BACKGROUND: CIND is a common condition among the elderly population that has acquired clinical significance with the prevalence in elderly people about twice that of all forums of dementia gathered The concept of cognitive impairment with no dementia CIND has emerged as an important clinical entity because of its possible progression to dementia. Compared to patients diagnosed with no cognitive impairment, CIND patients have a 47% chance of developing dementia in 5 years. OBJECTIVES: This study aims to depict the Filipino patient diagnosed with CIND based on a consensus. It is further our goal to ascertain the prevalence of CIND among patients referred to the Memory Clinic for screening and assessment and also aims to determine if there is a relationship between the patient's profile and certain neuropsychological tests. METHODOLOGY: This is a research study which included all the patients (n=86) referred to the Memory Assessment Clinic of a tertiary hospital. Patients diagnosed with CIND were further evaluated and characterized based on the patient's profile such as general data, history of present illness, past medical history, family history, laboratories and ancillary procedures and neuropsychological examination. Relationship of patient's profile with various neuropsychological test was examined through linear and logistic regression and Spearman's correlation test. RESULTS: Out of the 86 patients evaluated by the Memory Clinic of a tertiary hospital, 17 (19.76%) were diagnosed with CIND. The mean age of the patients with CIND is 70.06 years, majority of whom are females (64.7&) and had 10 years of education. All are married with most of them residing in Metro Manila. All presented with progressive cognitive decline. Years of formal education showed that majority of patients had more than or equal to 10 years. Majority had co-morbid medical conditions. and majority are non-smokers and non-alcoholic beverage drinkers. Average MMSE is 25.88 points; the memory domain is greaty affected. Among the various neuropsychological tests, Verbal fluency and Maze tests were frequently impaired. The rest of the neuropsychological test such as Boston naming, Frontal assessment battery, Clock drawing test were frequently unimpaired. The ADAS Cog mean value was 16.37. MMSE and ADAS Cog showed no significant relationship with the patients profile based on linear and logistic regression as well as Spearman correlation.CONCLUSION: The prevalence of CIND in the memory Clinic of a tertiary hospital is 19.76%. The presentation of these patients is progressive cognitive decline so that careful clinical monitoring is essential. Majority of CIND patients have co-morbid medical conditions (76%). The identification of people at potential risk of dementia with a view to early therapeutic intervention is important, because it may lessen distress for both patient and family, minimize the risk of accidents, prolong autonomy, and perhaps even ultimately prevent the onset of the dementing process itself.
Human ; Male ; Female ; Dementia ; Nervous System Diseases ; Central Nervous System Diseases ; Brain Diseases ; Mild Cognitive Impairment ; Mental Disorders ; Delirium, Dementia, Amnestic, Cognitive Disorders ; Cognition Disorders ; Diagnosis ; Neuropsychological Tests ; Behavioral Disciplines And Activities ; Psychological Tests

BACKGROUND AND PURPOSE

Aphasia is one of the most frequent devastating cognitive deficits encountered by post-stroke patients. Aphasia and its correlates are associated with poorer prognosis and thus early detection is vital for comprehensive rehabilitation. A simple bedside screening tool can be utilized for this purpose for preliminary detection and classification of aphasia. The aims of this study were to (1) determine the frequency of aphasia among Filipinos with acute stroke using a simplified Tagalog version of the bedside language screening test; (2) determine the most common aphasia syndrome in acute stroke using the same screening tool; and (3) establish possible predictors of aphasia.

METHODS

This is a cross-sectional analytic study where a total of 292 patients were screened for aphasia from March 2003 to July 2004. Chi-Square, Fisher's T, & Multiple logistic regression tests were used for statistical analysis.

RESULTS

Aphasia was detected in (57.5%) 1 68 patients. Unclassified and global aphasia were the most common syndromes noted in acute stroke, whereas the other types of aphasia were less frequent.

CONCLUSION

This paper showed that the simplified Tagalog version of the bedside language screening can detect the presence of aphasia and can make a preliminary classification of the different aphasia syndromes. At the acute stage of stroke the most frequently encountered aphasia syndromes were of the severe or non-classic type. The determinants for the occurrence of aphasia in this study were handedness, previous stroke, laterality of the lesion, and type of stroke.

Human ; Aphasia ; Stroke