Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

funcionalidad

 

Relación Entre el Desempeño en Memoria y el Funcionamiento Ejecutivo con la Funcionalidad de la Vida Diaria en Adultos de la Ciudad de Medellín: Un Estudio Observacional

Introduction: Neuropathological processes in older adults lead to changes in their independence and, therefore, in their functionality. The aim of this study was to analyze the relationship between individual characteristics, clinical history, memory performance and executive functioning, and daily life functionality.

Methods: Data from the Neuronorma-Co research project, obtained between January 2016 and January 2017, were analyzed. The database included data from clinical records and neuropsychological tests of 126 adults from the city of Medellín, between 47 and 94 years of age. The correlation between the score obtained in the Tower of London, the learning and memory task with controlled coding of Grober and Buschke, the Modified Lawton scale and the Geriatric Depression Scale was analyzed.

Results: A relationship was found between functionality and age, years of schooling, marital status, ophthalmological, neurological and cardiovascular history, risk of depression, memory and executive functions such as sequencing and problem solving.

Conclusion: The variables with the greatest impact on functionality are related to problem-solving and cognitive reserve.

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Palabras clave: deterioro cognitivo, envejecimiento, funcionalidad, Funciones Ejecutivas, Memoria,

Keywords: aging, cognitive impairment, Executive functions, functioning, Memory,

Epilepsia Como Factor Pronóstico de Refractariedad y Funcionalidad en Estado Epiléptico en Pacientes Mexicanos. Epilepsy As Prognostic Factor Of Refractoriness And Functionality In Status Epilepticus In Mexican Patients.

Introduction: Status epilepticus is a medical condition which could lead to a great disability and be mortal. Background of epilepsy could prevent a progression to a refractory status epilepticus and predict a good functional prognosis. Nevertheless, in Mexican population there are no studies about that.

Materials and methods: An observational, analytic, retrospective, cohort study was performed with patients with status epilepticus in Specialities Hospital of “Siglo XXI” National Medical Center, in Mexico. It was evaluated the probability of presenting refractory status epilepticus and a good functional outcome in patients with a background of epilepsy, performing Pearson Chi-square.

Results: 40 patients with status epilepticus were included, 32 with refractory status epilepticus and 14 with a background of epilepsy. The probability of presenting a refractory status epilepticus with a background of epilepsy was OR 1.29 (p 0.53), and for a good functional outcome was OR 3.63 (p 0.10).

Conclusions: Background of epilepsy is not a protective factor for preventing the progression to a refractory status epilepticus, neither a factor for predicting a good functional outcome in our study with Mexican population. Nevertheless, further studies with a bigger sample are needed in order to prove these results.

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Palabras clave: Epilepsia, estado epiléptico, factor de riesgo, funcionalidad, Pronóstico, refractariedad,

Keywords: Epilepsy, functionality, Prognosis, refractoriness, risk factor, Status Epilepticus,
 
 
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