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616.89-008-02:616.831-005.4 (1) |
Psihiatrie. Psihiatrie patologică. Psihopathologie. Frenopatii. Psihoze. Anomalii mintale. Stări morbide mintale. Tulburări de comportament şi emoţionale (290) |
SM ISO690:2012 GAVRILUTA, Diana, GASNAŞ, Alexandru, GROPPA, Stanislav. Assessment of risk factors in post-stroke cognitive impairment. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 32. ISSN 2537-6381 (Online). |
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7th Congress of the Society of Neurologists Issue of the Republic of Moldova Vol.64, 2021 |
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Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova" 7, Chişinău, Moldova, 16-18 septembrie 2021 | ||||||
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CZU: 616.89-008-02:616.831-005.4 | ||||||
Pag. 32-32 | ||||||
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Background: Cognitive impairment is a frequent symptom in post-stroke patients, with a prevalence range of 20% to 80%. Our study’s aim was to analyze the previously reported risk factors in order to highlight predictors of a poor prognosis in post-stroke cognitive impairment. Articles containing the key words: “cognitive impairment”, “stroke”, “risk factors” were selected from PubMed databases. The following filters were applied: article type – meta-analysis, review, systematic review; period of time – 5 years; language – English; species – humans; age – 45 – 65+ years. 46 results were identified, but only 20 articles were selected as relevant. Analyzing identified data, we found out that the following risk factors had a strong association with cognitive impairment after stroke – in 60 – 80% of cases: increased age, low educational status, vascular comorbidities, prior transient ischemic attack or recurrent stroke, depressive illness, cerebral atrophy, white matter lesions, alcohol use. Also, we identified other risk factors with a low association – in 20 – 30% of cases with cognitive impairment after stroke: family history, genetic variants, carotid plaques, smoking, paresis, elevated homocysteine, low-density lipoprotein, uric acid, low triiodothyronine syndrome, anemia, decreasing serum retinoic acid level, elevated serum rheumatoid factor and matrix metalloproteinases-9 levels. Conclusions: This literature review confirms the existence of studies with a high level of evidence on risk factors which trigger cognitive impairment in post-stroke patients. Acknowledgement of these risk factors could improve stroke management and rise these patients’ quality of life. |
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Cuvinte-cheie stroke, cognitive impairment, risk factors |
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