Therapeutic Adherence in patients with Vascular Cognitive Impairment, Institue of Neurology, January – April 2024

Introduction: Therapeutic adherence is the degree to which a person's behavior in taking their medication corresponds to the agreed recommendations of their doctor. In Vascular Cognitive Impairment characterized by impairment in at least 1 of 4 cognitive domains, slight or no impairment in daily living activities, brain images compatible with Cerebrovascular Disease and temporal relationship between stroke and cognitive symptoms, compliance with the therapeutic regimen is of utmost importance in order to stop its progression to Vascular Dementia. Objective: To characterize therapeutic adherence in patients with Vascular Cognitive Impairment in the outpatient clinic of the Institute of Neurology and Neurosurgery. Methods: An observational, analytical, retrospective, cross-sectional study was carried out in the outpatient clinic of the Institute of Neurology and Neurosurgery in the period from January to April 2024. Demographic and clinical variables were collected, including the application of the Morisky-Green Test. Results: 34.3% of patients were adherent, there was a statistically significant relationship between age and therapeutic adherence, and a relationship was evident with the duration of the disease (p=0.025) and the values of the neuropsychological tests (p=0.000) in relation to non-adherence. Conclusions: In Vascular Cognitive Impairment, the frequency of therapeutic adherence was low. There was no relationship between sex, educational level, monetary income, time of diagnosis and time of initiation of treatment with therapeutic adherence.