Risk factors for decline in Montreal Cognitive Assessment (MoCA) scores in patients with acute transient ischemic attack and minor stroke
| Title: | Risk factors for decline in Montreal Cognitive Assessment (MoCA) scores in patients with acute transient ischemic attack and minor stroke |
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| Authors: | Lijun Zuo, YanHong Dong, Xiaoling Liao, Yuesong Pan, Xianglong Xiang, Xia Meng, Hao Li, Xingquan Zhao, Yilong Wang, Jiong Shi, Yongjun Wang |
| Source: | The Journal of Clinical Hypertension, Vol 24, Iss 7, Pp 851-857 (2022) |
| Publisher Information: | Wiley, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | cognitive impairment, mild stroke, Montreal Cognitive Assessment‐Beijing, transient ischemic attack, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | Abstract Cognitive impairment after stroke/transient ischemic attack (TIA) has a high prevalence. The authors aimed to explore the risk factors for declined cognitive function with Montreal Cognitive Assessment (MoCA)‐Beijing in patients with stroke/TIA at acute phase. Total 2283 patients with acute stroke/TIA without a history of dementia were assessed at 2 weeks of onset. Patients were assessed by MoCA‐Beijing on day 14 and at 3 months follow‐ups. Cognitive impairment was defined as MoCA‐Beijing ≤22. Patients’ cognitive status was considered as declined if there were a reduction of ≥2 points in MoCA‐Beijing score and patients were considered to have improved if there were an increase of ≥2 points. The score of MoCA‐Beijing was considered to be stable if there were an increase or decrease of 1 point. Most patients were in 60 s (60.96 ± 10.75 years old) with a median (interquartile range) National Institute of Health Stroke Scale score of 3.00 (4.00) and greater than primary school level of education, and 1657 participants (72.58%) were male. Cognitive evaluation was conducted in 2283 of 2625 patients (82.70%) with MoCA‐Beijing at baseline. Total 292 (12.79%) patients have a cognitive decline at 3 months, 786 (34.42%) patients were stable and 1205 (52.78%) patients were improved. In the logistic regression, a history of hypertension was associated with cognitive deterioration from baseline to 3‐month. Patients with a history of hypertension have a higher risk for cognitive deterioration from baseline to 3‐month after stroke/TIA. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1751-7176 1524-6175 |
| Relation: | https://doaj.org/toc/1524-6175; https://doaj.org/toc/1751-7176 |
| DOI: | 10.1111/jch.14453 |
| Access URL: | https://doaj.org/article/d4f0cbf524164b4db0d3db2e38ef8937 |
| Accession Number: | edsdoj.4f0cbf524164b4db0d3db2e38ef8937 |
| Database: | Directory of Open Access Journals |
| ISSN: | 17517176 15246175 |
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| DOI: | 10.1111/jch.14453 |
| Published in: | The Journal of Clinical Hypertension |
| Language: | English |