Evidence map›Paper›PMID 36303115›Full record

ArticleBMC geriatrics2022

Caregiver's perspectives on the Central Nervous System infection illness trajectory among older persons with dementia in Northern Uganda-a qualitative community-based study.

Deo Benyumiza, Edward Kumakech, Jastine Gutu, Jude Banihani, Joshua Mandap, Zohray M Talib, Edith K Wakida, Samuel Maling, Celestino Obua

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 2 institutions in 1 country.

Deo BenyumizaDepartment of Nursing and Midwifery, Faculty of Health Science, Lira University, P.O. Box 1035, Lira City, Uganda.
Edward KumakechDepartment of Nursing and Midwifery, Faculty of Health Science, Lira University, P.O. Box 1035, Lira City, Uganda. ekumakech@lirauni.ac.ug.
Jastine GutuOffice of the Health Professional Education Partnership Initiative - Transforming Ugandan Institution's Training Against HIV/AIDS (HEPI-TUITAH) Program Administration, Faculty of Health Science, Lira University, Lira, Uganda.
Jude BanihaniDepartment of Medicine, California University of Science and Medicine, San Bernadinio, USA.
Joshua MandapDepartment of Medicine, California University of Science and Medicine, San Bernadinio, USA.
Zohray M TalibDepartment of Medicine, California University of Science and Medicine, San Bernadinio, USA.
Edith K WakidaDepartment of Medicine, California University of Science and Medicine, San Bernadinio, USA.
Samuel MalingOffice of Research Administration, Mbarara University of Science and Technology, P.O. BOX 1014, Mbarara, Uganda.
Celestino ObuaOffice of Research Administration, Mbarara University of Science and Technology, P.O. BOX 1014, Mbarara, Uganda.
Mbarara University of Science and Technology · UGLira Hospital · UG

Funding

Health-professional Education Partnership Initiative - Transforming Ugandan Institutions Training Against HIV/AIDS (HEPI-TUITAH)R25TW011210 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI OBUA, CELESTINO · 2018 to 2022
$3.3M
FIC NIH HHS R25 TW011210
6 · The paper itself

Abstract

backgroundFew studies have explored the Central Nervous System (CNS) infection illness trajectory among older persons with dementia in sub-Saharan African (SSA) settings. This study explored the Caregiver's perspectives on the Central Nervous System infection illness trajectory among the older persons with dementia in Northern Uganda.

methodsThis was a qualitative study conducted in Lira District northern Uganda in March 2022 amongst purposively selected 20 caregivers of the older persons aged 50 + years with a positive history of CNS infection and later life dementia. Data were collected using an in-depth interview guide. Audio recordings and field notes of the interviews were undertaken. The interviews generated data on the CNS infection illness trajectory from onset to the current demented state of the older persons. The audio-recorded interviews were transcribed verbatim before manual reflective thematic analysis.

resultsOlder persons with a positive history of CNS infection illness and later life dementia in rural northern Uganda presented with symptoms of early life CNS infection illness ranging from neck pain, back pain, chronic headache, and fatigue. There were also manifestations of comorbidities particularly road traffic accidents involving traumatic injury to the head, neck, and spine, high blood pressure, chronic headache, and or their medications in the older person's trajectory to later life dementia. A plurality of healthcare which included both formal and informal healthcare medicines was sought and utilized for the treatment and care of the CNS infection illness and dementia by the older persons amidst improper diagnosis and mismanagement. CONCLUSIONS AND RECOMMENDATIONS: Older persons with early-life CNS infections illness and later-life dementia were reported to present with symptoms including neck pain, back pain, chronic headache, high blood pressure, and fatigue. The reported symptoms of CNS infection illness may be intertwined with co-morbidities particularly traumatic injury involving the head, neck, and spine, high blood pressure, and chronic headache. Healthcare professionals should integrate routine screening of older persons for the history of CNS infections, chronic headache, high blood pressure, trauma to the head, neck, and spine, and dementia and early treatment.

Indexed as

Central Nervous System InfectionsDementiaHeadache DisordersHypertensionAgedAged, 80 and overCaregiversFatigueHumansPainUgandaCaregiversCNS infectionsDementiaNorthern UgandaOlder persons

Identifiers

PMID36303115
PMCPMC9609188
OpenAlexW4307638803

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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.