Evidence map›Paper›PMID 39298012›Full record

ArticleActa neurochirurgica2024

Profiling iNPH features through cluster analysis: an aid for clinical suspicion and diagnosis.

Liliana Mazza, Giulia Giannini, Alessandro Pirina, David Milletti, Elena Magelli, Riccardo Ievoli, Fabiola Maioli, Sabina Cevoli, Sevil Yasar, Giorgio Palandri

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Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Liliana MazzaGeriatrics Unit, Maggiore Hospital, Department of Integration, Azienda USL Di Bologna, Bologna, Italy. liliana.mazza3@gmail.com.
Giulia GianniniIRCCS Istituto Delle Scienze Neurologiche Di Bologna, UOC Clinica Neurologica Rete Metropolitana NEUROMET, Bologna, Italia.
Alessandro PirinaIRCCS Istituto Delle Scienze Neurologiche Di Bologna, UOC Neurochirurgia, Bologna, Italia.
David MillettiIRCCS Istituto Delle Scienze Neurologiche, UOSI Medicina Riabilitativa, Bologna, Italia.
Elena MagelliIRCCS Istituto Delle Scienze Neurologiche, UOSI Medicina Riabilitativa, Bologna, Italia.
Riccardo IevoliDepartment of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy.
Fabiola MaioliGeriatrics Unit, Maggiore Hospital, Department of Integration, Azienda USL Di Bologna, Bologna, Italy.
Sabina CevoliIRCCS Istituto Delle Scienze Neurologiche Di Bologna, UOC Clinica Neurologica Rete Metropolitana NEUROMET, Bologna, Italia.
Sevil YasarDepartment of Medicine and Neurology, Johns Hopkins School of Medicine, Baltimore, USA.
Giorgio PalandriIRCCS Istituto Delle Scienze Neurologiche Di Bologna, UOC Neurochirurgia, Bologna, Italia.

Funding

Italian Ministry of Health GR-2021-12374049
6 · The paper itself

Abstract

purposeIdiopathic Normal Pressure Hydrocephalus (iNPH) is a neurological syndrome defined by gait disturbance, cognitive impairment and urinary incontinence. However, its clinical presentation can vary widely due to overlapping syndromes and common comorbidities in older adults. This study aims to provide practical guidance to aid in the clinical suspicion and support the diagnostic and therapeutic processes for these patients.

methodsSix quantitative variables regarding clinical, functional, and demographic aspects were considered for a large sample of patients with diagnosed iNPH. Principal component analysis (PCA) was adopted to define the main dimensions explaining the variability of the phenomenon. Then, two clusters of iNPH patients were described.

results178 patients were included in the analysis. The PCA produced two dimensions covering 61.8% of the total variability. The first one relied mainly on both clinical (mRS, iNPHGs) and functional (TUG, Tinetti) variables, while the second one was represented mainly on the demographic pattern (age and education). Cluster analysis depicted two main groups of patients. Cluster n.1 is composed of individuals who are older, more disabled, with poor functional performances, and highly symptomatic. Cluster n.2 patients are slightly younger, more educated, fitter, and with more nuanced clinical aspects.

conclusionsProfiling iNPH patients using quantitative variables and cluster analysis can help identify distinct characteristics of these patients, aiding in the guidance of both medical and surgical interventions.

Indexed as

Hydrocephalus, Normal PressureAgedAged, 80 and overCluster AnalysisFemaleHumansMaleMiddle AgedPrincipal Component AnalysisAgingCluster analysisGeriatricsNormal pressure hydrocephalusNPHShunt surgery

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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.