Cognitive impairment in older adults with DM and HBP in a primary care setting

Abstract Objective: We conducted a cross-sectional study to identify, characterize, and compare the presence of cognitive impairment in patients with diabetes mellitus (DM) and patients with high blood pressure (HBP) who were seen in primary care. Methods: Consecutive patients over the age of 65 with DM or HBP who attended outpatient consultation at the Family Medicine Unit No. 51 of the Mexican Institute of Social Security in Guadalajara were included in the study. The Montreal Cognitive Assessment (MoCA) test was applied to detect the presence of cognitive impairment. Results: A total of 177 patients (59.9% men) with DM (59.9%) or HBP (40.1%) were included in the study. It was found that 44.1% of the participants had cognitive impairment. Conclusions: The prevalence of cognitive impairment in older adults with DM or HBP is higher than in older adults without these comorbidities. The use of a quick and easy screening test such as the MoCA test in this group of patients could allow for early detection and impact on timely referral, approach, and management.

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Bibliographic Details
Main Authors: Rodríguez-Castillo,Sergio A., Cortés-Enríquez,Fernando, Gónzalez-Alcaraz,Estefanía, Guzmán-Barajas,Haydé G., Sarmiento-Lizárraga,Elizabeth, Durán-Humbert,Danya L.
Format: Digital revista
Language:English
Published: Academia Mexicana de Neurología A.C. 2024
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-50442024000200035
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