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Older age, arrhythmia predict impaired processing speed in stroke survivors

11 Feb 2019

Impaired processing speed (IPS) in stroke survivors may persist long after the index event, a study reports. Some of the baseline factors that predict IPS include older age, arrhythmia, previous stroke and coronary artery disease.

Researchers assessed IPS using the Symbol Digit Modalities Test (SDMT) 4 years after stroke in a cohort of 133 survivors (mean age 67.0 years). Baseline factors potentially associated with IPS were determined at time of stroke and/or within 2 weeks of the acute event.

Long-term IPS was highly prevalent, with 62 percent of survivors having a mean SDMT score <40 at 4 years after stroke.

Multivariable regression models revealed the following baseline variables as significant predictors of long-term IPS: arrhythmia (odds ratio [OR], 4.40; 95 percent CI, 1.5–12.4; p=0.01), coronary artery disease (OR, 3.35; 1.6–9.6; p=0.01), older age (OR, 3.03; 0.9–9.3; p=0.05), previous stroke (OR, 2.74; 1.0–7.4; p=0.05), cholesterol (OR, 2.72; 1.3–5.4; p=0.01) and hypertension (OR, 1.82; 0.9–3.6; p=0.05).

Findings of the present study may aid in identification of stroke patients who are at higher risk of IPS, researchers said. Early identification is especially important to target rehabilitation interventions and improve overall outcomes.

IPS affects up to 70 percent of stroke survivors and exerts a huge influence on poststroke cognitive dysfunction, leading to a poor quality of life and increased dependence on others, they added.

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Most Read Articles
12 Nov 2018
Nonpharmacological interventions appear to be effective in reducing burn pain and may serve as useful adjuncts to pharmacological standard care, a recent meta-analysis has found.
30 May 2019
Frailty shares a relationship with subjective cognitive decline in elderly women, which appears before the incidence of overt dementia, a recent study has found.
Jackey Suen, 29 Nov 2018

Early detection, intervention and adoption of a healthy lifestyle are the key to ending dementia, according to Professor Vincent Mok of the Division of Neurology, Faculty of Medicine, Chinese University of Hong Kong.

05 Dec 2018
Traumatic brain injuries (TBI) appear to increase the risk of mortality among elderly adults with hip fractures, according to a recent study.