Diagnostic criteria of patients with dementia at the Rene Vallejo Ortiz University Psychiatric Hospital
Abstract
Introduction: The World Health Organization recognizes dementia as a public health priority. It affects 50 million people worldwide, with around 10 million new cases reported each year.
Objective: To apply the diagnostic criteria to patients with dementia according to the Diagnostic and Statistical Manual of Mental Disorders–V and the International Classification of Diseases-10 at the René Vallejo Ortiz University Psychiatric Hospital between June of 2016 and December 2022.
Methods: An observational, descriptive, cross-sectional study was carried out. The universe was made up of all patients admitted to the aforementioned institution. The non-probabilistic sample and at the discretion of the authors was made up of 66 adult patients with the diagnosis in the indicated study period. Descriptive and inferential statistics were used. The data was presented in tables and graphs.
Results: Of the 66 patients investigated, 33.3% were between 60 and 69. The female sex represented 57.6%. According to the DSM-V, 24 patients, 36.4%, were within A9, while 12 (18.2%) were within A10. However, according to ICD -10, 93.9% meet the criteria for dementia.
Conclusions: The main clinical manifestations were disorientation and hypomnesia associated with mild cognitive impairment. In the association of the classifications, it was found that only half of those studied unanimously met the diagnostic criteria.
DeCS: DEMENTIA/diagnosis; INPATIENT; MENTAL DISORDERS; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; HOSPITALS, PSYCHIATRIC.
Downloads
References
1. Barrera López FJ, López Beltrán EA, Baldivieso Hurtado N, Maple Álvarez IV, López Moraila MA, Murillo-Bonilla LM. Diagnóstico actual de la Enfermedad de Alzheimer. Revista de Medicina Clínica [Internet]. 2018 [citado 15 Ago 2021];2(2):[aprox. 17 p.]. Disponible en: https://docplayer.es/94314495-Diagnostico-actual-de-la-enfermedad-de-alzheimer.html
2. Gale SA, Acar D, Daffner KR. Dementia. Am J Med [Internet]. 2018 [citado 15 Ago 2021];131(10):1161-69. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29425707/
3. Custodio N, Montesinos R, Alarcón JO. Evolución histórica del concepto y criterios actuales para el diagnóstico de demencia. Rev Neuropsiquiatr [Internet]. 2018 [citado 15 Ago 2021];81(4):[aprox. 15 p.]. Disponible en: http://www.scielo.org.pe/pdf/rnp/v81n4/a04v81n4.pdf
4. Organización Panamericana de la Salud [Internet]. Washigton:OPS;2019 [citado 15 Ago 2021]. Demencia. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/dementia
5. González-Martínez P, Oltra-Cucarella J, Sitges-Maciá E, Bonete-López B. Revisión y actualización de los criterios de deterioro cognitivo objetivo y su implicación en el deterioro cognitivo leve y la demencia. Rev Neurol [Internet]. 2021 [citado 07 Abr 2023];72:288-95. Disponible en: https://www.svnps.org/wpcontent/uploads/2021/06/bz080288.pdf
6. Oliva Núñez N, Calzado Benítez A, Alcorta Rodríguez TM, Fernández García AS, Borges Rodríguez O. La demencia senil: un problema de salud en los tiempos actuales. Invest Medicoquir [Internet]. Ene-Abr 2020 [citado 15 Ago 2021];12(1):[aprox. 12 p.]. Disponible en: https://www.medigraphic.com/pdfs/invmed/cmq-2020/cmq201u.pdf
7. Corona Miranda B, Prado Rodriguez R, Duany Navarro A. Epidemiología de las demencias. Arch Univ Gen Calixto García [Internet]. 2020 [citado 15 Ago 2021];8(2):133-47. Disponible en: http://www.revcalixto.sld.cu/index.php/a hcg/article/view/514/466
8. Pérez M, Álvarez T, Martínez EJ, Valdivia S, Borroto I, Pedraza H. El síndrome del cuidador en cuidadores principales de ancianos con demencia Alzhéimer. Gac Méd Espirit [Internet]. 2017 [citado 15 Ago 2021];19(1):[aprox. 12 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S160889212017000100007&lng=es
9. Rojas Ochoa F. Demencias y enfermedad de Alzheimer: una prioridad nacional. Rev cuba de salud pública [Internet]. 2013 [citado 15 Ago 2021];39(4):[aprox. 3 p.]. Disponible en: https://scielosp.org/pdf/rcsp/2013.v39n4/804-806/es
10. Llibre Guerra JC, Guerra Hernández MA, Perera Miniet E. Comportamiento del sindrome demencial y la enfermedad de alzheimer. Rev habanera cienc méd [Internet] 2008 [citado 15 Ago 2021];7(1):[aprox. 14 p.]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1729519X2008000100008&script=sci_arttext&tlng=pt
11. Hernández Ulloa E, Llibre Rodríguez JJ, Bosh Bayard R, Zayas Llerena T. Prevalencia y factores de riesgo del síndrome demencial en personas mayores. Rev cuba med gen integr [Internet]. 2021 [citado 18 Ago 2022];37(3):[aprox. 17 p.]. Disponible en: http://scielo.sld.cu/pdf/mgi/v37n3/1561-3038-mgi-37-03-e1409.pdf
12. Seshadri S, Wolf PA, Beiser A, Au R, McNulty K, White R, et al. Lifetime risk of dementia and Alzheimer’s disease. The impact of mortality on risk estimates in the Framingham Study. Neurology [Internet]. 1997 [citado 16 Sep 2021];49(6):1498-504. Disponible en: https://n.neurology.org/content/neurology/49/6/1498.full-text.pdf
13. Laws KR, Irvine K, Gale TM. Sex differences in cognitive impairment in Alzheimer’s disease. World J Psychiatry [Internet]. 2016 [citado 16 Sep 2021];6(1):54-65. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804268/pdf/WJP-6-54.pdf
14. Rocca W, Mielke M, Vemuri P, Miller V. Sex and gender differences in the causes of dementia: a narrative review. Maturitas [Internet]. 2014 Oct [citado 16 Sep 2021];79(2):196-201. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4169309/pdf/nihms-607153.pdf
15. Jia L, Du Y, Chu L, Zhang Z, Li F, Lyu D, et al. Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health [Internet]. 2020 [citado 16 Sep 2021];5(12):e661-e671. Disponible en: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30185-7/fulltext
16. Xia X, Jiang Q, McDermott J, Han JJ. Aging and Alzheimer’s disease: comparison and associations from molecular to system level. Aging Cell [Internet]. 2018 [citado 16 Sep 2021];17(5):e12802. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156542/pdf/ACEL-17-e12802.pdf
17. Kitamura T, Kitamura M, Hino S, Tanaka N, Kurata K. Gender differences in clinical manifestations and outcomes among hospitalized patients with behavioral and psychological symptoms of dementia. J Clin Psychiatry [Internet]. 2012 Dec [citado 16 Sep 2021];73(12):1548-54. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23290328/
18. Pujol Domenech J, de Azpiazu Artigas P. Dementia DSM-IV/ICD-10 or neurocognitive disorder DSM-5? Eur J Psychiat [Internet]. 2015 [citado 16 Sep 2021];29(1):45-50. Disponible en: https://scielo.isciii.es/pdf/ejpen/v29n1/original4.pdf
19. González Martínez P, Oltra Cucarella J, Sitges Maciá E, Bonete López B. Revisión y actualización de los criterios de deterioro cognitivo objetivo y su implicación en el deterioro cognitivo leve y la demencia. Rev Neurol [Internet]. 2021 [citado 15 Ago 2021];72(8):288-95. Disponible en: https://www.svnps.org/wpcontent/uploads/2021/06/bz080288.pdf
20. Erkinjuntti T, Ostbye T, Steenhuis R, Hachinski V. The effect of different diagnostic criteria on the prevalence of dementia. The New England Journal of Medicine [Internet]. 1997 [citado 16 Sep 2021];337(23):1667-74. Disponible en: https://www.nejm.org/doi/pdf/10.1056/NEJM199712043372306?articleTools=true
21. Naik M, Nygaard HA. Diagnosing dementia -- ICD-10 not so bad after all: a comparison between dementia criteria according to DSM-IV and ICD-10. Int J Geriatr Psychiatry [Internet]. 2008 Mar [citado 16 Sep 2021];23(3):279-82. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17702050/
Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/









22 julio 2025