Síntomas neuropsiquiátricos como factor de confusión en la detección de la demencia

Resumen Objetivo Valorar si los síntomas neuropsiquiátricos interfieren en la detección de deterioro cognitivo por los médicos de familia en atención primaria, así como describir cuáles generan más confusión. Diseño Estudio observacional y descriptivo. Emplazamiento Equipo de psiquiatría de intervención en domicilio en colaboración con la red de atención primaria de Barcelona. Participantes Un total de 104 pacientes mayores de 65 años derivados desde atención primaria por sus médicos de familia solicitando valoración psiquiátrica en el domicilio por sospecha de enfermedad mental. Mediciones principales Todos los casos recibieron un diagnóstico según criterios DSM-IV-TR. Se incluyeron en el estudio el Mini Mental State Examination (MMSE), el Inventario Neuropsiquiátrico de Cummings, la escala de Gravedad de Enfermedad Psiquiátrica, la escala de Evaluación de la Actividad Global, la escala de Impresión Clínica Global y el Cuestionario de Evaluación de la Discapacidad de la Organización Mundial de la Salud. Resultados El 55,8% de los pacientes derivados desde atención primaria tenían el MMSE alterado. Los síntomas neuropsiquiátricos más frecuentemente asociados a la sospecha de deterioro cognitivo fueron los delirios, las alucinaciones, la agitación, la desinhibición, la irritabilidad y la conducta motora sin finalidad. Conclusiones Cuando se detecten síntomas psiquiátricos propios de trastorno mental severo (TMS) en individuos de edad avanzada sin antecedentes de TMS hay que sospechar un deterioro cognitivo y se debería administrar una prueba de cribado.

• Publication year

  2017

• Venue

  Atención Primaria

• Publication date

  2017-06-13

• Fields of study

  Not labeled

• Identifiers
  DOI 10.1016/j.aprim.2017.01.015PMID 28623009PMCID 6836988
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Activities of daily living and quality of life across different stages of dementia: a UK study

  2015cited by this paper
• [Psychological and behavioural symptoms of dementia: prevention, diagnosis and treatment].

  2012cited by this paper
• [Can dementia be diagnosed in primary care?].

  2011cited by this paper
• Neuropsychiatric symptoms and syndromes in a large cohort of newly diagnosed, untreated patients with Alzheimer disease.

  2010cited by this paper
• Management of behavioral problems in Alzheimer's disease

  2010cited by this paper
• Global Assessment of Functioning

  2010cited by this paper
• Missed and Delayed Diagnosis of Dementia in Primary Care: Prevalence and Contributing Factors

  2009cited by this paper
• A Systematic Review of Neuropsychiatric Symptoms in Mild Cognitive Impairment

  2009cited by this paper
• Prevalence of psychiatric symptoms and mental disorders detected in primary care in an elderly Spanish population. The PSICOTARD Study: preliminary findings

  2008cited by this paper
• Neuropsychiatric Manifestations in Mild Cognitive Impairment: A Systematic Review of the Literature

  2007cited by this paper
• Comparison of different clinical diagnostic criteria for depression in Alzheimer disease.

  2006cited by this paper
• Inequalities in dementia care across Europe: key findings of the Facing Dementia Survey

  2005cited by this paper
• [Neuropsychiatric symptoms in dementia syndrome].

  2004cited by this paper
• [Descriptive study of behavioural disorders in mild cognitive impairment].

  2004cited by this paper
• Síntomas neuropsiquiátricos en el síndrome demencial

  2004cited by this paper
• Validation of a Modified Version of the Mini-Mental State Examination (MMSE) in Spanish

  2004cited by this paper
• Diagnosing cognitive impairment and dementia in primary health care -- a more active approach is needed.

  2003cited by this paper
• Diagnóstico precoz de la enfermedad de Alzheimer

  2003cited by this paper
• [Proposal of criteria for clinical diagnosis of mild cognitive impairment, dementia and Alzheimer's disease].

  2002cited by this paper
• Dementia and Alzheimer disease incidence: a prospective cohort study.

  2002cited by this paper
• Unrecognized Dementia in Elderly Patients Admitted to Hospital with Psychiatric Symptoms

  2001cited by this paper
• Late-life psychosis: making the diagnosis and controlling symptoms.

  1998cited by this paper
• BEHAVIOUR DISTURBANCE AND OTHER PREDICTORS OF CARER BURDEN IN ALZHEIMER'S DISEASE

  1997cited by this paper
• Associations Between Dysfunctional Behaviors, Gender, and Burden in Spousal Caregivers of Cognitively Impaired Older Adults

  1997cited by this paper
• The World Health Organization Short Disability Assessment Schedule (WHO DAS-S): a tool for the assessment of difficulties in selected areas of functioning of patients with mental disorders

  1996cited by this paper
• Global assessment of functioning. A modified scale.

  1995cited by this paper
• Population-based norms for the Mini-Mental State Examination by age and educational level.

  1993cited by this paper

• Diagnosing dementia and cognitive dysfunction in the elderly in primary health care: A systematic review

  2019cites this paper