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Cognitive and emotional symptoms in patients with first-ever mild stroke: The syndrome of hidden impairments
Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Department of Internal Medicine, Bærum Hospital, Vestre Viken, Norway.
Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway; Department of Neurology, Oslo University Hospital, Oslo, Norway.
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2021 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 53, no 1, article id jim00135Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate the prevalence of cognitive and emotional impairments one year after first-ever mild stroke in younger patients.

Design: Prospective, observational, cohort study.

Subjects: A consecutive sample of 117 previously cognitively healthy patients aged 18-70 years with mild stroke (National Institutes of Health Stroke Scale score <= 3) were included in 2 hospitals in Norway during a 2-year period.

Methods: At 12-month follow-up, patients were assessed using validated instruments for essential cognitive domains, fatigue, depression, anxiety, apathy and pathological laughter and crying.

Results: In total, 78 patients (67%) had difficulty with one or a combination of the cognitive domains psychomotor speed, attention, executive and visuospatial function, and memory. Furthermore, 50 patients (43%) had impairment in either one or a combination of the emotional measures for anxiety, depressive symptoms, fatigue, apathy or emotional lability. A total of 32 patients (28%) had both cognitive and emotional impairments. Only 21 patients (18%) scored within the reference range in all the cognitive and emotional tools.

Conclusion: Hidden impairments are common after first-ever mild stroke in younger patients. Stroke physicians should screen for hidden impairments using appropriate tools.

Place, publisher, year, edition, pages
Foundation for Rehabilitation Information , 2021. Vol. 53, no 1, article id jim00135
Keywords [en]
mild stroke, younger patients, cognitive impairment, depression, anxiety, apathy, fatigue, hidden impairments
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Physiotherapy
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URN: urn:nbn:se:oru:diva-89309DOI: 10.2340/16501977-2764ISI: 000607026400008PubMedID: 33145603Scopus ID: 2-s2.0-85099428520OAI: oai:DiVA.org:oru-89309DiVA, id: diva2:1525725
Note

Funding Agency:

Department of Geriatric Medicine, Oslo University Hospital  

Available from: 2021-02-04 Created: 2021-02-04 Last updated: 2025-02-11Bibliographically approved

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