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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Manifestaciones Clínicas

Abhishek Mensegere Lingegodwa1, Albert Stezin1, Jonas S Sundarakumar1

  • 1Centre for Brain Research, Indian Institute of Science, Bangalore, Karnataka, India.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Las puntuaciones altas de Factores de Riesgo Cardiovascular, Envejecimiento e Incidencia de Demencia (CAIDE) predicen un mayor riesgo de deterioro cognitivo leve (MCI) en adultos indios mayores. La identificación temprana de personas de alto riesgo es crucial para una intervención oportuna para prevenir el deterioro cognitivo.

Palabras clave:
envejecimientoenfermedades cardiovascularesdeterioro cognitivopuntuación de riesgo CAIDEestudios longitudinalesIndia

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Área de la Ciencia:

  • Gerontología
  • Neurología
  • Epidemiología

Sus antecedentes:

  • La puntuación de riesgo de Factores de Riesgo Cardiovascular, Envejecimiento e Incidencia de Demencia (CAIDE) es una herramienta validada para la predicción del riesgo de demencia.
  • Los factores de riesgo cardiovascular de mediana edad se asocian con el deterioro cognitivo en la edad adulta.

Objetivo del estudio:

  • Investigar la asociación entre la membresía en el grupo de puntuación CAIDE de alto riesgo y el desarrollo de deterioro cognitivo leve (MCI).
  • Evaluar el valor predictivo de la puntuación CAIDE para el desarrollo de MCI en adultos indios mayores.

Principales métodos:

  • Análisis de datos del Estudio Longitudinal TATA sobre el Envejecimiento.
  • Clasificación de los participantes en grupos de puntuación CAIDE de alto riesgo (>9) y de bajo riesgo (≤9).
  • Regresión logística binaria para determinar las probabilidades de desarrollar MCI (CDR=0.5) después de un año, con la puntuación CAIDE como variable categórica y continua.

Principales resultados:

  • 48 (3.5%) de 939 participantes desarrollaron MCI en un año.
  • La membresía en el grupo CAIDE de alto riesgo aumentó significativamente las probabilidades de MCI (OR=2.58, p=0.004).
  • Cada aumento de un punto en la puntuación CAIDE aumentó las probabilidades de MCI en un 33% (Exp β=1.33, p<0.001).
  • Las personas de alto riesgo que no desarrollaron MCI tuvieron un peor desempeño en las puntuaciones totales de ACE.

Conclusiones:

  • Las personas con puntuaciones CAIDE altas enfrentan un riesgo elevado de desarrollar MCI.
  • Los hallazgos sugieren vínculos fisiopatológicos compartidos entre las enfermedades cardiovasculares y la salud cognitiva.
  • Enfatiza la necesidad de detección e intervención tempranas para personas en riesgo de enfermedades cardiovasculares y deterioro cognitivo.