Assessing executive function following the early stage of mild Ischemic stroke with three brief screening tests.

Objective: Executive dysfunction following stroke is well documented, but less is known about whether it occurs in mild stroke patients. The purpose of the study was to investigate executive impairment in this population and explore the correlation between executive function tests and cognitive test...

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Publicado en:Journal of Stroke & Cerebrovascular Diseases Vol. 29; no. 8
Autores principales: Shao, Kai, Wang, Wei, Guo, Shang-Zun, Dong, Fang-Ming, Yang, Yi-Ming, Zhao, Zhong-Min, Jia, Yan-Li, Wang, Jian-Hua
Formato: research Journal Article
Publicado: W B Saunders Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2020
      vid: 29
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      pub: W B Saunders
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        10.1016/j.jstrokecerebrovasdis.2020.104960
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        144567206
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        atl: Assessing executive function following the early stage of mild Ischemic stroke with three brief screening tests.
      aug:
        au:
          Shao, Kai
          Wang, Wei
          Guo, Shang-Zun
          Dong, Fang-Ming
          Yang, Yi-Ming
          Zhao, Zhong-Min
          Jia, Yan-Li
          Wang, Jian-Hua
        affil: Department of Graduate College, Hebei Medical University, Hebei Shijiazhuang, 050017, China
      sug:
        subj:
          Stroke Complications
          Executive Function
          Neuropsychological Tests
          Cerebral Ischemia Complications
          Cerebral Ischemia Psychosocial Factors
          Adult
          Predictive Value of Tests
          Aged
          Cerebral Ischemia Diagnosis
          Stroke Diagnosis
          Case Control Studies
          Male
          Cross Sectional Studies
          Female
          Middle Age
          Stroke Psychosocial Factors
          Aged, 80 and Over
          Disability Evaluation
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Male
          Female
      ab: Objective: Executive dysfunction following stroke is well documented, but less is known about whether it occurs in mild stroke patients. The purpose of the study was to investigate executive impairment in this population and explore the correlation between executive function tests and cognitive tests of other domains.Methods: Cross-sectional study was undertaken to compare 139 mild ischemic stroke patients (National Institute of Health Stroke Scale (NIHSS) ≤ 7) aged 40-80 with 131 normal controls matched age, gender and levels of education. All participants were administered a neuropsychological test battery including three measures of executive functioning: Clock Drawing Test (CDT), Trial Making Test-A and B (TMT-A and B), and Stroop Color Word Test (SCWT). The CDT was evaluated using three quantitative scoring rubrics, with a total score of 3,10,18, respectively and a qualitative scoring method with six types of errors. Spearman's correlations were made to analyze the correlation between executive function tests and other neuropsychological tests.Results: Control group performed better than stroke group on most executive function tests at a statistical significance. Qualitative CDT showed that errors of "graphic difficulties", "conceptual deficits" and "spatial and/or planning deficits" occurred frequently in the early stage of mild stroke. Correlation data clarified that among the executive function tests, time for TMT-B correlated with global cognition most.Conclusion: Executive dysfunction is common following even mild strokes, and that relatively brief measures such as CDT, TMT and SCWT can be employed for it before discharge as part of rehabilitation planning.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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