TY - JOUR
T1 - Cognition in relation to independency in older, comorbid stroke patients in a stroke unit
AU - Huijben-Schoenmakers, M.
AU - Rademaker, A.C.H.J.
AU - Scherder, E.J.A.
PY - 2017
Y1 - 2017
N2 - Objective: The objective of this study was to ascertain if cognition helps to predict functional outcome in older comorbid stroke patients with severe loss of independence. Design: This is a cross-sectional study. Subjects: The subjects of this study are patients who have suffered a stroke and who rehabilitated in the nursing homes' rehabilitation units and patients (n = 160) (mean age: 77; SD: 9.5) with a mean Barthel Index of 11.02. Method: Demographic, illness-related, functional and cognitive data were selected at baseline. Main Assessment Measures: Functional abilities were tested using the Barthel Index. Cognitive functions were assessed using a wide variety of neuropsychological tests. Results: Patients faced cognitive impairments especially in executive functioning and memory. Stepwise linear regression analysis shows that executive functioning (p = 0.050) and memory (p = 0.000; confidence interval −1.255, −0.403) are significantly associated with functional outcome. Conclusion: From a clinical point of view, we suggest combining physical and cognitive training from the very early phase of recovery.
AB - Objective: The objective of this study was to ascertain if cognition helps to predict functional outcome in older comorbid stroke patients with severe loss of independence. Design: This is a cross-sectional study. Subjects: The subjects of this study are patients who have suffered a stroke and who rehabilitated in the nursing homes' rehabilitation units and patients (n = 160) (mean age: 77; SD: 9.5) with a mean Barthel Index of 11.02. Method: Demographic, illness-related, functional and cognitive data were selected at baseline. Main Assessment Measures: Functional abilities were tested using the Barthel Index. Cognitive functions were assessed using a wide variety of neuropsychological tests. Results: Patients faced cognitive impairments especially in executive functioning and memory. Stepwise linear regression analysis shows that executive functioning (p = 0.050) and memory (p = 0.000; confidence interval −1.255, −0.403) are significantly associated with functional outcome. Conclusion: From a clinical point of view, we suggest combining physical and cognitive training from the very early phase of recovery.
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U2 - 10.1002/gps.4518
DO - 10.1002/gps.4518
M3 - Article
SN - 0885-6230
VL - 32
SP - 761
EP - 768
JO - International Journal of Geriatric Psychiatry
JF - International Journal of Geriatric Psychiatry
IS - 7
ER -