Factors Associated With Post-Stroke Cognitive Impairment: A Narrative Review.

Brain & NeuroRehabilitation Pub Date : 2024-11-21 eCollection Date: 2024-11-01 DOI:10.12786/bn.2024.17.e20
Seyoung Shin, Seung Mi Yeo, Byung Chan Lee, Won Hyuk Chang
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Abstract

Post-stroke cognitive impairment (PSCI) is a common and significant disorder affecting a considerable proportion of stroke patients. PSCI is a known factor that increases the risk of mortality, dependency, and institutionalization in stroke patients. The early prediction of PSCI and the implementation of cognitive rehabilitation could enhance the quality of life of stroke patients and reduce the burden on their families. It is therefore imperative to identify risk factors for PSCIs in the early stages of stroke and to implement early cognitive rehabilitation with an appropriate prognosis. A number of risk factors for PSCI can be identified in patient characteristics, clinical findings, and imaging findings. It is unfortunate that the majority of factors associated with PSCI are non-modifiable. However, the only modifiable factor that can be controlled is the management of stroke risk factors for secondary prevention. Further research is needed to elucidate the potential benefits of various cognitive rehabilitation programs for the prevention and improvement of PSCI.

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卒中后认知障碍相关因素:叙述性回顾。
脑卒中后认知障碍(PSCI)是影响相当比例脑卒中患者的一种常见且重要的疾病。PSCI是已知的增加中风患者死亡、依赖和住院风险的因素。早期预测PSCI并实施认知康复可以提高脑卒中患者的生活质量,减轻其家庭负担。因此,必须在中风早期阶段确定PSCIs的危险因素,并在适当的预后下实施早期认知康复。PSCI的许多危险因素可以从患者特征、临床表现和影像学表现中确定。不幸的是,大多数与PSCI相关的因素是不可改变的。然而,唯一可以控制的可修改因素是二级预防中风危险因素的管理。需要进一步的研究来阐明各种认知康复计划对预防和改善PSCI的潜在益处。
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