OPTIMIZATION OF MANAGEMENT OF OLDER PATIENTS WITH NEUROLOGICAL DISEASES AGAINST THE BACKGROUND OF COGNITIVE DISORDERS
The purpose of the study is to optimize the management of older patients with neurological diseases against the background of cognitive disorders. Materials and methods: we studied the prevalence of neurological pathology, comorbid somatic diseases and cognitive disorders with 254 patients. 2 groups were formed by simple randomization: the patients who were registered in a neuropsychiatric dispensary (main group) and patients without these health disorders (control group). Results: It was revealed that a number of diseases has a statistically significant trend towards an age-dependent increase in prevalence. They include dyscirculatory encephalopathy, Parkinson's disease, ischemic and hemorrhagic strokes, transient ischemic attack, essential tremor, discogenic lumbar-sacral radiculitis. When applying a visual analog scale to assess the degree of subjective self-perception, the following results were obtained: in the control group before the observation period - 2.3 ± 0.2 points, after the observation period - 2.4 ± 0.3 points; in the main group - before the observation period - 2.3 ± 0.1 points, after two months - 3.2 ± 0.1 points, p < 0.05. With an objective assessment of neurological status of the patients, the following data were obtained: in the control group before the observation period - 2.4 ± 0.2 points, after the observation period - 2.3 ± 0.3 points; in the main group - before the observation period - 2.3 ± 0.3 points, after two months - 3.3 ± 0.1 points, p < 0.05. Conclusion. The introduction of specialized geriatric approaches in assisting elderly patients with neurological pathology against the background of cognitive impairment made it possible to improve the subjective status by 25.6% compared to actual practice, and reduce the incidence of major geriatric syndromes by 45.5%.