Cognition in relation to independency in older, comorbid stroke patients in a stroke unit
| Autor: | Marleen, Huijben-Schoenmakers, Arno, Rademaker, Erik, Scherder |
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| Rok vydání: | 2015 |
| Předmět: |
Aged
80 and over Male Depressive Disorder Stroke Rehabilitation Comorbidity Middle Aged Neuropsychological Tests Anxiety Disorders Stroke Executive Function Cross-Sectional Studies Memory Predictive Value of Tests Activities of Daily Living Outcome Assessment Health Care Humans Regression Analysis Female Cognition Disorders Aged |
| Zdroj: | International journal of geriatric psychiatry. 32(7) |
| ISSN: | 1099-1166 |
| Popis: | The objective of this study was to ascertain if cognition helps to predict functional outcome in older comorbid stroke patients with severe loss of independence.This is a cross-sectional study.The subjects of this study are patients who have suffered a stroke and who rehabilitated in the nursing homes' rehabilitation units and patients (n = 160) (mean age: 77; SD: 9.5) with a mean Barthel Index of 11.02.Demographic, illness-related, functional and cognitive data were selected at baseline.Functional abilities were tested using the Barthel Index. Cognitive functions were assessed using a wide variety of neuropsychological tests.Patients faced cognitive impairments especially in executive functioning and memory. Stepwise linear regression analysis shows that executive functioning (p = 0.050) and memory (p = 0.000; confidence interval -1.255, -0.403) are significantly associated with functional outcome.From a clinical point of view, we suggest combining physical and cognitive training from the very early phase of recovery. |
| Databáze: | OpenAIRE |
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