Evidence map›Paper›PMID 31884476›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Global Vascular Risk Score and CAIDE Dementia Risk Score Predict Cognitive Function in the Northern Manhattan Study.

Tatjana Rundek, Hannah Gardener, Anita Seixas Dias Saporta, David A Loewenstein, Ranjan Duara, Clinton B Wright, Chuanhui Dong, Bonnie Levin, Mitchell S V Elkind, Ralph L Sacco

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. The role of per- and polyfluoroalkyl substances in cognitive impairment and dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  6. Article
  7. Article
  8. Predicting cognitive function and dementia risk in patients with hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Vascular Cognitive Impairment (VCI).Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Tatjana RundekDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Hannah GardenerDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Anita Seixas Dias SaportaDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
David A LoewensteinDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Ranjan DuaraMount Sinai Medical Center, Miami, FL, USA.
Clinton B WrightNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
Chuanhui DongDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Bonnie LevinDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Mitchell S V ElkindDepartment of Neurology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Ralph L SaccoDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
University of Miami · USColumbia University · USMount Sinai Medical Center · USNational Institute of Neurological Disorders and Stroke · US

Funding

STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
Vascular Determinants of Dementia and Cognitive Decline in a Tri-Ethnic RegionR56NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, RUNDEK, TATJANA · 2021 to 2021
$537k
NINDS NIH HHS R01 NS029993NINDS NIH HHS R56 NS029993
6 · The paper itself

Abstract

backgroundModifiable vascular risk factors (VRF) have been implicated in cognitive impairment.

objectiveWe compared the prediction of cognitive performance between the Cardiovascular Risk Factors, Aging, and Incidence of Dementia (CAIDE) dementia risk score, a validated tool to estimate dementia risk using VRF, and the Northern Manhattan Study (NOMAS) global vascular risk score (GVRS), created to predict vascular events.

methodsThe CAIDE and GVRS scores were calculated based on baseline VRF among 1,290 stroke-free participants in the prospective population-based NOMAS MRI cohort (mean age 64±8 years, 60% women; 66% Hispanic, 17% Black, 15% White; 46% completed high school). Domain-specific Z-scores were derived for episodic and semantic memory, executive function, and processing speed, and averaged to calculate global cognition.

resultsThe CAIDE score was associated with worse global cognition at initial assessment (Beta per SD = -0.347, p < 0.0001), and with greater decline over time (Beta per SD = -0.033, p = 0.02). These associations were largely due to age and education, and the association with cognitive decline was not significant after adjusting for age, sex, and education. The GVRS was inversely associated with global cognition at initial testing (Beta per SD = -0.247, p < 0.0001) and greater decline over time (Beta per SD = -0.127, p < 0.0001), which persisted after adjusting for sociodemographics. The associations for both scores with initial cognitive performance were driven by executive function and processing speed, and the GVRS was associated with decline in episodic memory and processing speed.

conclusionsThe GVRS was a stronger predictor of cognitive decline than the CAIDE in a multi-ethnic urban cohort. The inclusion of glucose and smoking in the GVRS, which are absent in CAIDE, likely explains the better performance of the GVRS.

Indexed as

Body Mass IndexAdultAgedAged, 80 and overAgingBlood PressureCholesterolCognitionDementiaExecutive FunctionFemaleHumansMaleMemory, EpisodicMiddle AgedNeuropsychological TestsCholesterolCognitiondementiaepidemiologyrisk scorevascular risk factors

Identifiers

PMID31884476
PMCPMC7880168
OpenAlexW2997790418

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.