Abstract
The study aims at identifying features predictive of early onset of dementia in Parkinson's disease (PD). 103 non-demented PD patients were evaluated on various scales at baseline and 89 patients at 3-year follow-up. By the end of the study 43.8% of patients developed dementia. The development of dementia was linked to the baseline Mini Mental State Examination score (Pearson coefficient r = .404, p = 0.013), the presence of autonomic dysfunctions (r = -.621, p < 0.001) and insomnia (r = -.526, p = 0.001). A binary logistic regression analysis showed that the development of dementia was correlated strongly with the presence of autonomic dysfunctions (95% CI 2.60 to 52.83, p < 0.001), and insomnia (95% CI 0.60 to 0.95, p = 0.017). Patients with signs of autonomic dysfunction and insomnia are at higher risk for developing dementia and deserve closer monitoring of cognitive symptoms.
Published Version (Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have