دورية أكاديمية

Cognitive Impairment After Stroke.

التفاصيل البيبلوغرافية
العنوان: Cognitive Impairment After Stroke.
المؤلفون: Renjen PN; Neurosciences, Indraprastha Apollo Hospital., Gauba C; Neurosciences, Indraprastha Apollo Hospitals., Chaudhari D; Internal Medicine / Neurosciences, Indraprastha Apollo Hospital.
المصدر: Cureus [Cureus] 2015 Sep 29; Vol. 7 (9), pp. e335. Date of Electronic Publication: 2015 Sep 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: Electronic Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background: Vascular dementia is extremely common and contributes to stroke-associated morbidity and mortality. The study of vascular dementia may help to plan preventive interventions.
Aims: To study the frequency of cognitive impairment after stroke in a series of consecutive patients with acute stroke, along with factors which influence it.
Methods: Fifty adults with acute infarct or hemorrhage (as seen on computed tomography of the brain) were included in the study. The National Institute of Health Stroke Scale (NIHSS) and Barthel's Index scores were done. Cognitive testing was done by PGI Battery of Brain Dysfunction (PGI-BBD) and Short Form of the Informant Questionnaire on Cognitive Decline in the Elderly (SIQCODE). Statistical analysis was by Student's t-test, Chi-square test, Fisher's exact test, and Mann-Whitney U test.
Results: Mean age of patients was 61.82 years; males and ischemic strokes predominated. Dementia was seen in 30%, cognitive impairment no dementia (CIND) in 42%, and normal cognition in 28% patients. Factors associated with vascular cognitive impairment included old age, male sex, low education, hemorrhages, recurrent or severe stroke, silent infarcts, severe cortical atrophy, and left hemispheric or subcortical involvement.
Conclusions: Up to 72% of patients have some form of cognitive impairment after a stroke. Secondary stroke prevention could reduce the incidence of vascular dementia.
References: Stroke. 2005 Dec;36(12):2670-5. (PMID: 16254227)
Stroke. 2008 Mar;39(3):822-30. (PMID: 18258840)
Stroke. 1998 Jan;29(1):75-81. (PMID: 9445332)
Ann Indian Acad Neurol. 2010 Jan;13(1):42-6. (PMID: 20436746)
Neurology. 2007 Jun 5;68(23):2019-26. (PMID: 17548552)
Nat Clin Pract Neurol. 2006 Oct;2(10):538-47. (PMID: 16990827)
Stroke. 2007 Jan;38(1):7-8. (PMID: 17158332)
Stroke. 2007 Apr;38(4):1148-53. (PMID: 17322075)
Eur Neurol. 2000;44(4):229-35. (PMID: 11096223)
Stroke. 2007 Jan;38(1):105-10. (PMID: 17158334)
J Assoc Physicians India. 2012 Oct;60:29-32. (PMID: 23777022)
Neuropsychiatr Dis Treat. 2009;5:103-16. (PMID: 19557105)
J Neurol Neurosurg Psychiatry. 1994 Feb;57(2):202-7. (PMID: 8126506)
Radiology. 2005 Oct;237(1):251-7. (PMID: 16126931)
Stroke. 2007 Jan;38(1):198-203. (PMID: 17158333)
J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):50-4. (PMID: 7062070)
Dement Geriatr Cogn Disord. 2006;21(5-6):275-83. (PMID: 16484805)
Stroke. 1993 Sep;24(9):1347-51. (PMID: 8362429)
فهرسة مساهمة: Keywords: barthel index; cind; cognitive impairment; iqcode; nihss; psd; stroke; vascular dementia
تواريخ الأحداث: Date Created: 20151107 Date Completed: 20151106 Latest Revision: 20200930
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC4627858
DOI: 10.7759/cureus.335
PMID: 26543693
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.335