The relationship between ventilatory function and cognitive and behavioral impairment in ALS

被引:4
作者
Shah, Jaimin S. [1 ]
Pedraza, Otto [2 ]
Festic, Emir [3 ]
Oskarsson, Bjorn [1 ]
机构
[1] Mayo Clin, Neurol, Jacksonville, FL 32224 USA
[2] Mayo Clin, Psychiat & Psychol, Jacksonville, FL 32224 USA
[3] Mayo Clin, Allergy & Pulm Med, Jacksonville, FL 32224 USA
关键词
ALS; cognition; behavior; ventilation; AMYOTROPHIC-LATERAL-SCLEROSIS; NONINVASIVE VENTILATION; DYSFUNCTION; EXCITOTOXICITY; COMPLICATIONS; UPDATE;
D O I
10.1080/21678421.2021.1924206
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To study the association between ventilatory function and cognitive and behavioral impairment in ALS patients accounting for the effects of pertinent covariates. Methods: Four hundred and eighty-one patients were identified from the Mayo Clinic Florida ALS registry who had concurrent forced vital capacity (FVC) and cognitive and behavioral testing using the ALS Cognitive Behavioral Screen (ALS-CBS). Multiple linear regression analysis was used to study the effects of FVC and relevant covariates on the ALS-CBS cognition score, subscores, and caregiver behavioral inventory. Results: FVC was positively correlated to the cognitive and behavioral subscores on the ALS-CBS (p < 0.001), and the correlation was independent of the effects of site of ALS onset, age, and years of education. Conclusion: Cognitive and behavioral function may be adversely affected by ventilatory impairment in ALS. The presence of cognitive and behavioral impairment warrants a detailed assessment of ventilatory function.
引用
收藏
页码:62 / 67
页数:6
相关论文
共 35 条
[1]   Predicting inadequate spirometry technique and the use of FEV1/FEV3 as an alternative to FEV1/FVC for patients with mild cognitive impairment [J].
Allen, Stephen ;
Yeung, Pan ;
Janczewski, Marek ;
Siddique, Nasir .
CLINICAL RESPIRATORY JOURNAL, 2008, 2 (04) :208-213
[2]   Statistics notes - The cost of dichotomising continuous variables [J].
Altman, DG ;
Royston, P .
BRITISH MEDICAL JOURNAL, 2006, 332 (7549) :1080-1080
[3]   Inter- and Intracellular Signaling in Amyotrophic Lateral Sclerosis: Role of p38 Mitogen-Activated Protein Kinase [J].
Bendotti, C. ;
Cutrona, M. Bao ;
Cheroni, C. ;
Grignaschi, G. ;
Lo Coco, D. ;
Peviani, M. ;
Tortarolo, M. ;
Veglianese, P. ;
Zennaro, E. .
NEURODEGENERATIVE DISEASES, 2005, 2 (3-4) :128-134
[4]   Activated p38MAPK is a novel component of the intracellular inclusions found in human amyotrophic lateral sclerosis and mutant SOD1 Transgenic mice [J].
Bendotti, C ;
Atzori, C ;
Piva, R ;
Tortarolo, M ;
Strong, MJ ;
DeBiasi, S ;
Migheli, A .
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY, 2004, 63 (02) :113-119
[5]   Effects of non-invasive ventilation on survival and quality of life in patients with amyotrophic lateral sclerosis [J].
Bourke, SC ;
Tomlinson, M ;
Williams, TL ;
Bullock, RE ;
Shaw, PJ ;
Gibson, GJ .
LANCET NEUROLOGY, 2006, 5 (02) :140-147
[6]   Noninvasive ventilation in ALS - Indications and effect on quality of life [J].
Bourke, SC ;
Bullock, RE ;
Williams, TL ;
Shaw, PJ ;
Gibson, GJ .
NEUROLOGY, 2003, 61 (02) :171-177
[7]   COGNITIVE FUNCTION AND ASSESSMENT OF LUNG-FUNCTION IN THE ELDERLY [J].
CARVALHAESNETO, N ;
LORINO, H ;
GALLINARI, C ;
ESCOLANO, S ;
MALLET, A ;
ZERAH, F ;
HARF, A ;
MACQUINMAVIER, I .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1995, 152 (05) :1611-1615
[8]   Neurobehavioral dysfunction in ALS has a negative effect on outcome and use of PEG and NIV [J].
Chio, A. ;
Ilardi, A. ;
Cammarosano, S. ;
Moglia, C. ;
Montuschi, A. ;
Calvo, A. .
NEUROLOGY, 2012, 78 (14) :1085-1089
[9]   The frontotemporal syndrome of ALS is associated with poor survival [J].
Govaarts, Rosanne ;
Beeldman, Emma ;
Kampelmacher, Mike J. ;
van Tol, Marie-Jose ;
van den Berg, Leonard H. ;
van der Kooi, Anneke J. ;
Wijkstra, Peter J. ;
Zijnen-Suyker, Marianne ;
Cobben, Nicolle A. M. ;
Schmand, Ben A. ;
de Haan, Rob J. ;
de Visser, Marianne ;
Raaphorst, Joost .
JOURNAL OF NEUROLOGY, 2016, 263 (12) :2476-2483
[10]  
Hadjikoutis S, 2001, ACTA NEUROL SCAND, V103, P207, DOI 10.1034/j.1600-0404.2001.d01-22.x