Quantifying the association between stroke and dementia: a bibliometric study

 WHAT FUCKING STUPIDITY! We've known of the stroke dementia link a long time. SOLVE THE FUCKING PROBLEM! Instead of this waste of time. And your mentors and senior researchers were so incompetent, they didn't know of all this earlier research?

 With your chances of getting dementia post stroke, you need prevention solutions. YOUR DOCTOR IS RESPONSIBLE FOR PREVENTING 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 

 

The latest useless shit here: 

Quantifying the association between stroke and dementia: a bibliometric study

Xinyi Bian¹Zibin Zhao²Xiaoping Gao^1*

• ¹Department of Rehabilitation, The First Affiliated Hospital of Anhui Medical University, Hefei, China
• ²The First School of Clinical Medicine, Bengbu Medical University, Bengbu, China

Background: Stroke and dementia are two serious neurological disorders in modern medicine. Studies have revealed a significant link between the two, but there is still a lack of bibliometric analysis in this area. The objective of this study is to use bibliometric analysis to investigate the connection between stroke and dementia, as well as to assess the current state of research in this field and identify future trends.

Methods: The publications from the Web of Science were Collection and retrieved for the last 22 years (2002–2023). CiteSpace, VOSviewer, and the R package Bibliometrix were used to conduct bibliometric analysis. GraphPad Prism was used to plot.

Results: A total of 1,309 publications were included in the analysis. The number of articles on dementia and stroke has continued to grow steadily over the past 22 years. While China is the country with the most articles, the most influential and widely researched countries are England and the United States. The keyword analysis illustrates that the prevention of dementia through stroke prevention is a major focus and trend in this research area.

Conclusion: This study provides a visual analysis method for measuring the association between stroke and dementia, and examines the current state of research in this area and future research trends. In the future, dementia caused by stroke needs to be emphasized, and prevention of dementia through stroke prevention is a research priority.

1 Introduction

Stroke refers to a disease in which there is an acute disruption of blood flow to the brain, leading to insufficient or interrupted blood supply and subsequent damage to brain tissue. Approximately 70% of strokes are caused by blockage of the major cerebral arteries, with occlusion of large arteries often resulting from thrombosis or atrial fibrillation and occlusion of a small artery due to small vessel disease. Stroke is currently the second most common cause of death globally and stands as the primary origin of long-term disability (1–4). Due to the increasing prevalence of risk factors such as hypertension, obesity, hyperlipidemia, smoking, and drug abuse, the incidence of stroke among young people has been increasing rapidly (5, 6). The trend of strokes affecting younger individuals is becoming increasingly concerning. The main symptoms of a stroke include the sudden onset of weakness or numbness in the face, arms, or legs, difficulty in speaking or understanding, loss or blurring of vision, and severe headache.

Dementia is a progressive neurodegenerative disorder primarily affects memory, cognitive function, and behavior. It is characterized by symptoms such as memory loss, language difficulties, decreased spatial orientation, and impaired judgment and abstract thinking. Dementia can be caused by various factors, including Alzheimer's disease, cognitive impairment, and other underlying condition (7, 8). Unfortunately, there is currently no cure for dementia, but medications and non-medication treatments are available that can help manage symptoms and improve the quality of life for patients. The impact of dementia is profound, not only for the individuals affected but also for their families and society at large (9, 10).

According to the Global Burden of Disease report, in 2019, neurological disorders continued to be the predominant cause of Disability Adjusted Life Years (DALYs), constituting 10.8% of the total burden of DALYs attributable to all causes. Stroke was responsible for 69.8% of deaths due to neurological disorders and accounted for 52.3% of the neurological DALYs (11). Of these, stroke and dementia dominate the list of neurological diseases (1). Due to the same risk factors for stroke and dementia, there is a high prevalence of cognitive impairment and dementia symptoms after a stroke (12–16). According to studies, about 30–50% of stroke patients will develop cognitive impairment and dementia symptoms after a stroke (17, 18). People who develop dementia immediately after stroke have early-onset dementia (13, 19), but those who do not initially have dementia are also at risk for delayed-onset dementia in the long term, with an approximately 1-to-8-fold increased dementia risk ranging from 3 to 16 years after stroke (20–24). A study of stroke prevention showed that population-wide prevention strategies aim to reduce the incidence of stroke by reducing the average level of exposure to disease-causing risk factors. If implemented effectively, these strategies can prevent up to 50–90% of all strokes within 5 years. It is estimated that approximately 40% of dementia cases could be prevented by targeting modifiable, primarily cardiovascular risk factors (24, 25). Since stroke and dementia often occur together and are at risk for each other, preventing stroke can also prevent certain dementias (26–28).

There is a lack of objective and comprehensive reporting through studies of publication trends, keyword hotspots, and common collaborative networks. The purpose of this paper is to analyze the relationship between stroke and dementia from 2002 to 2022 using a bibliometric analysis system. Bibliometric analysis is a powerful approach that combines mathematical and statistical methods with data visualization to analyze various aspects of scholarly publications. This analysis can provide insights into annual publication trends, countries or regions involved, institutions, journals, authors, and co-citations (29).

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