P2‐160: Evolution of memory disorders in elderly people who recover, remain stationary and develop dementia

Abstract

Mild Cognitive Impairment is a syndrome defined as cognitive decline greater than expected for an individual's age and education level but that does not interfere notably with activities of daily life. Prevalence in population-based epidemiological studies ranges from 3% to 19% in adults older than 65 years. Some people with mild cognitive impairment seem to remain stable or return to normal over time, but more than half progress to dementia within 5 years. Mild cognitive impairment can thus be regarded as a risk state for dementia, and its identification could lead to secondary prevention by controlling risk factors such as systolic hypertension. The amnestic subtype of mild cognitive impairment has a high risk of progression to Alzheimer's disease, and it could constitute a prodromal stage of this disorder. Other definitions and subtypes of mild cognitive impairment need to be studied as potential prodromes of Alzheimer's disease and other types of dementia. Our intention is firstly, share some concepts to consider Alzheimer's disease as a cruel illness that can reach all the elderly people around the world. Secondly, to analyze the different forms of presentation than can mask a clinical state. Which many times could end-up in dementia? And will soon destroy the whole psychic apparatus of a person. The present our observational study group in the four institutional medical centers, with ambulatory patients, who consult about a cognitive disease. We describe the evolution trough time, taking into account the pharmacological treatments. We included 850 patients with diagnosis the Mild Cognitive Disorder and 348 patients with diagnosis the Alzheimer's Disease (DSM IV-TR criteria). The importance of the early detection of memory disorder, as one of the first signs of alarm which give us the opportunity to intervene therapeutically in on time. We can recognize the Mild Cognitive Disorder as a clue which reveals a first therapeutic instance probably in efficacy in this cruel evolution towards dementia.Discussion:In the presence of a disorder of memory in the elderly people, with the possibility of evolving towards dementia, we prefer to begin drug therapy early, preventive character.