Cognition in the first week after stroke: how does it relate to personal and instrumental activities of daily living at follow-up?
| Autor: | Louise Gustafsson, Mathew J. Summers, A. Campbell, Sarah Buys, Rohan Grimley, Hannah Gullo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Activities of daily living Rehabilitation business.industry Cognitive Neuroscience medicine.medical_treatment Mild stroke Montreal Cognitive Assessment Cognition medicine.disease Functional Independence Measure 03 medical and health sciences Speech and Hearing Behavioral Neuroscience 0302 clinical medicine Neuropsychology and Physiological Psychology Neurology Physical therapy Medicine 030212 general & internal medicine Neurology (clinical) business Prospective cohort study Stroke 030217 neurology & neurosurgery |
| Zdroj: | Brain Impairment. 23:185-195 |
| ISSN: | 1839-5252 1443-9646 |
| DOI: | 10.1017/brimp.2021.3 |
| Popis: | Background:The Montreal Cognitive Assessment (MoCA) is routinely used during the early assessment of people after stroke to indicate cognitive effects and inform clinical decision-making.Aim:The purpose of this study was to examine the relationship between cognition in the first week post-stroke and personal and instrumental activities of daily skills at 1 month and 3 months post-stroke.Method:A prospective cohort study consecutively recruited people admitted to the acute stroke ward. Acute cognitive status was measured using the MoCA within 1 week post-stroke onset. Functional outcomes were measured using the Functional Independence Measure (FIM) and the Australian Modified Lawton’s Instrumental Activities of Daily Living Scale (Lawton’s) at 1 month and 3 months post-stroke.Results:Fifty participants with predominantly mild stroke (n = 47) and mean age of 69.8 achieved a mean MoCA score of 23.1. Controlling for age, the MoCA was associated with the overall FIM score at 1 month (P = 0.02). It was nearing significance for the Lawton’s at 1 month (P = 0.06) but was not associated with either outcome at 3 months. A score of less than 23 on the MoCA was indicative of lower scores on both outcomes.Conclusions:A low MoCA score within 1 week of stroke may indicate need for support or rehabilitation due to early impacts on personal activities of daily living, but is not associated with poor functional outcomes at 3 months. |
| Databáze: | OpenAIRE |
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