Critical Appraisal of Research

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Searching Databases

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Introduction

Memory loss in aging adults is associated with Alzheimer’s disease and dementia.

Various therapeutic interventions have been applied in the treatment and management of Alzheimer’s disease.

Studies have determined that Atorvastatin is also effective against the onset of dementia and the progression of Alzheimer’s disease.

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Introduction

About a quarter of the US population use statins to treat cardiovascular illnesses.

Statins have also been used in combination with other therapeutic agents such as non-renin angiotensin system agents (RAS) to speed up recovery period.

Scientific evidence also reveal that statins can be utilized to reverse cognitive impairment.

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Developing PICOT Question

My PICOT question was developed based on a clinical case.

The case involved an aged woman with memory loss and normal lipid profile.

The PICOT question was the use of Atorvastatin to slow down memory loss in aging females with no chronic disease and a normal cholesterol level.

The question was formulated to address my clinical interest as stated above.

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Searching Databases

Databases such as PubMed, Biomed Central, CINAHL and Cochrane Library were used.

Relevant key words “atorvastatin” and “memory loss” were used to search databases.

In PubMed, 30 articles were obtained while in Biomed Central, 68 articles were retrieved.

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APA citations for the articles

Bortolato, B., Miskowiak, K. W., Köhler, C. A., Maes, M., Fernandes, B. S., Berk, M., & Carvalho, A. F. (2016). Cognitive remission: A novel objective for the treatment of major depression? BMC Medicine, 14(1). doi:10.1186/s12916-016-0560-3

Downs, T. N. (2018). Statins: The Burglar of Memory? The Consultant Pharmacist, 33(12), 706-710. doi:10.4140/tcp.n.2018.706.

Richardson, K., Schoen, M., French, B., Umscheid, C. A., Mitchell, M. D., Arnold, S. E., . . . Degoma, E. M. (2013). Statins and Cognitive Function. Annals of Internal Medicine, 159(10), 688. doi:10.7326/0003-4819-159-10-201311190-00007

Samaras, K., Brodaty, H., & Sachdev, P. S. (2016). Does statin use cause memory decline in the elderly? Trends in Cardiovascular Medicine, 26(6), 550-565. doi:10.1016/j.tcm.2016.03.009

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Level of evidence

All the evidence retrieved from the databases are reviews and systematic reviews which belong to Level 1.

Systematic reviews help address gaps existing in the field under study for future research.

Moreover, they give a clear overview of available evidence from multiple research studies.

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