The Impact of Cognitive Impairment on Poststroke Outcomes: A 5-Year Follow-Up.
J Geriatr Psychiatry Neurol
; 32(5): 275-281, 2019 09.
Article
en En
| MEDLINE
| ID: mdl-31167593
ABSTRACT
AIM:
To explore the impact of cognitive impairment poststroke on outcomes at 5 years.METHODS:
Five-year follow-up of the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) prospective cohort. Two hundred twenty-six ischemic stroke survivors completed Montreal Cognitive Assessments at 6 months poststroke. Outcomes at 5 years included independence in activities of daily living, receipt of informal care, quality of life, and depressive symptoms. Data were analyzed using logistic and linear regression models. Adjusted odds ratios (ORs; 95% confidence interval [CI]) and ß coefficients (95% CI) are reported.RESULTS:
One hundred one stroke survivors were followed up at 5 years. Cognitive impairment at 6 months was independently associated with worse quality of life (B [95% CI] -0.595 [-0.943 to -0.248]), lower levels of independence (B [95% CI] -3.605 [-5.705 to -1.505]), increased likelihood of receiving informal care (OR [95% CI] 6.41 [1.50-27.32]), and increased likelihood of depressive symptoms (OR [95% CI] 4.60 [1.22-17.40]).Conclusion:
Cognitive impairment poststroke is associated with a range of worse outcomes. More effective interventions are needed to improve outcomes for this vulnerable group of patients.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Accidente Cerebrovascular
/
Disfunción Cognitiva
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Geriatr Psychiatry Neurol
Asunto de la revista:
GERIATRIA
/
NEUROLOGIA
/
PSIQUIATRIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Irlanda