在老年痴呆症的性别特异性疾病动态中导航。

Muskan Garg, Xingyi Liu, Maria Vassilaki, Ronald C Petersen, Jennifer St Sauver, Sunghwan Sohn
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引用次数: 0

摘要

痴呆症是导致老年人认知和功能丧失以及残疾的主要原因之一。过去的研究表明,健康状况和认知能力衰退的进展存在性别差异。关于痴呆症确诊后患者特征描述的健康状况时间轨迹的现有研究很少且不明确。因此,关于痴呆症确诊后健康状况如何随时间变化的研究既有限又不明确。为此,我们旨在分析痴呆症诊断后医疗状况的变化,并研究慢性健康状况模式的性别特异性变化。我们的分析以痴呆症诊断点周围的 15 年为中心,包括诊断前的 5 年和诊断后的 10 年。我们引入了(i) MedMet--一种量化每种病症贡献的网络指标,以及(ii) 用于病症时间轨迹分析的增长和衰减函数。我们的实验证明,某些健康状况在女性中比男性更普遍。因此,我们的研究结果强调了研究男女差异的迫切需要,这可能对痴呆症诊断后的医疗保健利用率很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Navigating Sex-Specific Disease Dynamics in Incident Dementia.

Dementia is among the leading causes of cognitive and functional loss and disability in older adults. Past studies suggested sex differences in health conditions and progression of cognitive decline. Existing studies on the temporal trajectory of health conditions for patient characterization after dementia diagnosis are scarce and ambiguous. Thus, there's limited and unclear research on how health conditions change over time after a dementia diagnosis. To this end, we aim to analyze the shift in medical conditions and examine sex-specific changes in patterns of chronic health conditions after dementia diagnosis. We centered our analysis on a 15-year window around the point of dementia diagnosis, encompassing the 5 years leading up to the diagnosis and the 10 years following it. We introduce (i) MedMet, a network metric to quantify the contribution of each medical condition, and (ii) growth and decay function for temporal trajectory analysis of medical conditions. Our experiments demonstrate that certain health conditions are more prevalent among females than males. Thus, our findings underscore the pressing need to examine differences between men and women, which could be important for healthcare utilization after a dementia diagnosis.

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