Mild cognitive impairment and progression to dementia of Alzheimer's disease

Abstract

The increase in life expectancy in the Brazilian population raises questions about the preparation of the public health system in identifying elderly patients with signs of cognitive impairment. Currently, as a consequence of the long duration of preclinical phase of Alzheimer's disease, efforts of early detection have been emphasized. Clinical dementia presents an important impact on the individual's caregivers, family, society and economy. Identifying individuals who already have some cognitive impairment, despite remaining functional, as well as analyzing associated comorbidities, constitutes an opportunity to analyze possibilities for future interventions. Dementias are clinical conditions that impose a burden on the health system with its high costs, whereas the identification of individuals with cognitive impairment without dementia can aid patients and their families to plan the future and mitigate costs. This narrative revision can provide general practitioners with more information on the subject.

Challenges and technologies of care developed by caregivers of patients with Alzheimer's disease

“…Dementia has an important impact on the family, caregivers, society and the economy 8 . The findings of the present study show that these difficulties are, in large part, linked to the maintenance of the basic human needs of the elderly by the caregiver.…”

Monitorização Não Invasiva Da Pressão Intracraniana Em Idosos: Um Relato De Morfologia De Onda E Complacencia Cerebral / Elderly Non Invasive Intracranial Pressure Monitorization: A Report of Wave Morphology and Cerebral Compliance

“…Ideally, this diagnosis should occur before the onset of symptoms, allowing to predict neuropathological changes and take measures to prevent the evolution and installation of these pathologies (Steiner et al, 2017).…”

Seguimiento longitudinal de pacientes con queja cognitiva : características y perfiles de progresión

“…En un trabajo de revisión (Steiner et al, 2017) sobre estudios longitudinales en relación a la progresión del déficit cognitivo en distintas poblaciones de sujetos con déficit cognitivo, los autores refieren que el ritmo de progresión es más rápido tanto en las personas añosas con quejas de memoria como en aquellas con diagnóstico de DCL. En coincidencia con esta observación, en nuestra población se comprobó que el tiempo de progresión fue significativamente más rápido para los sujetos con DCL que para los sujetos sin deterioro cognitivo (p 0,014).…”