A Study on Clinical Determinants and one year Follow-Up of Dementia and Mild Cognitive Impairment Following Ischemic Stroke
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Background: Vascular cognitive impairment (VCI) is poised to become the silent epidemic of the 21st century and contribute significantly to mortality, disability, and decreased quality of life. . Aim: To investigate the frequency and clinical determinants of vascular dementia (VD) and Vascular mild cognitive impairment (VMCI) following ischemic stroke. The one year follow-up was done to assess the prognosis. . Materials and Methods: A prospective study was conducted among 100 consecutive patients aged ≥40 years with the diagnosis of ischemic stroke within previous 2 - 3 months. The subjects were be subjected to structured medical and neurological history based on review of all available hospital charts, interview of the subject and a knowledgeable informant, and a structured clinical, neurological, neuropsychological, and neuroradiological evaluation. Patients will be retested at 3, 6, and 12 months after stroke. . Results: 60% of stroke patients were diagnosed as VCI. 23 subjects were diagnosed as VD. The prevalence of VMCI was 37% and forty percent of the patients had no cognitive impairment. An annual conversion rate from ‘VMCI’ to ‘VD was 8%. The annual rate of deterioration from ‘No Cognitive Impairment’ to ‘VMCI’ was 10% . Conclusion: This study supports the high prevalence of dementia and mild cognitive impairment following stroke, especially in older individuals, and highlights the importance of cognitive reserve.
Authors and Affiliations
Murugapandian Nagarajan
Keywords
Related Articles
- EP ID EP529681
- DOI -
- Views 79
- Downloads 0
Prevalence of respiratory infections and health issues of people in Ambattur Athipattu garbage site, in Chennai, Tamilnadu
The solid waste handling and disposal is a growing environmental and public health concern. The solid waste workers and the people live near the solid waste disposal area are exposed to a number of pathogens, toxic subst...
A Clinico-Epidemiological Study of Acute Diarrhoea in Under Five Children Admitted in a Tertiary Care Hospital in Western Maharashtra
Background: Diarrhoea has been defined in many ways, as an increased water content of stools, altered consistency, increased frequency or combinations of all these three. A lot has been studied regarding diarrhoea which...
A Study about Demographic, Clinical, Comorbidity and lipid profile of hypothyroid patients attending a tertiary health care institute of Rajasthan
Background: Hypothyroidism is a common disorder. It may emerge or worsen other comorbidities. This study was conducted to know demographic, clinical, comorbidity and lipid profile of hypothyroid patients in Rajasthan in...
Colour Doppler Evaluation of Fetomaternal Blood Circulation in Intrauterine Growth Retardation and Perinatal Out Come
Aims and Objectives: The aim of the study is Colour doppler evaluation of fetomaternal blood circulation in intra uterine growth retarted fetuses. Management of the diagnosed 1UGR fetuses in antenatal period. To study th...
The Prevalence of Thyroid Dysfunction and Thyroid Autoantibodies Among Type 2 diabetic Patients in Nnewi, South Eastern Nigeria
Background: This study was carried out to determine the prevalence of anti-thyroid antibodies and Thyroid dysfunction (TD) among Type 2 Diabetic (T2DM) patients in our environment. Methods: The study comprises one hundre...