额叶评估电池对特发性常压脑积水患者分流术后认知改善的预测能力。

IF 1.3 4区 医学 Q4 BEHAVIORAL SCIENCES Cognitive and Behavioral Neurology Pub Date : 2023-12-01 DOI:10.1097/WNN.0000000000000350
Yuki Asahara, Machiko Suda, Shusaku Omoto, Kazushige Kobayashi, Masamichi Atsuchi, Hiroyasu Nagashima, Masahiko Suzuki
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引用次数: 0

摘要

背景:前额叶评估电池(FAB)对特发性常压脑积水(iNPH)术后认知改善的预测能力尚未研究。目的:比较FAB和简易精神状态检查(MMSE)对分流术后iNPH患者术后认知改善的预测能力。方法:回顾性分析2016年1月至2018年10月间接受分流手术的iNPH患者的医疗记录。患者在脑脊液穿刺前、穿刺后24-48小时及手术后完成穿刺试验和临床评估(FAB、MMSE、Timed Up和Go [TUG])。我们排除了没有完整临床评估的个体和在脑脊液穿刺后进行分流手术>6个月的个体。根据2011年iNPH指南,使用单变量和多变量逻辑回归分析提取与术后FAB和MMSE改善相关的因素。自变量为基线FAB和MMSE评分、脑脊液穿刺后FAB和MMSE评分变化和TUG改善率、Evans指数、年龄、从脑脊液穿刺到手术以及从手术到术后评估的天数。结果:从脑脊液穿刺到手术和从手术到术后评估的平均天数分别为77.5天(SD = 36.0)和42.0天(SD = 14.5)。Logistic回归分析显示,单变量分析显示术后FAB改善与基线FAB评分(P = 0.043)和脑脊液穿刺后FAB评分变化(P = 0.047)有显著相关性。结论:FAB比MMSE能更好地预测分流术后的认知改善。
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Predictive Ability of Frontal Assessment Battery for Cognitive Improvement After Shunt Surgery in Individuals With Idiopathic Normal Pressure Hydrocephalus.

Background: The predictive ability of the Frontal Assessment Battery (FAB) for postoperative cognitive improvement in idiopathic normal pressure hydrocephalus (iNPH) is unstudied.

Objective: To compare the predictive ability of the FAB and the Mini-Mental State Examination (MMSE) for postoperative cognitive improvement in individuals with iNPH after shunt surgery.

Method: We retrospectively reviewed the medical records of individuals with iNPH who had shunt surgery between January 2016 and October 2018. Individuals had completed the tap test and clinical evaluations (FAB, MMSE, Timed Up and Go [TUG]) both before and 24-48 hours after CSF tapping and after surgery. We excluded individuals without complete clinical evaluations and those with shunt surgery performed >6 months after CSF tapping. Factors associated with postoperative FAB and MMSE improvement as per the 2011 iNPH guidelines were extracted using univariate and multivariate logistic regression analyses. Independent variables were baseline FAB and MMSE scores, FAB and MMSE score changes and TUG amelioration rate after CSF tapping, Evans index, age, and days from CSF tapping to surgery and from surgery to postoperative assessment.

Results: The mean number of days from CSF tapping to surgery and from surgery to postoperative assessment were 77.5 (SD = 36.0) and 42.0 (SD = 14.5), respectively. Logistic regression analyses showed significant associations in the univariate analyses of postoperative FAB improvement with baseline FAB scores ( P = 0.043) and with FAB score changes after CSF tapping ( P = 0.047).

Conclusion: The FAB may help predict postoperative cognitive improvement after shunt surgery better than the MMSE.

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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
68
审稿时长
>12 weeks
期刊介绍: Cognitive and Behavioral Neurology (CBN) is a forum for advances in the neurologic understanding and possible treatment of human disorders that affect thinking, learning, memory, communication, and behavior. As an incubator for innovations in these fields, CBN helps transform theory into practice. The journal serves clinical research, patient care, education, and professional advancement. The journal welcomes contributions from neurology, cognitive neuroscience, neuropsychology, neuropsychiatry, and other relevant fields. The editors particularly encourage review articles (including reviews of clinical practice), experimental and observational case reports, instructional articles for interested students and professionals in other fields, and innovative articles that do not fit neatly into any category. Also welcome are therapeutic trials and other experimental and observational studies, brief reports, first-person accounts of neurologic experiences, position papers, hypotheses, opinion papers, commentaries, historical perspectives, and book reviews.
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