EARLY DIAGNOSIS OF COGNITIVE PATIENTS WITH ARTERIAL HYPERTENSION AND SECOND TYPE DIABETS IN PER- SONS OF ELDERLY AND SENILE AGE

The current stage in the development of science and society is characterized by the widespread use of various information technologies to improve ways to fulfill the basic tasks of health care, as well as to realize new opportunities that appear precisely because of the development of technologies. Improving the quality and increasing the efficiency of the work of health authorities, including the medical service of the Armed Forces of the Russian Federation, is possible only through the introduction of modern techniques and the use of up-to-date software for the highest quality medical care. Early diagnosis of cognitive impairment allows timely adjustment of patient treatment and improve their quality of life in the future. Methods of screening assessment of cognitive functions are currently in demand in psychiatry and neurology. According to many authors, the brief mental status assessment scale (MMSE) and the clock drawing test (CDT) are a reliable tool for the initial screening of cognitive impairment. They are used to detect signs of dementia not only in Alzheimer's disease, Parkinson's disease and other degenerative diseases of the nervous system in older people, but also in cerebrovascular pathology, postoperative cognitive dysfunction, multiple sclerosis, and other diseases found in younger people. The aim of this study was to create an algorithm that identifies the likelihood of cognitive impairment in elderly and senile patients, depending on the results of routine laboratory tests at the start of the study. As a result of the work, a flexible algorithm was obtained that can be used in various situations to improve the quality of decisions taken, taking into account the likely risks of cognitive impairment.

MMSE, diagnostics, type 2 diabetes mellitus, arterial hypertension, cognitive impairment, cognitive functions, MMSE, discrete-event modeling