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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Broome, Laura Jayne Battle, Ceri Elisabeth Lawrence, Matthew Evans, Phillip Adrian Dennis, Michael Stuart |
| Description | Author Affiliation: Broome LJ ( NISCHR Haemostasis Biomedical Research Unit, Emergency Department, Morriston Hospital, Swansea, United Kingdom. Electronic address: 493135@swansea.ac.uk.); Battle CE ( NISCHR Haemostasis Biomedical Research Unit, Emergency Department, Morriston Hospital, Swansea, United Kingdom.); Lawrence M ( NISCHR Haemostasis Biomedical Research Unit, Emergency Department, Morriston Hospital, Swansea, United Kingdom.); Evans PA ( NISCHR Haemostasis Biomedical Research Unit, Emergency Department, Morriston Hospital, Swansea, United Kingdom.); Dennis MS ( Psychiatry of Older People, College of Medicine, Swansea University, Swansea, United Kingdom.) |
| Abstract | BACKGROUND: Patients treated with thrombolytic therapy within 4.5 hours after stroke onset appear to have improved survival and functional outcomes. Poststroke cognitive impairment is associated with reduced quality of life and survival and needs to be reviewed in consideration of the administration of thrombolysis. This review aims to systematically evaluate literature exploring the effect of thrombolysis for ischemic stroke on cognition. METHODS: An electronic search was conducted to identify articles and gray literature applying broad Medical Subject Heading terms. Literature was reviewed with a 2-step process against predetermined inclusion criteria. All relevant studies were included if they investigated global or individual cognitive domains. RESULTS: Three studies satisfied the inclusion criteria but were diverse in outcome measures and duration, their heterogeneity limiting any possible pooled analysis. One study examined long-term treatment effects on global cognition and did not find a positive effect at 6 months. A positive treatment effect was reported in the acute phase in 1 study examining domains of visuoconstructive and perceptive abilities. One study retrospectively analyzed treatment effects on language and found improvement in the acute phase but not in the long term. CONCLUSIONS: The limited existing evidence on the effects of thrombolytic therapy on long- and short-term cognition is varied in both outcome measures and diagnostic classifications, making it difficult to extrapolate results to a global stroke population. This review should be used to inform future research in stroke treatment outcomes and highlights the immediate need for larger, more robust studies in this area. |
| File Format | HTM / HTML |
| ISSN | 10523057 |
| Issue Number | 12 |
| Journal | Journal of Stroke and Cerebrovascular Diseases |
| Volume Number | 25 |
| e-ISSN | 15328511 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2016-12-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Cardiology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine |
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