Predictors of poststroke dementia: results of a hospital-based study in poland.
Dementia affects up to 30% of stroke survivors 3 months after stroke. The goal of this study was to determine the risk factors of poststroke dementia (PSD) in a cohort of consecutive stroke patients in Poland. A standard stroke evaluation was conducted on admission in 220 consecutive patients with ischemic/hemorrhagic stroke after excluding 30 (12%) patients with prestroke dementia. After 3 months, the survivors completed a comprehensive neuropsychological examination. The DSM-IV definition was used for diagnosis of dementia. Dementia was diagnosed in 44 (22.6%) patients 3 months after stroke. In logistic regression analysis, age (OR 1.08, 95% CI 1.04-1.14, p < 0.001), diabetes mellitus (OR 2.67, 95% CI 1.06-6.57, p = 0.03) and neurological deficit on admission (OR 0.92, 95% CI 0.89-0.96, p < 0.001) were independently associated with PSD in the Polish hospital-based population.
Klimkowicz-Mrowiec
Aleksandra
A
Department of Neurology, Jagiellonian University, Medical College, Cracow, Poland. Aleksandra.Klimkowicz@mp.pl
Dziedzic
Tomasz
T
Słowik
Agnieszka
A
Szczudlik
Andrzej
A
D000368:Aged; D001284:Atrophy / Q000473:pathology; D001921:Brain / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology*; D002545:Brain Ischemia / Q000150:complications* / Q000503:physiopathology*; D002391:Catchment Area, Health; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000503:physiopathology*; D002560:Cerebrovascular Circulation / Q000502:physiology; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D003704:Dementia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology*; D003710:Demography; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011044:Poland / Q000453:epidemiology; D011237:Predictive Value of Tests; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index