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SURVEY ON CHARACTERISTICS AND RELATED FACTORS OF COGNITIVE IMPAIRMENT IN ELDERLY PATIENTS WITH HYPERTENSION
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Abstract
Background: According to the World Health Organization (WHO) in 2021, the prevalence of cognitive impairment in people aged 60 and above is approximately 5-8% globally, and it doubles every 5 years. In the age group above 85, this rate can reach about 20-30%. Particularly in elderly patients with hypertension, cognitive impairment needs to be given more attention. Objective: To describe characteristics and analyze factors related to cognitive impairment in elderly patients with hypertension. Materials and methods: Elderly patients aged 60 and above diagnosed with hypertension and undergoing treatment at the Geriatric Department, Can Tho Central General Hospital from April 2020 to February 2022, using a cross-sectional descriptive study design with analysis. Cognitive assessment using Mini-Cog scale: Impaired cognition (<4 points) and Nonimpaired cognition (≥4 points). Results: Among the 180 elderly participants in the study, 23.3% had cognitive impairment according to the Mini-Cog scale. There was a statistically significant association between cognitive impairment and gender, social activity, and comorbidities in a univariate model. Individuals with more than two comorbidities had a higher rate of cognitive disorders, with an adjusted odds ratio (95% CI) of 2.97 (1.36-6.37) after adjusting for other factors in the multivariate model. Conclusions: The prevalence of cognitive impairment in elderly patients with hypertension is 23.3%. Univariate and multivariate regression analyses revealed that there were more than 2 comorbidities significantly associated with the likelihood of cognitive impairment in elderly patients with hypertension.
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Keywords
Cognitive impairment, elderly, hypertension, Mini-Cog
References
2. Mehra A., Suri V., Kumari S., Avasthi A., Grover S. Association of mild cognitive impairment and metabolic syndrome in patients with hypertension. Asian J Psychiatr. 2020.53, 102185, doi:
10.1016/j.ajp.2020.102185.
3. Sengupta P., Benjamin A.I., Singh Y., Grover A. Prevalence and correlates of cognitive impairment in a north Indian elderly population. WHO South East Asia J Public Health. 2014.3(2), 135-143, doi: 10.4103/2224-3151.206729.
4. Huỳnh Thị Thanh Tú và cộng sự. Tỷ lệ suy giảm nhận thức và các yếu tố liên quan ở người cao tuổi xã Phú An huyện Phú Vang tỉnh Thừa Thiên Huế năm 2016. Tạp chí Y Dược học - Trường Đại học Y Dược Huế. 2018.8(5), 72-77.
5. Hoàng Thị Hải Vân, Đào Thị Minh An, Đào Anh Sơn. TÌnh trạng suy giảm nhận thức ở người cao tuổi qua sàng lọc tại một số huyện thuộc tỉnh Hà Nam năm 2018. Tạp chí nghiên cứu y học. 2020.129(5), 121-128.
6. Carolan Doerflinger D.M. How to try this: the mini-cog. Am J Nurs. 2007.107(12), 62-71, doi:
10.1097/01.NAJ.0000301030.81651.66.
7. Chudiak A., Uchmanowicz I., Mazur G. Relation between cognitive impairment and treatment adherence in elderly hypertensive patients. Clin Interv Aging. 2018.13, 1409-1418, doi:
10.2147/CIA.S162701.
8. Bai J., et al. A study of mild cognitive impairment in veterans: role of hypertension and other confounding factors. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2016.23(6), 703715, doi: 10.1080/13825585.2016.1161000.
9. Wu L., et al. The association between the prevalence, treatment and control of hypertension and the risk of mild cognitive impairment in an elderly urban population in China. Hypertens Res. 2016.39(5), 367-75, doi: 10.1038/hr.2015.146.
10. Qin J., et al. Prevalence of mild cognitive impairment in patients with hypertension: a systematic review and meta-analysis. Hypertens Res. 2021.44(10), 1251-1260, doi: 10.1038/s41440-02100704-3.