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040 _cH12O
041 _aeng
100 _92387
_aContador, Israel
_eNeurología
100 _9582
_aBermejo Pareja, Félix
_eNeurología
100 _9715
_aTrincado Soriano, Rocío
_eInstituto de Investigación i+12
100 _9423
_aVillarejo Galende, Alberto
_eNeurología
100 _91767
_aSánchez Ferro, Álvaro
_eNeurología
100 _9892
_aBenito León, Julián
_eNeurología
245 0 0 _aCause of death in mild cognitive impairment: a prospective study (NEDICES).
_h[artículo]
260 _bEuropean journal of neurology,
_c2014
300 _a21(2):253-e9.
500 _aFormato Vancouver: Contador I, Bermejo-Pareja F, Mitchell AJ, Trincado R, Villarejo A, Sánchez-Ferro Á et al. Cause of death in mild cognitive impairment: a prospective study (NEDICES). Eur J Neurol. 2014 Feb;21(2):253-e9.
501 _a PMID: 24128182 PMC4100584
504 _aContiene 41 referencias
520 _aBackground and purpose: Previous studies have reported the occurrence of increased mortality rates among individuals with mild cognitive impairment (MCI), but possible links between MCI subtypes and cause-specific mortality need to be explored. To examine short-term mortality (5 years), long-term mortality (13 years) and cause-specific mortality of individuals over 65 years of age suffering from MCI compared with cognitively unimpaired individuals in the Neurological Disorders in Central Spain (NEDICES) cohort. Methods: Mild cognitive impairment was classified using standardized psychometric and functional assessment in accordance with diagnostic convention. Cox's proportional hazards models, adjusted by sociodemographics and comorbidity factors, were used to assess the risk of death at 5 and 13 years of MCI subtypes compared with a reference group of older people without cognitive impairment (N = 2329). Causes of death were obtained from the National Population Register of Spain. Results: There were 1484 deceased individuals at 13 years. MCI subtypes were defined as amnestic single domain (N = 259), amnestic multiple domain (N = 197) and non-amnestic (N = 641). After adjusting for covariates, only the amnestic multiple domain MCI subtype showed an increased hazard ratio (HR) for mortality at 5 years versus the reference group. However, the HR for mortality at 13 years was increased for all MCI subtypes. The HR by MCI subtype was 1.19 in the non-amnestic subtype (95% CI 1.05-1.36), 1.31 in the amnestic single domain subtype (95% CI 1.10-1.56) and 1.67 in the amnestic multiple domain subtype (95% CI 1.38-2.02). In terms of cause-specific mortality, the chance of death from dementia was statistically higher in all MCI subtypes. Conclusion: Amnestic multiple domain MCI showed the greatest risk of mortality in comparison with other MCI subtypes at different intervals. Dementia was the only cause-specific mortality that was increased in MCI individuals.
710 _9267
_aServicio de Neurología-Neurofisiología
710 _9625
_aInstituto de Investigación imas12
856 _uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100584/
_yAcceso libre
942 _2ddc
_cART
_n0