title: The current situation on vascular cognitive impairment after ischemic stroke in Changsha.
abstract: The objectives of the study were to explore the prevalence and effects of vascular cognitive impairment (VCI) among ischemic stroke patients and to provide a basis for prevention and treatment strategies. A stratified cluster random sampling method was performed, and 689 ischemic stroke patients (over 40 years of age) were enrolled. All of the patients had received a neuropsychological assessment battery to assess cognitive function and self-designed questionnaires to collect relevant information. According to the cognitive status, the patients were divided into two groups, a case group and a control group. The caregivers of the patients were given a questionnaire concerning the awareness of and attitudes toward VCI. In this study, we determined that the prevalence of VCI was 41.8%. Aging, paraventricular white matter lesion (WML), macroangiopathy, high levels of alcohol, a lack of hobbies, and excessive sleep were risk factors for vascular cognitive impairment no dementia (VCIND). A high level of education, manual-work, low level of alcohol use, regular health checks, a vegetable-based diet, and more fruit and milk were protective factors for VCIND. Living alone, hyperlipidemia, transient ischemic attack, a family history of stroke, and brain atrophy were risk factors of vascular dementia (VD). A high educational level, a vegetable-based diet, and tea were protective factors for VD. The general public awareness of VCI was found to be insufficient, and there was a prejudice toward and lack of funding for the care of VCI patients. The prevalence of VCI is high in ischemic stroke patients, and there are different impact factors at different stages. Despite the high prevalence of VCI, the general public awareness is limited. Appropriate prevention measures should be developed to reduce the prevalence of VCI.
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Qiuyun
authors.initials: Q
authors.lastname: Tu
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Binrong
authors.initials: B
authors.lastname: Ding
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Yang
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Song
authors.initials: S
authors.lastname: Bai
authors.affiliation: Department of Rehabilitation Therapy, Zhongshan School of Medicine in Sun Yat-Sen University, 510080, China.
authors.forename: Junshi
authors.initials: J
authors.lastname: Tu
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Xiao
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Ranran
authors.initials: R
authors.lastname: Wang
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Jinghua
authors.initials: J
authors.lastname: Tao
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Jin
authors.affiliation: Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha 410013, China.
authors.forename: Yiqun
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Neurology, The Second Xiangya Hospital of Central South University, Changsha 410011, China. Electronic address: txq6633@126.com.
authors.forename: Xiangqi
authors.initials: X
authors.lastname: Tang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001284:Atrophy; D003071:Cognition; D003072:Cognition Disorders / Q000150:complications / Q000453:epidemiology* / Q000503:physiopathology; D015140:Dementia, Vascular / Q000150:complications / Q000503:physiopathology*; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors; D012959:Socioeconomic Factors; D020521:Stroke / Q000453:epidemiology*
keywords: Attitudes; Awareness; Impact factors; Ischemic stroke; Vascular cognitive impairment