Characteristics of cognitive impairment in elderly post-stroke patients at the National Geriatric Hospital
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Objective: To identify prevalence and characteristics of cognitive impairment in eldery post-stroke patients at the National Geriatrics Hospital. Subject and method: A cross-sectional descriptive study on 267 post-stroke patients aged ≥ 60 years old treated at the National Geriatrics Hospital. Patients were interviewed according to uniform questionnaire, cognitive function was assessed by using the Mini-Mental State Examination (MMSE): Total MMSE point < 24: Cognitive impairment. Result: The mean age of the patients was 70.5 ± 8.7 years, male patients accounted for 60.3%. The prevalence of cognitive impairment was 66.3%. The rate of severe, moderate and mild cognitive impairment were 32.2%; 18.4% and 15.7%, respectively. The registration, the language and the copying ability of hemorrhagic stroke patients were significantly lower than those in the group of ischemic stroke (p<0.05). Conclusion: This study confirms the high prevalence of cognitive impairment after stroke (66.3%) in which severe cognitive impairment (32.2%) was in majority. Cognitive impairment screening and early diagnosis will help to take remedial measures.
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2. Nguyễn Hoàng Ngọc (2012) Nghiên cứu tình trang suy giảm nhận thức ở bệnh nhân sau đột quỵ não cấp bằng thang điểm đánh giá tâm thần tối thiểu MMSE. Tạp chí Y Dược lâm sàng 108.
3. Johnson W et al (2016) Stroke: A global response is needed. Bulletin of the World Health Organization 94(9): 634.
4. Kumar S, Selim MH, and Caplan LR (2010) Medical complications after stroke. The Lancet Neurology 9(1): 105-118.
5. Nys GM et al (2005) Restrictions of the mini-mental state examination in acute stroke. Archives of Clinical Neuropsychology 20(5): 623-629.
6. Yew KS, Cheng EM (2015) Diagnosis of acute stroke. Am Fam Physician 91(8): 528-536.
7. Folstein MF, SE Folstein, and McHugh PR (1975) “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research 12(3): 189-198.
8. Heruti RJ et al (2002) Rehabilitation outcome of elderly patients after a first stroke: Effect of cognitive status at admission on the functional outcome. Archives of physical medicine and rehabilitation 83(6): 742-749.
9. Renjen PN, Gauba C, and Chaudhari D (2015) Cognitive impairment after stroke. Cureus 7(9): 335.
10. Mukisa R et al (2011) Prevalence and types of cognitive impairment among patients with stroke attending a referral hospital in Uganda. African Journal of Neurological Sciences 30(2).