Predictors of Cognitive Impairment in Stroke Servivors
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 8
Abstract
The aim of this study is to determine the various risk factors and stroke characteristics that play a role in development of poststrokecongnitive impairment. A total of 119 chronic stroke patients were included in the study. Patients with history of psychiatric, medical or taking drugs that cause cognitive impairement were excluded from the study. The stroke patients were classified into normal or having mild, moderate and severe congnitiveimpairement according to the mini-mental state examination. Demographic variables and stroke risk factors including; age, sex, hypertension, diabetes mellitus, smoking, cardiac diseases, prior history of stroke or transient ischemic attacks were assessed. Various stroke symptomatology, history of delirium with the onset of stroke, and history of poststroke epilepsy were assessed.Barthel index and Beck depression scale were used to assess the global poststroke disability and poststroke depression. The lesion type, site, side, and size were assessed from the relevant brain imaging. The role of various previously mentioned factors in development of poststroke cognitive impairement were tested using the appropriate statistical test and C 4.5 decision tree for those factors were done.elderly stroke patients with multiple large sized strokes especially in the left hemisphere, those with cortical lesion, those associated with delirious onset, those who develop poststroke epilepsy and/or depression, and finally those patients with severe poststrokediseability are more likely to suffer psotstroke cognitive impairement.Early cognitive rehabilition methods and medical treatment with antidementia medications should be provided for patients with the associated previously mentioned factors.
Authors and Affiliations
Gharib F. Mohamed
Keywords
Related Articles
- EP ID EP214045
- DOI -
- Views 44
- Downloads 0
Correlation between vitamin D status and Serum lipid profile parameters in CAD Patients Attending a Tertiary Hospital
Cardiovascular disease(CVD) is consists of variety of heart disease, illnesses and events that impact the heart & circulatory system, including high blood pressure & coronary artery disease. Our aim was to the study seru...
Arrow Injuries – in Current Scenarios
Background: Penetrating injuries by traditional weapons are rare entity in the modern era of sophisticated weapons. Arrow are low velocity projectile weapon and from a close proximity they can cause penetrating trauma si...
To Study Magnetic Resonance Angiography Brain in True Isolated Vertigo Patients at a Tertiary Referral Teaching Centre
Aim of Study: To assess a subgroup analysis of patients of abnormal posterior circulation with respect to their MRA. Methods: This was an observational cross-sectional study, consisting of consecutive more than 18 years...
Clinico Morphological Study of Anal Lesions
Among the anal lesions, since the incidence of human papilloma virus infection is on the rise, lesions classified as anal squamous lesions are increasing in incidence. This group comprises both benign and malignant lesio...
Serum Calprotectin as a Non-invasive Diagnostic Marker for Spontaneous Bacterial Peritonitis in Egyptian Cirrhotic Patients
BACKGROUND and AIM: Delayed diagnosis of spontaneous bacterial peritonitis (SBP) is associated with high mortality in cirrhotic patients. Therefore, there is a need for a rapid non-invasive diagnostic tool. This work aim...