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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Influence of hematoma volume and age on cognitive functions and ADL after putaminal hemorrhage
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Influence of hematoma volume and age on cognitive functions and ADL after putaminal hemorrhage

机译：血浆出血后血肿体积和年龄对认知功能和ADL的影响

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Background and objective: After cerebral hemorrhage, cognitive functions and activi-ties of daily living (ADL) are affected by various factors, including hematoma vol-ume and patient age. In the present study, we investigated the effect of age and hematoma volume on cognitive functions and on ADL. Methods: The sample com-prised 274 patients (183 men and 91 women; mean age 58.2 +/- 12.5 years) with puta-minal hemorrhage who were hospitalized in a convalescent rehabilitation ward. Hematoma volume was estimated from computed tomography imaging at stroke onset. Cognitive functions were evaluated using Raven's Colored Progressive Matrices test (RCPM) and the Mini-Mental State Examination (MMSE) at hospital admission, while ADL score was assessed at discharge using the Functional Inde-pendence Measure motor subscale (FIM-M). In the present study, we classified the patients into six groups according to whether they were non-elderly or elderly (cut-off age, 60 years) and whether their hematoma was small, medium, or large (cutoff volumes, 20 and 40 mL, respectively). Subsequently, the scores on the RCPM, MMSE, and FIM-M were compared among the groups. Results: In both age groups, patients with a larger hematoma volume had lower RCPM and MMSE scores. Patients <60 years old exhibited different trends in their RCPM and MMSE scores, such that the RCPM score showed a step-wise decrease according to hematoma vol-ume, while a difference in the MMSE score was only observed at the 20 mL bound-ary. Most of the younger patients (<60 years of age) attained high FIM-M scores at discharge, as long as their hematoma volume was either medium or small (<40 mL). This age group had higher RCPM scores on admission, which may have contributed to their higher FIM-M scores on discharge. Conclusions: In the present study, we demonstrated that advancing age increases the effect of hematoma vol-ume on RCPM and MMSE scores and identified differences in the effects observed on these two scores. Thus, it may be important to use the RCPM alongside the MMSE for patient assessment.
机译：背景与目的：脑出血后，认知功能和日常生活活动（ADL）受到多种因素的影响，包括血肿体积和患者年龄。在本研究中，我们调查了年龄和血肿体积对认知功能和ADL的影响。方法：样本包括274名在康复病房住院的壳核出血患者（183名男性和91名女性，平均年龄58.2+/-12.5岁）。根据中风发作时的计算机断层成像估计血肿体积。入院时使用瑞文彩色进行性矩阵测验（RCPM）和简易精神状态检查（MMSE）评估认知功能，出院时使用功能独立性测量运动量表（FIM-M）评估ADL评分。在本研究中，我们根据患者是否为非老年人或老年人（截止年龄为60岁）以及血肿大小（截止体积分别为20和40毫升）将患者分为六组。随后，比较各组的RCPM、MMSE和FIM-M评分。结果：在两个年龄组中，血肿体积较大的患者RCPM和MMSE评分较低。年龄<60岁的患者在RCPM和MMSE评分方面表现出不同的趋势，因此RCPM评分根据血肿体积呈逐步下降趋势，而MMSE评分的差异仅在20mL范围内观察到。大多数年轻患者（<60岁）在出院时获得较高的FIM-M评分，只要他们的血肿量为中等或较小（<40 mL）。这一年龄组在入院时RCPM得分较高，这可能是他们出院时FIM-M得分较高的原因。结论：在本研究中，我们证明年龄增长会增加血肿体积对RCPM和MMSE评分的影响，并确定了对这两个评分的影响差异。因此，将RCPM与MMSE一起用于患者评估可能很重要。

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