Cognitive profile in patients with bronchial asthma and chronic obstructive pulmonary disease (COPD)

Mourad, Sahar; Al-Ghaffar, Mohammed A. Abd; Abdellah, A. Hamed; Bassiony, Mohamed Al-Amir

doi:10.1016/j.ejenta.2016.06.004

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…The present results also revealed that activities with higher cognitive implications, such as phone use and money management, were not significantly different between people with COPD, asthma, and ACO, with a higher percentage of older adults without limitations in both activities (79.8% for money and 81.4% for phone). These findings suggest that differences previously found in cognitive impairment between COPD and asthma [ 40 ] may not be strong enough to influence BADL and IADL.…”

Section: Discussionmentioning

confidence: 66%

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Castillo

Smith

Suárez

et al. 2023

IJERPH

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Activities of daily living (ADL) may be limited by the presence of chronic diseases, and limitations in ADL contribute to an increased risk of falling. In people with asthma, chronic obstructive pulmonary disease (COPD), and asthma–COPD overlap (ACO), ADL may be affected owing to poor asthma control and COPD ventilatory limitations. The aim of this study was to establish the differing prevalence of limitations in ADL among older Spanish adults with chronic respiratory diseases (COPD, asthma, and ACO). Data from the Spanish National Health Survey were analyzed. The sample was composed of 944 older adults aged ≥65 years and with a positive diagnosis of COPD (n = 502), asthma (n = 241), or ACO (n = 201). Five basic activities of daily living (BADL) and seven instrumental activities of daily living (IADL) were studied. Frequency and percentages were used to describe sample characteristics and limitations of ADL. Significant differences were analyzed using chi-square tests. Results revealed a significant higher number of older adults with COPD (34.8%) and asthma (32.5%) without limitations in doing hard housework in comparison to ACO (17.8%). Regarding meal preparation, a higher percentage of asthmatics without difficulties (77.7%) and a lower percentage with many difficulties (2.6%) were observed in comparison to ACO (64.8%–10.2%). No differences were found in BADL, with approximately 80–90% without limitations. It seems that limitations in IADL vary according to the type of chronic pulmonary diseases, but further research is needed to clarify why differences were found only for preparing meals and hard housework. These findings should be considered in the design of interventions to promote ADL in older adults with respiratory disease.

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Section: Discussionmentioning

confidence: 66%

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Castillo

Smith

Suárez

et al. 2023

IJERPH

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“…However, Sun K et al 25 shows that a combination of preoperative TEAS with intraoperative or postoperative TEAS for management of postoperative pain following laparoscopic surgery is more effective than preoperative TEAS alone. Also, the cognitive profile of patients coexisted with COPD and asthma, which could result in cognitive dysfunction 26 , were not considered. Therefore, future studies should take it into account.…”

Section: Discussionmentioning

confidence: 99%

Effect of TEAS combined with general anesthesia on early postoperative cognitive function in elderly patients undergoing single-port thoracoscopic lobectomy

Chen¹,

Cai²,

Guo

2022

Pak J Med Sci

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Objective: To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) on early cognitive function in elderly patients after single port thoracoscopic lobectomy. Methods: One hundred and nine patients who underwent single whole thoracoscopic lobectomy in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January 2020 to October 2021 were included in this single-center, retrospective observational study. According to the treatment records, before anesthesia, 56 patients received TEAS (TEAS-group), and 53 patients applied electrodes at the same acupoint without electrical stimulation (control-group). Preoperative and postoperative cognitive function (Mini mental state examination, MMSE score), serum neuron specific enolase (NSE), S100β protein and p-tau protein levels and postoperative complications were compared between the two groups. Results: After operation, the MMSE of the TEAS-group was significantly better than that of the Control-group, with the MMSE of the TEAS-group returned to the preoperative level 72 hours after operation. Serum NSE, S100β and p-tau concentrations 24 hours and 72 hours after operation in the TEAS-group returned to their preoperative level and were significantly lower than those in the control-group. Hospitalization time of the TEAS-group was significantly shorter and hospitalization expenses were significantly lower comparing to the control-group. Conclusion: TEAS treatment could promote improved early postoperative cognitive function of elderly patients undergoing single port thoracoscopic lobectomy and could accelerate the recovery. doi: https://doi.org/10.12669/pjms.38.8.6927 How to cite this:Chen X, Cai H, Guo J. Effect of TEAS combined with general anesthesia on early postoperative cognitive function in elderly patients undergoing single-port thoracoscopic lobectomy. Pak J Med Sci. 2022;38(8):2118-2124. doi: https://doi.org/10.12669/pjms.38.8.6927 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Cross-sectional studies have estimated the prevalence of cognitive impairment in general COPD at between 16% and 57% [3] . MCI is defined as a clinical condition characterized by decline of cognitive function greater than expected for a certain age and educational level of the individual but not severe enough to interfere with their daily activities [5,6] . A mechanism proposed for the cognitive impairment in COPD patients is the neuronal damage mediated by hypoxia as a result of the pulmonary disease or the comorbidities that adversely affect the brain, such as vascular disease and smoking [5] .…”

Section: Introductionmentioning

confidence: 99%

“…[ 3 ] MCI is defined as a clinical condition characterized by decline of cognitive function greater than expected for a certain age and educational level of the individual but not severe enough to interfere with their daily activities. [ 5 , 6 ] A mechanism proposed for the cognitive impairment in COPD patients is the neuronal damage mediated by hypoxia as a result of the pulmonary disease or the comorbidities that adversely affect the brain, such as vascular disease and smoking. [ 5 ] Other study suggested that mechanisms for the association of COPD with higher rates of cognitive impairment, including oxidative stress, inactive state, systemic inflammatory state, and loss of hippocampal volume.…”

Section: Introductionmentioning

confidence: 99%

“…[ 5 , 6 ] A mechanism proposed for the cognitive impairment in COPD patients is the neuronal damage mediated by hypoxia as a result of the pulmonary disease or the comorbidities that adversely affect the brain, such as vascular disease and smoking. [ 5 ] Other study suggested that mechanisms for the association of COPD with higher rates of cognitive impairment, including oxidative stress, inactive state, systemic inflammatory state, and loss of hippocampal volume. [ 1 , 7 ] Patients with COPD report high levels of anxiety and depression, which are associated with disease severity and are related to psychosocial constructs, such as poor quality of life, living alone, female sex, smoking and low socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

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Risk of developing cognitive impairment on patients with chronic obstructive pulmonary disease

Simargi¹,

Mansyur²,

Turana³

et al. 2022

Medicine

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Background: The increasing number of chronic obstructive pulmonary disease (COPD) incidence has led to a great negative impact on older people's lives. This chronic disease was a critical and independent risk factor for cognitive function impairment in the elderly with mild cognitive impairment as a frequent feature. This systematic review aimed to examine the risk of developing cognitive impairment in COPD. Methods: A structured search of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement guideline, with a pre-determined search strategy starting from study identification, title and abstract screening, eligibility assessment, and inclusion of relevant study. The search was conducted in PubMed and MEDLINE via EBSCOhost, with restriction to human studies. The studies from inception until January 12, 2021. Results: Five original articles were included. Most studies found that patients with COPD had a higher chance of developing cognitive impairment, especially when patients were followed up for more than 5 years. We discovered that the risk of cognitive impairment seemed to be correlated with the length of time spent following the participants, with the highest risk of cognitive impairment being identified in those who had the longest observation period. It is critical to conduct cognitive screening from the time a diagnosis of COPD is obtained and on a continuing basis in order to recognize and treat these individuals appropriately. Conclusion: There is a potential association between COPD and mild cognitive impairment. We encourage more studies to be done with higher sensitivity and specificity cognitive screening tools in the future to build better evidence and qualify to be analyzed quantitatively with meta-analysis.

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Cognitive profile in patients with bronchial asthma and chronic obstructive pulmonary disease (COPD)

Cited by 9 publications

References 19 publications

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Effect of TEAS combined with general anesthesia on early postoperative cognitive function in elderly patients undergoing single-port thoracoscopic lobectomy

Risk of developing cognitive impairment on patients with chronic obstructive pulmonary disease

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