Low Cognitive Ability in Subjects With Bronchiectasis.

BACKGROUND: Bronchiectasis may change cognitive function. The mechanism responsible for cognitive dysfunction in COPD may be neuronal damage caused by hypoxia. Cognitive function in patients with bronchiectasis is also likely to be affected by similar mechanisms. The goal of this study was to determ...

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Publicado en:Respiratory Care Vol. 60; no. 11; pp. 1610 - 1616
Autores principales: Gülhan, Pınar Yıldız, Bulcun, Emel, Gülhan, Mustafa, Çimen, Dilay, Ekici, Aydanur, Ekici, Mehmet
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Nov2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2015
      vid: 60
      iid: 11
      pid: 1365
      pub: Mary Ann Liebert, Inc.
      place: New Rochelle, New York
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        10.4187/respcare.03905
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        atl: Low Cognitive Ability in Subjects With Bronchiectasis.
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        au:
          Gülhan, Pınar Yıldız
          Bulcun, Emel
          Gülhan, Mustafa
          Çimen, Dilay
          Ekici, Aydanur
          Ekici, Mehmet
        affil: Department of Pulmonary Diseases, Kırıkkale University, Kırıkkale, Turkey
      sug:
        subj:
          Bronchiectasis Psychosocial Factors
          Cognition
          Scales
          Human
          Dyspnea
          Male
          Female
          Adult
          Middle Age
          Chi Square Test
          Bivariate Statistics
          Linear Regression
          Pearson's Correlation Coefficient
          P-Value
          Body Mass Index
          Multivariate Analysis
          Oxygen Saturation
          Respiratory Function Tests
          T-Tests
          Mann-Whitney U Test
          Anoxemia
          Intelligence
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND: Bronchiectasis may change cognitive function. The mechanism responsible for cognitive dysfunction in COPD may be neuronal damage caused by hypoxia. Cognitive function in patients with bronchiectasis is also likely to be affected by similar mechanisms. The goal of this study was to determine the frequency and determinants of low cognitive ability in subjects with stable bronchiectasis. METHODS: Thirty subjects with stable bronchiectasis and 25 healthy volunteers underwent a cognitive ability assessment using the Wechsler Adult Intelligence Scale. Bronchiectasis was diagnosed by high-resolution computed tomography of the chest. Age, body mass index, the Hospital Anxiety and Depression Scale, and pulmonary function were assessed. Perceived intensity of dyspnea after exercise (after climbing 3 flights of stairs) was estimated using a modified Borg scale. RESULTS: Mean scores on the verbal and performance tests and full-scale IQ scores were significantly lower in subjects with bronchiectasis than in healthy volunteers. Low cognitive ability in subjects with bronchiectasis was associated with higher depression scores, lower oxygen saturation, and poor lung function after adjusting for potential confounders in multivariate analysis. Borg scores after exercise in subjects with bronchiectasis and low cognitive ability were higher than those in subjects with bronchiectasis and high cognitive ability, despite similar ... and FEV1 in both groups. CONCLUSIONS: Low cognitive ability in subjects with bronchiectasis may be associated with reduced lung function, more serious hypoxemia, and higher depressive symptoms. Subjects with bronchiectasis and low cognitive ability feel more intense dyspnea than do those with high cognitive ability.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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