High frequency of cognitive dysfunction before stroke in the elderly
Artikel i vetenskaplig tidskrift, 2011

Objectives We examined cognitive functions before and in acute phase of stroke studying frequency and profile of cognitive impairment and relationships between cognitive status. Methods Seventy-four patients with early phase after stroke and 49 healthy controls were included and examined using the Mini-Mental State Examination (MMSE) and a battery of neuropsychological tests. Cognitive status before stroke-onset was investigated using Cognitive Impairment Questionnaire. Results Cognitive impairments were present in 96% of patients after stroke onset using the battery of neuropsychological tests and in 39% of patients using the MMSE, but in only 9% of controls. Seventy-six percent exhibited reduced executive function and 75% reduced psychomotor tempo. Cognitive dysfunction was present in 52% before stroke onset without any impact on the frequency of impairment in the various cognitive areas in early phase after stroke. Conclusions Cognitive impairment is frequent before the onset of stroke among older people and may partially explain the very high frequency of cognitive impairment observed after stroke onset.

cognition

prestroke

older

stroke

Författare

Cristina Gutiérrez Pérez

Göteborgs universitet

Marianne Sävborg

Ulrika Påhlman

Marie Cederfeldt

Göteborgs universitet

Elvi Knopp

Arto Nordlund

Göteborgs universitet

Ragnar Åstrand

Göteborgs universitet

Anders Wallin

Göteborgs universitet

Karin Fröjdh

Helle Wijk

Göteborgs universitet

Elisabeth Tarkowski

Göteborgs universitet

International Journal of Geriatric Psychiatry

0885-6230 (ISSN) 1099-1166 (eISSN)

Vol. 26 622-629

Ämneskategorier

Omvårdnad

Övrig annan samhällsvetenskap

DOI

10.1002/gps.2573

PubMed

20922768