Cerebrovascular disease is a major public health problem in Eastern European countries.
A Hungarian post-stroke population was examined to estimate the rate of dementia, the risk factors for cognitive impairment, and the applicability of a recently established Canadian diagnostic checklist in this cohort.
Chronic cerebrovascular outpatients were screened for cognitive impairment with a combined checklist : the Diagnostic Checklist for Vascular Dementia established by the Consortium of Canadian Centres for Clinical Cognitive Research using the Mini Mental State Examination instead of the detailed neuropsychological part of the Checklist.
Of the 247 consecutive patients at a cerebrovascular outpatient unit, 176 had cerebrovascular disorder diagnosed either by computed tomography (CT ; n=126) or by the clinical signs.
Of these, 15% were cognitively impaired and 5% fulfilled the criteria of dementia.
The mean age of the patients with cognitive impairment was significantly higher than that of patients with normal cognition (68.2 ±10.2 and 60.5±10.5 years, P<0.001).
The Barthel index was significantly lower in the cognitively affected group than in non-affected patients (92.4±16.0 and 97.1±8.7, P=0.027).
Diabetes and more than two subcortical infarcts on CT or magnetic resonance imaging were more frequent in patients with cognitive loss (P=0.043 and P=0.013, respectively).
Cognitive performance was also influenced by the level of education. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Complication, Ramollissement cérébral, Démence vasculaire, Trouble cognition, Dépistage, Hongrie, Europe, Prévalence, Epidémiologie, Santé mentale, Facteur risque, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Complication, Cerebral infarction, Vascular dementia, Cognitive disorder, Medical screening, Hungary, Europe, Prevalence, Epidemiology, Mental health, Risk factor, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0411515
Code Inist : 002B17C. Création : 22/03/2000.