Evidence map›Paper›PMID 35927922›Full record

ArticleCurrent Alzheimer research2022

Poststroke Cognitive Impairment: A Longitudinal Follow-Up and Pre/Poststroke Mini-Mental State Examination Comparison.

Chien-Tai Hong, Hsun-Hua Lee, Chen-Chih Chung, Wei-Ting Chiu, Ting-Yi Lee, David Yen-Ting Chen, Li-Kai Huang, Chaur-Jong Hu, Lung Chan

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Article in Current Alzheimer research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Chien-Tai HongDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Hsun-Hua LeeDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Chen-Chih ChungDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Wei-Ting ChiuDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Ting-Yi LeeDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
David Yen-Ting ChenDepartment of Radiology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Li-Kai HuangDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Chaur-Jong HuDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Lung ChanDepartment of Neurology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Taipei Medical University-Shuang Ho Hospital · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoststroke cognitive impairment (PSCI) is a prevalent cause of disability in people with stroke. PSCI results from either lesion-dependent loss of cognitive function or augmentation of Alzheimer's pathology due to vascular insufficiency. The lack of prestroke cognitive assessments limits the clear understanding of the impact of PSCI on cognition.

objectiveThe present study aims to make a direct comparison of longitudinal cognitive assessment results to clarify the impact of ischemic stroke on PSCI and assess the cognitive decline in PSCI compared to people with Alzheimer's disease (AD).

methodsAll study participants had their Mini-Mental State Examination (MMSE) at the chronic poststroke stage (≥6 months after stroke), which was compared with prestroke or acute poststroke (<6 months after stroke) MMSE to investigate the two aspects of PSCI. A group of patients with AD was used to reference the speed of neurodegenerative cognitive deterioration. Repeated measures analysis of variance was used to compare the longitudinal change of MMSE.

resultsMMSE score between acute and chronic poststroke revealed a 1.8 ± 6.49 decline per year (n=76), which was not significantly different from the AD patients who underwent cholinesterase inhibitors treatment (-1.11 ± 2.61, p=0.35, n=232). MMSE score between prestroke and chronic poststroke (n=33) revealed a significant decline (-6.52 ± 6.86, p < 0.001). In addition, their cognitive deterioration was significantly associated with sex, age, and stroke over the white matter or basal ganglia.

conclusionIschemic stroke substantially affects cognition with an average six-point drop in MMSE. The rate of cognitive decline in PSCI was similar to AD, and those with white matter or basal ganglia infarct were at greater risk of PSCI.

Indexed as

Brain IschemiaCognitive DysfunctionIschemic StrokeStrokeFollow-Up StudiesHumansAlzheimer’s disease.cognitioncognitive declinelongitudinalpost-stroke cognitive impairmentStroke

Identifiers

PMID35927922
OpenAlexW4289523662

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.