Evidence map›Paper›PMID 38161594›Full record

ArticleFrontiers in aging neuroscience2023

Classification of cognitive impairment in older adults based on brain functional state measurement data via hierarchical clustering analysis.

Yangxiaoxue Liu, Na Wang, Xinling Su, Tianshu Zhao, Jiali Zhang, Yuhan Geng, Ning Wang, Ming Zhou, Gongzi Zhang, Liping Huang

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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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 2 institutions in 1 country.

Yangxiaoxue Liu *Medical School of Chinese PLA, Beijing, China.
Na Wang *Department of Rehabilitation Medicine, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Xinling Su *Department of Rehabilitation Medicine, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Tianshu ZhaoMedical School of Chinese PLA, Beijing, China.
Jiali ZhangMedical School of Chinese PLA, Beijing, China.
Yuhan GengMedical School of Chinese PLA, Beijing, China.
Ning WangDepartment of Rehabilitation Medicine, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Ming ZhouMedical School of Chinese PLA, Beijing, China.
Gongzi ZhangDepartment of Rehabilitation Medicine, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Liping HuangDepartment of Rehabilitation Medicine, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNBeijing Sport University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cognitive impairment (CI) is a common degenerative condition in the older population. However, the current methods for assessing CI are not based on brain functional state, which leads to delayed diagnosis, limiting the initiatives towards achieving early interventions. Methods: A total of one hundred and forty-nine community-dwelling older adults were recruited. Montreal Cognitive Assessment (MoCA) and Mini-Mental State Exam (MMSE) were used to screen for CI, while brain functional was assessed by brain functional state measurement (BFSM) based on electroencephalogram. Bain functional state indicators associated with CI were selected by lasso and logistic regression models (LRM). We then classified the CI participants based on the selected variables using hierarchical clustering analysis. Results: Eighty-one participants with CI detected by MoCA were divided into five groups. Cluster 1 had relatively lower brain functional states. Cluster 2 had highest mental task-switching index (MTSi, 13.7 ± 3.4), Cluster 3 had the highest sensory threshold index (STi, 29.9 ± 7.7), Cluster 4 had high mental fatigue index (MFi) and cluster 5 had the highest mental refractory period index (MRPi), and external apprehension index (EAi) (21.6 ± 4.4, 35.4 ± 17.7, respectively). Thirty-three participants with CI detected by MMSE were divided into 3 categories. Cluster 1 had the highest introspective intensity index (IIi, 63.4 ± 20.0), anxiety tendency index (ATi, 67.2 ± 13.6), emotional resistance index (ERi, 50.2 ± 11.9), and hypoxia index (Hi, 41.8 ± 8.3). Cluster 2 had the highest implicit cognitive threshold index (ICTi, 87.2 ± 12.7), and cognitive efficiency index (CEi, 213.8 ± 72.0). Cluster 3 had higher STi. The classifications both showed well intra-group consistency and inter-group variability. Conclusion: In our study, BFSM-based classification can be used to identify clinically and brain-functionally relevant CI subtypes, by which clinicians can perform personalized early rehabilitation.

Indexed as

agingbrain functional state measurementcognitive impairmentelectroencephalogramhierarchical clustering analysis

Identifiers

PMID38161594
PMCPMC10757366
OpenAlexW4389787710

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.