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Cognitive performance after ischaemic stroke

机译：缺血性中风后的认知表现

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Cognitive impairment after stroke affects the patient recovery process. Therefore, the identification of factors associated with cognitive outcomes is important since it allows risk profiles of stroke survivors to be determined. OBJECTIVE: To assess cognitive outcome of stroke outpatients and investigate associations among clinical and demographic variables, vascular risk factors, depression symptoms and functional ability; and to describe the neuropsychological profile of these patients. METHODS: A cross-sectional design study was conducted. Subjects who suffered a first-ever ischaemic stroke 6 to 10 months prior to data collection underwent neuropsychological assessment and screening for depressive symptoms and functional ability. The outcome "cognitive performance" was analyzed considering two groups: "cognitive impairment" and "no cognitive impairment". RESULTS: There was a statistically significant association between cognitive impairment and female gender, age, stroke severity and functional ability. Regarding neuropsychological profile, the cognitive impairment group exhibited more generalized deficits in attention, visuospatial organization, verbal functions and verbal memory domains compared to the community control group. CONCLUSION: The occurrence of cognitive impairment among patients was high, especially in women, older participants, individuals with more severe stroke, and greater impairment in functional ability. Multiple cognitive domains are affected and this may hamper recovery and negatively impact independence and quality of life after stroke.
机译：中风后的认知障碍会影响患者的康复过程。因此，识别与认知结果相关的因素很重要，因为它可以确定中风幸存者的风险状况。目的：评估中风门诊患者的认知结果，并调查临床和人口统计学变量，血管危险因素，抑郁症状和功能能力之间的相关性;并描述这些患者的神经心理特征。方法：进行了横断面设计研究。在数据收集之前的6至10个月内首次经历缺血性中风的受试者接受了神经心理学评估，并筛选了抑郁症状和功能能力。分析了结果“认知表现”，考虑了两组：“认知障碍”和“无认知障碍”。结果：认知障碍与女性性别，年龄，中风严重程度和功能能力之间存在统计学意义的关联。在神经心理学方面，与社区对照组相比，认知障碍组在注意力，视觉空间组织，言语功能和言语记忆域方面表现出更为普遍的缺陷。结论：患者中认知障碍的发生率很高，尤其是在女性，年龄较大的参与者，中风较重且功能能力障碍较大的人群中。多个认知领域受到影响，这可能会阻碍康复，并对中风后的独立性和生活质量产生负面影响。

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