) had died, 18 (9.1%) were institutionalized, 9 (4.5%) were hospitalized, and 13 (6.6%) had moved out of the community. A multiple logistic regression analysis identified the following risk factors associated with discontinuation of community living: being certified under long-term insurance, needing housing support, and needing rights protection.ConclusionsThree years after the baseline survey, 29.3% people with cognitive impairment had discontinued community living. Despite having dementia or living alone, older people could continue to live in the community if their needs for housing support and rights protection were met. Both social interventions and medical interventions are important to build age-friendly communities.Trial registrationUMIN, UMIN000038189,　Registered 3 October 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043521

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One-year Versus Five-year Hospital Readmission after Ischemic Stroke and TIA

10.21203/rs.2.90/v1 ◽

2018 ◽

Author(s):

Anna Therese Bjerkreim ◽

Halvor Naess ◽

Andrej Netland Khanevski ◽

Lars Thomassen ◽

Ulrike Waje-Andreassen ◽

...

Keyword(s):

Risk Factors ◽

Ischemic Stroke ◽

Functional Outcome ◽

Cox Regression ◽

Index Admission ◽

Unplanned Readmission ◽

Cardiovascular Comorbidity ◽

Factors Associated ◽

Artery Disease ◽

One Year

Abstract Background: The burden of readmission after stroke is substantial, but little knowledge exists on factors associated with long-term readmission after stroke. In a cohort composing patients with ischemic stroke and transient ischemic attack (TIA), we examined and compared factors associated with readmission within 1 year and first readmission during year 2-5. Methods: Patients with ischemic stroke or TIA who were discharged alive between July 2007 and October 2012, were followed for five years by review of medical charts. Timing and cause of the first unplanned readmission were registered. Cox regression was used to identify independent risk factors for readmission within 1 year and first readmission during year 2-5 after discharge. Results: The cohort included 1453 patients, of whom 568 (39.1%) were readmitted within 1 year. Of the 830 patients that were alive and without readmission 1 year after discharge, 439 (52.9%) were readmitted within 5 years. Patients readmitted within 1 year were older, had more severe strokes, poorer functional outcome, and a higher occurrence of complications during index admission than patients readmitted during years 2-5. Cardiovascular comorbidity did not differ between the two groups of readmitted patients. Higher age, poorer functional outcome, coronary artery disease and hypertension were independently associated with first readmission within both 1 year and during year 2-5. Peripheral artery disease was independently associated with readmission within 1 year, and atrial fibrillation was associated with first readmission during year 2-5. Conclusions: More than half of all patients who survived the first year after stroke without any readmissions were readmitted within 5 years. Patients readmitted within 1 year and between years 2-5 shared many risk factors for readmission, but they differed in age, functional outcome and occurrence of complications during the index admission.

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