4.6 Article

Cognitive complaints in the early phase after stroke are not indicative of cognitive impairment

期刊

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/jnnp.2007.114595

关键词

-

向作者/读者索取更多资源

Objective: The present study was designed to evaluate the diagnostic contribution of subjective information, obtained by a standardised checklist, to the identification of patients with cognitive impairment in the early phase after stroke. Methods: The data were collected retrospectively by file analysis of both medical and psychological records of patients with a first-ever stroke who were discharged home from the stroke unit. All these patients underwent neuropsychological examination by protocol. Patients were included for data analyses if they completed the Checklist for Cognitive and Emotional consequences following stroke within 2 weeks after discharge. Data from a control group were used to classify patients into normal and cognitively impaired. Results: A total of 61 patients was included in the study. Ninety percent reported at least one psychological problem hindering daily life and 74% of the total sample reported at least one hindering cognitive problem. The most reported cognitive complaints concerned attention (38%), mental speed (46%) and memory (38%). Cognitive impairment varied between 16 and 66% based on the specific neuropsychological task. Cognitive complaints appeared to be unrelated to cognitive impairment. Only the relationship between cognitive and emotional complaints was significant (p < 0.01). Conclusions: Cognitive complaints hindering daily life are frequently reported in the early weeks after stroke but are no indication for impaired cognitive performance. To identify patients with cognitive impairment, neuropsychological assessment is essential.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据