Assessment of risk factors in post-stroke cognitive impairment
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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)
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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
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova"
7, Chişinău, Moldova, 16-18 septembrie 2021

Assessment of risk factors in post-stroke cognitive impairment

CZU: 616.89-008-02:616.831-005.4

Pag. 32-32

Gavriluta Diana12, Gasnaş Alexandru12, Groppa Stanislav12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Emergency Institute of Medicine
 
 
Disponibil în IBN: 27 septembrie 2021


Rezumat

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.

Cuvinte-cheie
stroke, cognitive impairment, risk factors