Page 271 - Livre électronique du congrès AFMAPATH 2024

P173. COGNITIVE DISORDERS IN CHRONIC OBSTRUCTIVE

PULMONARY DISEASE PATIENTS

N. BOUTBAGHA, H. IKROU, S. FARHAT, S. ABDALA, H. SERHANE

PNEUMOLOGY DEPARTMENT, CHR HASSAN II, CHU SOUSS-MASSA, FMPA, UNIVERSITY IBN ZOHR
- AGADIR (MOROCCO)

Introduction:

Chronic obstructive pulmonary disease (COPD) is a public health problem that has been
associated with cognitive dysfunction.

Aims and Objectives:

Identify the association between COPD and the risk of mild cognitive impairment (MCI).

Methods:

It’s a prospective study including 117 stable patients followed in pulmonology consultation for
COPD in Agadir (Morocco) between May 2023 and January 2024 using the Mini mental state
examination (MMSE) questionnaire to assess cognitive impairment.

Results:

The mean age was 63,20±7,52 years with a male predominance (91,5%). 59% of cases were

educated. 53,8% were still working. 75,2% had a low socio-economic status. 58,1% were still
smoking, with an average consumption of 33,29±20,74. Comorbidities were present in 41,9% of
cases dominated by: pulmonary tuberculosis 28%, heart failure 23%, diabetes 20%, pulmonary
embolism 16% and pulmonary hypertension 12%. Undernutrition was noted in 36.8% of cases.

COPD was classified as stage E according to GOLD 2024 in 86,3% of cases. 57,3% of patients had
three or more exacerbations per year. 16,2% of patients were in chronic respiratory failure. the
CAT score was ≥ 10 in 88% of cases.

Cognitive impairment was present in 65% of cases, distributed as follows: 34,2% of patients had
mild disorders, 23,9% moderate and 6,78% severe.

In our study, the predictive factors for cognitive disorders included: work (p=0,001) and socio-
economic level (p=0,031).

Conclusion:

Cognitive disorders in chronic obstructive pulmonary disease are common, which is why
systematic screening is so important.

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