多发性硬化症 (MS) 患者认知障碍 (CI) 的患病率:系统性审查和元分析
Mozhde Askari1, Omid Mirmosayyeb1, Fatemeh Fattahi1
1Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Caspian journal of internal medicine
|July 16, 2024
概括
认知障碍 (CI) 影响41%的多发性硬化症 (MS) 患者. 这一系统性审查强调了MS中CI的显著患病率,敦促对这种常见并发症进行临床考虑.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 认知障碍 (CI) 是多发性硬化症 (MS) 的常见并发症.
- 之前的研究报告了MS患者中CI的不同患病率.
- 准确的流行数据对于临床管理和研究至关重要.
研究的目的:
- 进行系统性审查和元分析,以确定MS患者中CI的综合流行率.
- 基于在研究中使用的不同评估工具来分析CI的患病率.
主要方法:
- 在主要数据库 (PubMed,Scopus,EMBASE,Web of Science,Google Scholar) 和灰色文献中进行系统的文献搜索.
- 包括2022年1月之前发表的研究.
- 来自90篇选定的文章的数据的元分析.
主要成果:
- 在MS患者中CI的整体综合流行率为41% (95%CI:38-44%).
- 患病率因评估工具而有所不同:BRB测试 (39%),BICAMS (44%) 和MACFIMS (44%).
- 在各个研究中观察到很高的异质性 (I2 > 89%).
结论:
- 认知障碍在多发性硬化症中非常普遍,估计会影响41%的患者.
- 临床医生应定期考虑和评估MS患者的CI.
- 进一步的研究可能会探索不同评估方法中影响CI患病率的因素.
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