Factors related to long-term post-stroke cognitive impairment in young adult ischemic stroke

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Ying HuangJianping Jia

Abstract

Post-stroke cognitive impairment is common and a decisive prognostic factor. However, few studies have reported on post-stroke cognition in young adults, especially long-term cognition. This study was designed to investigate the influence of baseline factors, treatments, and functional outcome on the long-term cognitive outcome in young adults with ischemic stroke. Consecutive patients aged 18-45 years between January 1, 2006 and December 31, 2010, with a first-ever ischemic stroke, were recruited for cognitive assessment by telephone from December 10 to December 31, 2013 using modified versions of "Telephone Instrument for Cognitive Status" (TICS-m) scale. The relationship of cognitive impairment with baseline factors, treatments, and functional outcome were evaluated. A total of 350 patients with an average age of 41.0±6.8 years (69.7% males and 30.3% females) were reviewed. The average follow-up period was 5.8±3.2 years, and cognitive impairment existed in 39.4% of patients at follow-up. Stroke severity on admission, functional outcome (modified Rankin Scale, mRS >2) at discharge, left anterior circulation syndrome, and stroke recurrence were markedly associated with post-stroke cognitive impairment (all P<0.01). Post-stroke...Continue Reading

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Citations

Sep 15, 2016·Stroke; a Journal of Cerebral Circulation·Pauline SchaapsmeerdersFrank-Erik de Leeuw
Jan 8, 2020·Brain Sciences·Beata Sarecka-Hujar, Ilona Kopyta
May 14, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yi-Ming YangJian-Hua Wang
Jan 26, 2021·Stroke; a Journal of Cerebral Circulation·Renerus J StolwykJeffrey M Rogers

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