Deans' stroke musings: Predictors of subjective cognitive complaint in postacute older adult stroke patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 12, 2013

Predictors of subjective cognitive complaint in postacute older adult stroke patients

Big Whoopee.
A much better use of time and brainpower would be to solve the cognition problem, not just write papers on how it affects patients. A great stroke association would never sponsor such lazy research.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67141&phrase=no&rec=122736
Archives of Physical Medicine and Rehabilitation , Volume 94(9) , Pgs. 1747-1752.

NARIC Accession Number: J67141. What's this?
ISSN: 0003-9993.
Author(s): Lamb, Fiona; Anderson, Jacqueline; Saling, Michael; Dewey, Helen.
Publication Year: 2013.
Number of Pages: 6.
Abstract: Study investigated the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in 25 patients with first-ever ischemic stroke, aged between 50 and 85 years, with relatively good neurologic recovery during the postacute period. Cognitive complaint was measured by the A-B Neuropsychological Assessment Schedule. Cognitive impairment was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status. The Hospital Anxiety and Depression Scale was used to assess current symptoms of depression and anxiety (negative affect) and fatigue was measured using the Multidimensional Fatigue Inventory. Results showed that 90 percent of the patients reported some level of cognitive difficulty in everyday life. Fatigue, cognitive slowing, memory difficulties, and poor concentration were the most frequently reported complaints. More than half of all participants had significant impairment in at least 1 cognitive domain after their stroke. A standard multiple regression was performed to evaluate the relative impact of negative affect, fatigue, and objective cognitive functioning on subjective cognitive complaint. This model accounted for 61 percent of the variance in total subjective cognitive complaint, with depression being the only variable to make a significant independent contribution to the prediction of subjective cognitive complaint. Although half of the participants had objective evidence of a cognitive impairment, neither objective cognitive impairment nor fatigue predicted cognitive complaint independently of negative affect. Findings suggest that clinicians who receive reports of cognitive complaints in the postacute period after stroke should be alert to the possibility of psychological distress in their patient.
Descriptor Terms: ANXIETY DISORDERS, CHRONIC FATIGUE SYNDROME, CLIENT CHARACTERISTICS, COGNITIVE DISABILITIES, DEPRESSION, OLDER ADULTS, OUTCOMES, POSTACUTE CARE, PREDICTION, PSYCHOLOGICAL EVALUATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.