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Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions?
AIM: To evaluate if adult persons with spina bifida (SB) who have urinary tract complications have cognitive difficulties that can be identified by neuropsychological tests. METHODS: All individuals with SB ≥ 18 years of age registered at a regional outpatient clinic (n = 219) were invited, of which...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7702031/ https://www.ncbi.nlm.nih.gov/pubmed/32959949 http://dx.doi.org/10.1002/nau.24515 |
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author | Ehrén, Ingrid Hagman, Göran Lindbo, Lena Gabrielsson, Hanna Bendt, Martina Seiger, Åke |
author_facet | Ehrén, Ingrid Hagman, Göran Lindbo, Lena Gabrielsson, Hanna Bendt, Martina Seiger, Åke |
author_sort | Ehrén, Ingrid |
collection | PubMed |
description | AIM: To evaluate if adult persons with spina bifida (SB) who have urinary tract complications have cognitive difficulties that can be identified by neuropsychological tests. METHODS: All individuals with SB ≥ 18 years of age registered at a regional outpatient clinic (n = 219) were invited, of which, 154 persons were included. Neuropsychological assessment of their cognitive status was performed with Wechsler Adult Intelligence Scale®—Fourth Edition: Coding, Block design, Arithmetic's, FAS (word generation), Rey Auditory Verbal Test for learning, and delayed recall 30 min. Bladder and bowel function were assessed with questions used by the Nordic Spinal Cord Injury Registry (NSCIR) in structured interviews, by questionnaires, and by chart reviews. RESULTS: Average neuropsychological test results for this SB population was shown to be approximately 1 SD under the median for the general population. The Coding test showed significantly lower test results as compared with the whole SB group in persons with urinary tract complications, especially urinary tract infections, reduced kidney function, dependent emptying of the bladder, and the bowel and accidental bowel leakage. The Arithmetic's test showed a significant difference between subgroups in all parameters except reduced kidney function whereas the other neuropsychological tests were significantly correlated with some but not all urological parameters. CONCLUSION: We propose neuropsychological testing with primarily two tests to find those persons with SB who, due to cognitive challenges, might need extra support to minimize urological complications. |
format | Online Article Text |
id | pubmed-7702031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77020312020-12-14 Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? Ehrén, Ingrid Hagman, Göran Lindbo, Lena Gabrielsson, Hanna Bendt, Martina Seiger, Åke Neurourol Urodyn Original Basic Science Articles AIM: To evaluate if adult persons with spina bifida (SB) who have urinary tract complications have cognitive difficulties that can be identified by neuropsychological tests. METHODS: All individuals with SB ≥ 18 years of age registered at a regional outpatient clinic (n = 219) were invited, of which, 154 persons were included. Neuropsychological assessment of their cognitive status was performed with Wechsler Adult Intelligence Scale®—Fourth Edition: Coding, Block design, Arithmetic's, FAS (word generation), Rey Auditory Verbal Test for learning, and delayed recall 30 min. Bladder and bowel function were assessed with questions used by the Nordic Spinal Cord Injury Registry (NSCIR) in structured interviews, by questionnaires, and by chart reviews. RESULTS: Average neuropsychological test results for this SB population was shown to be approximately 1 SD under the median for the general population. The Coding test showed significantly lower test results as compared with the whole SB group in persons with urinary tract complications, especially urinary tract infections, reduced kidney function, dependent emptying of the bladder, and the bowel and accidental bowel leakage. The Arithmetic's test showed a significant difference between subgroups in all parameters except reduced kidney function whereas the other neuropsychological tests were significantly correlated with some but not all urological parameters. CONCLUSION: We propose neuropsychological testing with primarily two tests to find those persons with SB who, due to cognitive challenges, might need extra support to minimize urological complications. John Wiley and Sons Inc. 2020-09-22 2020-11 /pmc/articles/PMC7702031/ /pubmed/32959949 http://dx.doi.org/10.1002/nau.24515 Text en © 2020 The Authors. Neurourology and Urodynamics Published by Wiley Periodicals LLC This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Basic Science Articles Ehrén, Ingrid Hagman, Göran Lindbo, Lena Gabrielsson, Hanna Bendt, Martina Seiger, Åke Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? |
title | Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? |
title_full | Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? |
title_fullStr | Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? |
title_full_unstemmed | Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? |
title_short | Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions? |
title_sort | cognitive challenges in persons with spina bifida: bearing on urological dysfunctions? |
topic | Original Basic Science Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7702031/ https://www.ncbi.nlm.nih.gov/pubmed/32959949 http://dx.doi.org/10.1002/nau.24515 |
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