Have your doctor decipher this, you do want to know the answer. No clue what my MMSE was.
Baseline Cognitive Function, Recurrent Stroke, and Risk of Dementia in Patients With Stroke
Abstract
Background and Purpose—To
determine the interrelationships between baseline Mini-Mental State
Examination (MMSE) score and risk of overall dementia,
post-recurrent stroke dementia, and dementia
without recurrent stroke among patients with a history of stroke.
Methods—Prospective
cohort study among participants enrolled in the Perindopril Protection
Against Recurrent Stroke Study (PROGRESS)
for whom baseline MMSE score was available.
Baseline MMSE score was divided into 4 categories: 30, 29–27, 26–24, and
<24.
Participants were followed for incident
dementia and recurrent stroke. Logistic regression models were used to
examine the
association between MMSE score and dementia.
Results—Of the 6080
participants included in this analysis, 2493 had an MMSE score of 30,
1768 had a score of 29–28, 1369 had a score
of 26–24, and 450 had a score of <24.
Average follow-up time was 3.8 years. There were 407 cases of dementia,
106 of which
were preceded by a recurrent stroke. The risk
of overall dementia increased with decreasing MMSE score. However, the
impact
of MMSE score on the risk of dementia without
recurrent stroke was much stronger than the impact of MMSE score on the
risk
of post-recurrent stroke dementia. For those
with MMSE score <24, the risk of dementia without recurrent stroke
was 47.89
(95% confidence interval, 28.57–80.26),
whereas the risk of post-recurrent stroke dementia was only 7.17 (95%
confidence interval,
3.70–13.89). Higher MMSE scores were even
less strongly associated with the risk of post-recurrent stroke
dementia.
Conclusions—Patients with stroke with low MMSE scores are at high risk of dementia over time, even in the absence of a recurrent stroke,
and should therefore be followed closely for further cognitive decline.
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