Lupus & antiphospholipid syndrome

Cognitive impairment in a Colombian cohort of patients with systemic lupus erythematosus: A cross-sectional study

LupusPublished Cross-sectional study

Authors' conclusion

In this study, it was found in 16% of patients evaluated with the complete neuropsychological test battery and in 37% with the MoCA screening test.

Study context

Population
Colombian patients with SLE attending a third-level hospital
Outcome
Cognitive deficit (MoCA screening; confirmation with ACR-recommended neuropsychological test battery)
Methodological detailsdescriptive, third-level hospital
  • Descriptive
  • Third-level hospital

Main finding

As reported in the abstract

Cognitive deficit
Abnormal MoCA (<26 points)
35 (37.1%)
Normal MoCA (≥26 points)
59 (62.9%)
Some degree of cognitive deficit (neuropsychological battery, applied to 31 with abnormal MoCA)
19 (20%)
Cognitive impairment
15 (15.95% of the total sample)
Cognitive decline
4 (4.25%)

Observational data: associations, not effects.

Further findings

Factors associated with cognitive deterioration (logistic regression, patients undergoing specific tests)

Lower quality of life, aOR
1.05 (CI 1.01-0.09) (CI as printed)
No association with SLEDAI, prednisolone use, cyclophosphamide use, and depression

Depression (Beck Depression Inventory), some degree

Patients with some degree of depression
41 (48.8%)

Loss of quality of life (LupusCol), median

Median loss of quality of life
21.03% (IQR 10.2 - 40.3)

Original publication

Cognitive impairment in a Colombian cohort of patients with systemic lupus erythematosus: A cross-sectional study. Lupus. Published 15 September 2024. doi:10.1177/09612033241273082

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