Early cognitive and emotional outcome after stroke is independent of discharge destination
| Autor: | Johanna M A Visser-Meily, Vincent I. H. Kwa, Renske M. Van den Berg-Vos, Caroline M. van Heugten, Daan P J Verberne, Jos P. L. Slenders |
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| Přispěvatelé: | Graduate School, Neurology, ANS - Neurovascular Disorders, Psychiatrie & Neuropsychologie, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Section Neuropsychology, RS: FPN NPPP I |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
REHABILITATION
medicine.medical_specialty Neurology Hospital Anxiety and Depression Scale VALIDATION RESPONSIVENESS Cognition Cerebrovascular disease/stroke QUALITY-OF-LIFE CARDIAC-ARREST medicine Humans Prospective Studies Anxiety and depression Prospective cohort study Cerebrovascular disease Stroke METAANALYSIS Original Communication business.industry Stroke Rehabilitation Participation Montreal Cognitive Assessment IMPAIRMENT medicine.disease stroke Checklist Patient Discharge PARTICIPATION MEASURES UTRECHT SCALE Physical therapy Anxiety Neurology (clinical) FOCUSED FOLLOW-UP medicine.symptom business |
| Zdroj: | Journal of neurology, 267(11), 3354-3361. D. Steinkopff-Verlag Journal of Neurology Journal of Neurology, 267(11), 3354-3361. Springer |
| ISSN: | 0340-5354 |
| Popis: | Background and purpose Cognitive and emotional problems occur frequently after stroke. Patients with minor stroke are more likely to be discharged home. This paper compares early cognitive and emotional outcomes in patients discharged home after stroke versus patients discharged to inpatient rehabilitation, and examines the effect of cognitive and emotional outcomes on long-term participation. Methods In this multicenter prospective cohort study, patients with stroke were assessed at two months with the Hospital Anxiety and Depression Scale (HADS), the Checklist for Cognitive and Emotional Consequences following Stroke (CLCE-24) and the Montreal Cognitive Assessment (MoCA). One year post stroke, participation was assessed with the Restriction subscale of the Utrecht Scale for Evaluation of Rehabilitation—Participation (USER-P Restriction). Results The study included 332 patients. Two months post stroke, anxiety and cognitive problems were equally prevalent among patients discharged home (n = 243; 73%) and patients discharged to inpatient rehabilitation (n = 89; 27%) (HADS-A = 4.8 ± 3.9 versus 4.6 ± 4.0, p = 0.747; MoCA p = 0.477; CLCE-cognition = 3.0 ± 2.9 versus 3.3 ± 2.8, p = 0.499). Depressive symptoms were less severe in patients discharged home (HADS-D = 4.3 ± 3.9 versus 5.5 ± 3.8, p = 0.010). In patients discharged home, cognitive complaints were predictive of long-term participation (B = − 2.03; 95% CI − 3.15, − 0.90), while cognitive or emotional outcomes were not predictive in patients discharged to inpatient rehabilitation. Conclusions Cognitive and emotional problems at two months post stroke were comparable between patients discharged home and those discharged to inpatient rehabilitation. For patients discharged home, cognitive complaints were predictive of long-term participation. |
| Databáze: | OpenAIRE |
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