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.

Friday, June 24, 2022

Cognitive impairment one year after ischemic stroke: predictors and dynamics of significant determinants

We have all this research on cognitive impairment and dementia after stroke. We just need that great stroke association to put it all together and come up with prevention protocols. But nothing will happen, there is NO stroke leadership and as far as I can tell few functioning neurons in the stroke medical world. 

Your risk of dementia, has your doctor told you of this?

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.

2. Then this study came out and seems to have a range from 17-66%. December 2013.`    

3. A 20% chance in this research.   July 2013.

4. Dementia Risk Doubled in Patients Following Stroke September 2018 

What is your doctor's EXACT PROTOCOL TO PREVENT DEMENTIA?

The latest here:

Cognitive impairment one year after ischemic stroke: predictors and dynamics of significant determinants

DOI

10.3906/sag-1403-29

Abstract

Background/aim: 

Evidence suggests that the risk for dementia increases after stroke. This study investigated the dynamics of the neurological and cognitive status of patients with no baseline dementia over a 1-year period after ischemic stroke. 

Materials and methods: 

We examined 47 ischemic stroke patients admitted within 48 h of ictus. Their neurological and cognitive statuses, blood biochemical parameters, and microalbuminuria levels were prospectively evaluated over a 1-year period post-stroke. 

Results: 

A more severe neurological deficit was found in the cognitively impaired patients (P = 0.003). The NIHSS score over a 1-year follow-up period improved only in patients with normal cognition (P = 0.000). Time-varying dynamics of the MMSE score were observed in both patient groups (P = 0.000). Age (P = 0.000), education (P = 0.004), sex (P = 0.041), history of diabetes (P = 0.045), and serum high sensitive C-reactive protein (hs-CRP) on admission (P = 0.003) were significant determinants of cognitive decline 1 year after a stroke. The albumin-to-creatinine ratio was high during the whole follow-up period in the cognitively impaired group after adjusting for sex and age (P = 0.010). Binary logistic regression showed that hs-CRP (P = 0.013) and age (P = 0.010) were independent predictors of patients' cognitive status 1 year after stroke. 

Conclusion: 

The level of inflammatory markers could be considered as an additional criterion of long-term cognitive impairment.

First Page

1366

Last Page

1373

Recommended Citation

ALEXANDROVA, MARGARITA LUBOMIROVA and DANOVSKA, MAYA PENKOVA (2016) "Cognitive impairment one year after ischemic stroke: predictorsand dynamics of significant determinants," Turkish Journal of Medical Sciences: Vol. 46: No. 5, Article 15. https://doi.org/10.3906/sag-1403-29
Available at: https://journals.tubitak.gov.tr/medical/vol46/iss5/15

 
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