Incidence of post-stroke cognitive impairment in patients with first-ever ischemic stroke: a multicenter cross-sectional study in China

卷:33

Article

关键词: SOCIOECONOMIC-STATUS;    DEMENTIA;    PREVALENCE;    PREVENTION;   

DOI  :  10.1016/j.lanwpc.2023.100687

来源: SCIE

【 摘 要 】

Background Post-stroke cognitive impairment (PSCI) is a common sequela after stroke. China has a large population of stroke survivors, but a large-scale survey on the incidence and risk factors for PSCI has not been undertaken. We aimed to calculate the incidence and risk factors for vascular cognitive symptoms among first-ever stroke survivors in China through a multicenter cross-sectional study. Methods From May 1, 2019 to November 30, 2019, patients with a clinical diagnosis of first-ever ischemic stroke were recruited from 563 hospitalized-based stroke center networks in 30 provinces of China. Cognitive impairment was measured by 5-min National Institute of Neurological Disease and Stroke-Canadian Stroke Network (NINDS-CSN) at 3-6 months after the indexed stroke. Stepwise multivariate regression and stratified analysis were performed to assess the association between PSCI and demographic variables. Findings A total of 24,055 first-ever ischemic stroke patients were enrolled, with an average age of 70.25 +/- 9.88 years. The incidence of PSCI as per the 5-min NINDS-CSN was 78.7%. Age >= 75 years old (OR: 1.887, 95%CI: 1.391-2.559), western regional residence (OR: 1.620, 95%CI: 1.411-1.860) and lower education level were associated with increased PSCI risk. Hypertension might be related to non-PSCI (OR: 0.832, 95%CI: 0.779-0.888). For patients under 45 years old, unemployment was an independent risk factor for PSCI (OR: 6.097, 95%CI: 1.385-26.830). For patients who were residents of the southern region (OR: 1.490, 95%CI: 1.185-1.873) and non-manual workers (OR: 2.122, 95% CI: 1.188-3.792), diabetes was related to PSCI.Interpretation PSCI is common in Chinese patients with first-ever stroke, and many risk factors are related to the occurrence of PSCI. Health 2023;33: Published January https://doi.org/10. 1016/j.lanwpc.2023. 100687