额颞叶痴呆和阿尔茨海默病的存活率

IF 2.3 Q3 CLINICAL NEUROLOGY
David Foxe, James Muggleton, Sau Chi Cheung, Nicole Mueller, Rebekah M Ahmed, Manisha Narasimhan, James R Burrell, Yun Tae Hwang, Nicholas J Cordato, Olivier Piguet
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引用次数: 0

摘要

目的:评估特征明确的额颞叶痴呆(FTD)亚型——行为变异(bvFTD)、进行性非流利性失语(PNFA)和语义性痴呆(SD)——以及阿尔茨海默病(AD)典型(遗忘)和非典型(失语症:语素减少性进行性失语症[LPA])表现的患者的生存率。患者和方法:共招募了321名参与者(54名bvFTD, 26名PNFA, 22名SD, 20名LPA, 32名AD, 167名对照)。患者接受了全面的基线评估和年度复查。生存数据采用Kaplan-Meier曲线和Cox比例风险模型进行分析。结果:SD患者自症状出现后的中位生存时间最长(11.9年),LPA患者最短(7年)。bvFTD、PNFA和AD组的中位生存期分别为8.7年、8.6年和10年。SD生存期明显长于PNFA和AD。女性与LPA患者较短的生存期相关。基线评估时较短的症状持续时间与bvFTD、SD、LPA和AD患者较短的生存相关。bvFTD、LPA和AD患者较低的总体认知能力以及SD和AD患者较差的基线功能结果与较短的生存期相关。结论:我们的研究结果表明FTD和AD亚型的生存模式不同。人口统计学和临床表现特征为生存提供了有价值的预后见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survival rates in frontotemporal dementia and Alzheimer's disease.

Aim: To evaluate the survival rates in well-characterized cohorts of frontotemporal dementia (FTD) subtypes - behavioral variant (bvFTD), progressive nonfluent aphasia (PNFA), and semantic dementia (SD) - and both typical (amnestic) and atypical (aphasic: logopenic progressive aphasia [LPA]) presentations of Alzheimer's disease (AD).

Patients & methods: Three hundred and twenty-one participants (54 bvFTD, 26 PNFA, 22 SD, 20 LPA, 32 AD, 167 controls) were recruited. Patients underwent a comprehensive baseline assessment and annual reviews. Survival data were analyzed using Kaplan-Meier curves and Cox proportional hazard models.

Results: Median survival from symptom onset was longest in SD (11.9 years) and shortest in LPA (7 years). Median survival for the bvFTD, PNFA, and AD groups was 8.7, 8.6, and 10 years, respectively. SD survival was significantly longer than PNFA and AD. Female sex was associated with shorter survival in LPA. Shorter symptom duration at baseline assessment was related to shorter survival in bvFTD, SD, LPA, and AD. Lower overall cognition in bvFTD, LPA, and AD, and worse functional outcomes in SD and AD at baseline were associated with shorter survival.

Conclusions: Our findings demonstrate distinct survival patterns across FTD and AD subtypes. Demographic and presenting clinical features provide valuable prognostic insights for survival.

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CiteScore
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