Neurological and psychiatric comorbidities in chronic obstructive pulmonary disease
| Autor: | Elena Jurevičienė, Kristijonas Puteikis, Rūta Mameniškienė |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty factor analysis Disease Comorbidity International Journal of Chronic Obstructive Pulmonary Disease comorbidities chronic obstructive pulmonary disease 03 medical and health sciences Epilepsy Pulmonary Disease Chronic Obstructive 0302 clinical medicine Prevalence Medicine Dementia Humans sleep impairment 030212 general & internal medicine Psychiatry Stroke Depression (differential diagnoses) Original Research COPD business.industry stroke General Medicine medicine.disease Cerebrovascular Disorders 030228 respiratory system Anxiety Female medicine.symptom business |
| Zdroj: | International journal of chronic obstructive pulmonary disease, Auckland : Dove Medical Press Ltd., 2021, vol. 16, p. 553-562 International Journal of Chronic Obstructive Pulmonary Disease |
| ISSN: | 1178-2005 |
| Popis: | Kristijonas Puteikis,1 RÅ«ta MameniškienÄ,2 Elena JureviÄienÄ3 1Vilnius University, Faculty of Medicine, Vilnius, Lithuania; 2Vilnius University, Center for Neurology, Vilnius, Lithuania; 3Vilnius University, Center for Pulmonology and Allergology, Vilnius, LithuaniaCorrespondence: RÅ«ta MameniškienÄVilnius University, Center for Neurology, Vilnius, LithuaniaTel +370 61153077Email ruta.mameniskiene@santa.ltBackground and Purpose: Chronic obstructive pulmonary disease (COPD) is often accompanied by different neurological and psychiatric comorbidities. The purpose of this study was to examine which of them are the most frequent and to explore whether their manifestation can be explained by underlying latent variables.Methods: Data about patients with COPD and their neurological and psychiatric comorbidities were extracted from an electronic database of the National Health Insurance Fund of Lithuania for the period between January 1, 2012, and June 30, 2014. Exploratory factor analysis (EFA) was used to investigate comorbidity patterns.Results: A study sample of 4834 patients with COPD was obtained from the database, 3338 (69.1%) of who were male. The most frequent neurological and psychiatric comorbidities were nerve, nerve root and plexus disorders (n=1439, 29.8%), sleep disorders (n=666, 13.8%), transient ischemic attack (n=545, 11.3%), depression (n=364, 7.5%) and ischemic stroke (n=349, 7.2%). The prevalence of ischemic stroke, transient ischemic attack, Parkinson’s disease, dementia and sleep disorders increased with age. One latent variable outlined during EFA grouped neurological disorders, namely ischemic stroke, transient ischemic attack, epilepsy, dementia and Parkinson’s disease. The second encompassed depression, anxiety, somatoform and sleep disorders. While similar patterns emerged in data from male patients, no clear comorbidity profiles among women with COPD were obtained.Conclusion: Our study provides novel insights into the neurological and psychiatric comorbidities in COPD by outlining an association among cerebrovascular, neurodegenerative disorders and epilepsy, and psychiatric and sleep disorders. Future studies could substantiate the discrete pathological mechanism that underlie these comorbidity groups.Keywords: chronic obstructive pulmonary disease, comorbidities, factor analysis, sleep impairment, stroke |
| Databáze: | OpenAIRE |
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