Deans' stroke musings: Cognitive screening in patients with stroke: a cross-sectional study

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.

Sunday, September 10, 2017

Cognitive screening in patients with stroke: a cross-sectional study

Useless because it gives no protocols on how to address these cognitive problems.

Cognitive screening in patients with stroke: a cross-sectional study

Rastreio cognitivo em pacientes com acidente vascular cerebral: um estudo transversal. Jornal Brasileiro de Psiquiatria , Volume 63(2) , Pgs. 90-103.

NARIC Accession Number: I243488. What's this?
Author(s): Ana Amália Torres Souza Gandour Dantas; Sara Viviane de Souza Torres; Izabel Myckilane Alves de Farias; Suzane Beatriz Calixto de Lira Sant’Ana; Tania Fernandes Campos.
Publication Year: 2014.
Abstract: The aim of this cross-sectional study was to make a cognitive screening in patients with stroke in order to determine cutoff points according to age, education, and degree of neurological impairment. The study included 109 outpatients (61 men), mean age 59 years (± 11), 5 years of schooling (± 4) and 16 months sequel time (± 14). Patients were assessed by the Mini-Mental State Examination (MMSE) and the National Institute of Health Stroke Scale. Data were analyzed by multiple linear regression (stepwise forward). Results showed that the variable degree of neurological impairment, age, and education contributed significantly to the overall value of the MMSE and explained variance in cognitive status (adjusted R2 = 0.24). Each increase of neurological impairment represented a decrease of 0.456 in MMSE score. The greater the age, a decrease of 0.202 was evident. As the years of education decreased, there was a decrease in MMSE score of 0.190. The cutoffs ranged 14-22 according to the degree of neurological impairment, age, and education. The results showed that through positive screening for cognitive impairment, cutoffs associated with neurological impairment were found that need to be adjusted for age and education, suggesting that these associations preferably be taken into consideration in planning the neuropsychological rehabilitation of stroke patients.
Descriptor Terms: Assessment, Cognition, Stroke.
Language: Portuguese
Geographic Location(s): Brazil, South America.

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Citation: Ana Amália Torres Souza Gandour Dantas, Sara Viviane de Souza Torres, Izabel Myckilane Alves de Farias, Suzane Beatriz Calixto de Lira Sant’Ana, Tania Fernandes Campos. (2014). Cognitive screening in patients with stroke: a cross-sectional study. Rastreio cognitivo em pacientes com acidente vascular cerebral: um estudo transversal. Jornal Brasileiro de Psiquiatria , 63(2), Pgs. 90-103. Retrieved 9/10/2017, from REHABDATA database.