지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 734 - 742 (9page)
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초록· 키워드
오류제보하기
Objective To determine the frequency and characteristics of vascular cognitive impairment (VCI) in patients with subacute stroke who underwent inpatient rehabilitation and to analyze whether cognitive function can predict functional assessments after rehabilitation.Methods We retrospectively reviewed the medical records of patients who were admitted to our rehabilitation center after experiencing a stroke between October 2014 and September 2015. We analyzed the data from 104 patients who completed neuropsychological assessments within 3 months after onset of a stroke.Results Cognitive impairment was present in 86 out of 104 patients (82.6%). The most common impairment was in visuospatial function (65, 62.5%) followed by executive function (63, 60.5%), memory (62, 59.6%), and language function (34, 32.6%). Patients with impairment in the visuospatial and executive domains had poor scores of functional assessments at both admission and discharge (p<0.05). A multivariate analysis revealed that age (b= -0.173) and the scores on the modified Rankin Scale (b=-0.178), Korean version of the Modified Barthel Index (K-MBI) (b=0.489) at admission, and Trail-Making Test A (TMT-A) (b=0.228) were related to the final K-MBI score at discharge (adjusted R2=0.646).Conclusion In our study, VCI was highly prevalent in patients with stroke. TMT-A scores were highly predictive of their final K-MBI score. Collectively, our results suggest that post-stroke executive dysfunction is a significant and independent predictor of functional outcome.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Delgado C / 2010 / Frequency and determinants of poststroke cognitive impairment at three and twelve months in Chile / Dement Geriatr Cogn Disord 29 : 397 ~ 405
Donaldson SW / 1973 / A unified ADL evaluation form / Arch Phys Med Rehabil 54 : 175 ~ 179
Egner T / 2008 / Neural integration of topdown spatial and feature-based information in visual search / J Neurosci 28 : 6141 ~ 6151
Gorelick PB / 2011 / Vascular contributions to cognitive impairment and dementia: a statement for healthcare professionals from the american heart association/american stroke
Hachinski V / 2006 / National Institute of Neurological Disorders and Stroke-Canadian Stroke Network vascular cognitive impairment harmonization standards / Stroke 37 : 2220
Donaldson SW / 1973 / A unified ADL evaluation form / Arch Phys Med Rehabil 54 : 175 ~ 179
Egner T / 2008 / Neural integration of topdown spatial and feature-based information in visual search / J Neurosci 28 : 6141 ~ 6151
Gorelick PB / 2011 / Vascular contributions to cognitive impairment and dementia: a statement for healthcare professionals from the american heart association/american stroke
Hachinski V / 2006 / National Institute of Neurological Disorders and Stroke-Canadian Stroke Network vascular cognitive impairment harmonization standards / Stroke 37 : 2220
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