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Predictors of cogni...
Predictors of cognitive and emotional symptoms 12 months after first-ever mild stroke
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- Vlachos, Georgios (författare)
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Department of Neurology, Oslo University Hospital, Oslo, Norway
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- Ihle-Hansen, Hege (författare)
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Department of Neurology, Oslo University Hospital, Oslo, Norway; Department of Internal Medicine, Bærum Hospital, Vestre Viken, Norway
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- Wyller, Torgeir Bruun (författare)
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway
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- Brækhus, Anne (författare)
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Department of Neurology, Oslo University Hospital, Oslo, Norway
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- Mangset, Margrete (författare)
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway
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- Hamre, Charlotta (författare)
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Department of Physiotherapy, Oslo University Hospital, Oslo, Norway
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- Fure, Brynjar, 1959- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Internal Medicine, Central Hospital, Karlstad, Sweden
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(creator_code:org_t)
- 2022-02-24
- 2023
- Engelska.
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Ingår i: Neuropsychological rehabilitation (Print). - : Routledge. - 0960-2011 .- 1464-0694. ; 33:4, s. 662-679
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Even mild strokes may affect the patients' everyday life by impairing cognitive and emotional functions. Our aim was to study predictors of such impairments one year after first-ever mild stroke. We included cognitively healthy patients ≤ 70 years with acute mild stroke. Vascular risk factors, sociodemographic factors and stroke classifications were recorded. At one-year post-stroke, different domains related to cognitive and emotional function were assessed with validated instruments. Logistic regression analyses were performed to identify predictors of cognitive and emotional outcome. Of 117 patient assessed at follow-up, only 21 patients (18%) scored within the reference range on all cognitive and emotional assessments. Younger age, multiple infarcts, and being outside working life at stroke onset were independent predictors of cognitive impairments (psychomotor speed, attention, executive and visuospatial function, memory). Female gender and a higher National Institutes of Health Stroke Scale (NIHSS) score at discharge were significantly associated with emotional impairments (anxiety, depressive symptoms, fatigue, apathy, emotional lability) after one year, but these associations were only seen in the unadjusted models. In conclusion, patients in working age may profit from a follow-up during the post-stroke period, with extra focus on cognitive and emotional functions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- cognitive impairments
- emotional impairments
- mild stroke
- predictors
- younger patients
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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