Lupus & antiphospholipid syndrome

Cognitive dysfunction in patients with systemic lupus erythematosus. A cross-sectional study in a Brazilian sample

LupusPublished Cross-sectional study

Authors' conclusion

According to the MoCA, visuospatial cognition and abstraction were impaired, and according to the MMSE, spatial orientation and language were impaired in patients with SLE. The CD was correlated with cumulative damage and disease activity.

Study context

Population
Patients with systemic lupus erythematosus (SLE) and controls, Brazilian sample
Participants
103 vs 95
Exposure
SLE vs controls
  • SLEn = 103
  • Controlsn = 95reference
Outcome
Cognitive performance (MoCA and MMSE)
Methodological detailscontrolled
  • Controlled

Main finding

As reported in the abstract

Cognitive performance (MoCA, MMSE)
  • SLE vs Controls: P = 0.009
  • SLE vs Controls: P = 0.01

Observational data: associations, not effects.

Further findings

OutcomeP value
MoCA domains impaired in SLE vs controlsSLE vs Controls · visuospatialP = 0.03
MoCA domains impaired in SLE vs controlsSLE vs Controls · abstractionP = 0.002
MMSE domains reduced in SLE vs controlsSLE vs Controls · languageP = 0.002
MMSE domains reduced in SLE vs controlsSLE vs Controls · spatial orientationP = 0.01

Correlations of cognitive scores with damage and disease activity (SLE)

MoCA vs SLICC/ACR/DI, r
−0.29
MMSE vs SLICC/ACR/DI, r
−0.21
MoCA vs SLEDAI, r
−0.22

Associations with cumulative GC dose, depression, clinical or serological profile

No associations found

Original publication

Cognitive dysfunction in patients with systemic lupus erythematosus. A cross-sectional study in a Brazilian sample. Lupus. Published 19 May 2023. doi:10.1177/09612033231176794

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