登革热病毒感染者认知能力下降的风险:系统综述。

IF 4.5 2区 医学 Q1 CLINICAL NEUROLOGY
Lakshmi Thangavelu, Siddig Ibrahim Abdelwahab, Abdullah Farasani, Suhas Ballal, Pooja Bansal, Deepak Nathiya, Kiranjeet Kaur, M Ravi Kumar, Aashna Sinha, Hayam A Alrasheed, Maha F Al-Subaie, Nawal A Al Kaabi, Ali Al Bshabshe, Mona A Al Fares, Hawra Albayat, Ali A Rabaan, Kumud Pant, Quazi Syed Zahiruddin, Arathi P Rao, Mahalaqua Nazli Khatib, Hassan Ahmad Alfaifi, Syam Mohan, Sanjit Sah, Prakasini Satapathy
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引用次数: 0

摘要

背景:登革热由登革病毒引起,通过伊蚊传播,是一个日益严重的公共卫生问题,尤其是在热带和亚热带地区。登革热传统上与发热和出血性症状有关,最近的研究表明登革热与认知障碍之间存在潜在联系。本系统综述对现有研究进行了评估,以了解登革热病毒感染与认知障碍(包括痴呆症、阿尔茨海默病、记忆力减退和意识模糊)之间的关系:本系统性综述遵循 PRISMA 指南。截至 2024 年 1 月 18 日,在 PubMed、EMBASE 和 Web of Science 上进行了全面的文献检索。纳入了研究登革热患者认知障碍发生率和相关性的研究。采用 Nested Knowledge 软件和纽卡斯尔-渥太华量表进行数据提取和质量评估:在确定的 1,129 篇文章中,有 5 篇被纳入综述,涉及来自台湾、巴西和法国的 200,873 名参与者。来自人群队列研究的证据表明,一些登革热患者会出现短期认知障碍,包括意识模糊和记忆力减退。此外,还观察到痴呆症(包括阿尔茨海默病和血管性痴呆症)的长期风险,尤其是在老年人中。尽管研究结果表明,登革热感染与认知能力下降之间可能存在关联,但这种关联的机制仍不清楚:本系统综述表明,登革热病毒感染可能会在急性和长期情况下影响认知功能。然而,目前的证据还不足以确定两者之间的联系。要确认登革热病毒对认知健康的影响,必须开展样本量更大的进一步研究和纵向研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk of cognitive decline among patients with dengue virus infection: a systematic review.

Dengue fever, caused by the dengue virus and transmitted through Aedes mosquitoes, is a growing public health concern, particularly in tropical and subtropical regions. Traditionally associated with febrile and hemorrhagic symptoms, recent research suggests a potential link between dengue and cognitive impairments. This systematic review assessed existing research to understand the association between dengue virus infection and cognitive impairments, including dementia, Alzheimer disease, memory loss, and confusion. This systematic review followed preferred reporting items for systematic reviews and meta-analyses guidelines. A comprehensive literature search was conducted in PubMed, EMBASE, and Web of Science up to January 18, 2024. Studies examining the prevalence and association of cognitive impairments in dengue patients were included. Data extraction and quality assessment were performed using Nested Knowledge software and the Newcastle-Ottawa Scale. Of the 1129 articles identified, 5 were included in the review, covering a total of 200 873 participants from Taiwan, Brazil, and France. Evidence from population-based cohort studies indicated short-term cognitive impairments, including confusion and memory loss, in some dengue patients. Additionally, long-term risks of dementia, including Alzheimer disease and vascular dementia, were observed, particularly among older adults. Although the findings suggest there might be an association between dengue infection and cognitive decline, the mechanisms underlying this link remain unclear. This systematic review suggests that dengue virus infection may affect cognitive function in both acute and long-term contexts. However, the current evidence is not strong enough to establish a conclusive link. Further research with larger sample sizes and longitudinal studies is essential to confirm the impact of dengue virus on cognitive health.

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来源期刊
CiteScore
8.40
自引率
2.10%
发文量
230
审稿时长
4-8 weeks
期刊介绍: The central focus of the journal is on research that advances understanding of existing and new neuropsychopharmacological agents including their mode of action and clinical application or provides insights into the biological basis of psychiatric disorders and thereby advances their pharmacological treatment. Such research may derive from the full spectrum of biological and psychological fields of inquiry encompassing classical and novel techniques in neuropsychopharmacology as well as strategies such as neuroimaging, genetics, psychoneuroendocrinology and neuropsychology.
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