eprintid: 9137
rev_number: 9
eprint_status: archive
userid: 2098
dir: disk0/00/00/91/37
datestamp: 2024-09-11 07:02:11
lastmod: 2024-09-11 07:02:11
status_changed: 2024-09-11 07:02:11
type: article
metadata_visibility: show
contact_email: repository@staff.ukdw.ac.id
creators_name: , Rizaldy Taslim Pinzon
creators_name: , Nunki Puspita Utomo
creators_id: 0517057601
title: RISK FACTORS OF COGNITIVE IMPAIRMENT POST-ISCHEMIC STROKE
ispublished: pub
subjects: RC0321
divisions: fak_kedokteran
full_text_status: public
keywords: Cognitive impairment, Ischemic stroke, Risk factors
abstract: Background Stroke is still remarked as one of the major ailments in Indonesia. Cognitive impairment occurs frequently after stroke events and its predictors are needed to identify patients with a high risk of cognitive impairment. However, the researches done in Indonesia still vary in results. This retrospective cohort study evaluated 236 ischemic stroke patients in Bethesda Hospital Yogyakarta from January–November 2020 through medical records. Cognitive impairment was measured by MMSE and CDT, defined as MMSE score  20 for patients with the educational attainment of 1–6 years; 24 for the educational attainment of > 6 years and/ or CDT < 4. All data were analyzed with univariate test and Chi-square test, followed by logistic regression. Results Of 236 subjects, the frequency of cognitive impairment was 67.4% and the risk factors are age > 80 years old (RR: 1,545; CI 0.136–17.542; p: 0.026), educational attainment ≤ 6 years (RR: 20.016; CI 1.951–222.120; p: 0.012), temporal (RR: 4.238; CI 2.266–7.926; p: 0.007) or multiple site lesion location (RR: 7.522; CI: 3.522–17.532; p: 0.047) and multiple (> 1) lesions (RR: 1,819; CI 0.822–4.022; p: 0.040). Conclusions
The prevalence of post-stroke cognitive impairment is high, affecting up to 2 out of 3 people in this study. The risk factors of post-stroke cognitive impairment are age > 80 years, educational attainment 6 years, temporal or multiple site lesion, and > 1 lesion. Strict stroke prevention strategies are needed to halt the development of post-stroke cognitive impairment.
date: 2023-04-26
publication: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
volume: 59
publisher: Springer
pagerange: 1-6
id_number: doi:10.1186/s41983-023-00654-2
refereed: TRUE
issn: 1687-8329
official_url: https://doi.org/10.1186/s41983-023-00654-2
funders: drpinzon17@gmail.com
citation:   Rizaldy Taslim Pinzon and Nunki Puspita Utomo  (2023) RISK FACTORS OF COGNITIVE IMPAIRMENT POST-ISCHEMIC STROKE.  The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 59.  pp. 1-6.  ISSN 1687-8329     
document_url: https://katalog.ukdw.ac.id/9137/1/Risk%20Factors%20of%20Cognitive%20Impairment%20Post-Ischemic%20Stroke.pdf