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Profile of cognitive impairment in late-stage Parkinson's disease

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorSousa, Catarina Severiano e
dc.contributor.authorFabbri, Margherita
dc.contributor.authorGodinho, Catarina
dc.contributor.authorSimões, Rita Moiron
dc.contributor.authorChendo, Inês
dc.contributor.authorCoelho, Miguel
dc.contributor.authorMartins, Isabel Pavão
dc.contributor.authorFerreira, Joaquim J.
dc.date.accessioned2025-11-25T16:12:06Z
dc.date.available2025-11-25T16:12:06Z
dc.date.issued2022-04
dc.description.abstractIntroduction: The profile of cognitive impairment associated with the late stages of Parkinson's disease (LSPD) is rarely reported. Its characterization is necessary to better understand the cognitive changes that occur as the disease progresses and to better contribute to its management. Methods: In this cross-sectional study, we characterized the cognitive profile of LSPD patients using the comprehensive assessment methodology proposed by the International Parkinson and Movement Disorders Society Task Force. The association of clinical and demographic variables with dementia diagnosis was also investigated using binary logistic regression analysis. Results: Eighty-four LSPD patients were included (age 75.4 ± 6.9; disease duration 16.9 ± 7.5). Fifty-four (64.3%) were classified as demented and presented a global impairment cognitive profile. In the nondemented group (N = 30), 25 (83.3%) LSPD patients met the diagnostic criteria for mild cognitive impairment, mostly with multiple domain impairment (96.0%) and a heterogeneous profile. Memory was the most frequent and severely impaired cognitive domain in both groups. Disease disability, orientation, complex order comprehension, verbal learning, and visuoconstructive abilities were significantly associated with dementia diagnosis (p < .05). Conclusions: Cognitive impairment in multiple domains was common in LSPD patients. The most frequent and prominent deficits were in the memory domain, with a strong interference from attention impairment. Disease disability, orientation, complex order comprehension, verbal learning, and visuoconstructive abilities proved to be important determinants for dementia diagnosis.eng
dc.identifier.citationSeveriano e Sousa, C., Fabbri, M., Godinho, C., Moiron Simões, R., Chendo, I., Coelho, M., Pavão Martins, I., & Ferreira, J. J. (2022). Profile of cognitive impairment in late-stage Parkinson's disease. Brain and Behavior, 12, e2537. https://doi.org/10.1002/brb3.2537
dc.identifier.doi10.1002/brb3.2537
dc.identifier.issn2162-3279
dc.identifier.urihttp://hdl.handle.net/10400.26/60013
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.hasversionhttps://doi.org/10.1002/brb3.2537
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectcognitive impairment
dc.subjectlate-stage
dc.subjectParkinson's disease
dc.titleProfile of cognitive impairment in late-stage Parkinson's diseaseeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.startPagee2537
oaire.citation.titleBrain and Behavior
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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