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Cognitive impairment and dementia after intracerebral hemorrhage: a cross-sectional study of a hospital-based series.

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Cognitive impairment and dementia after intracerebral hemorrhage: a cross-sectional study of a hospital-based series.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Garcia, Pierre Yves Roussel, Martine Bugnicourt, Jean Marc Lamy, Chantal Canaple, Sandrine Peltier, Johan Loas, Gwénolé Deramond, Hervé Godefroy, Olivier
Spatial Coverage	France
Description	Country affiliation: France Author Affiliation: Garcia PY ( Department of Neurology, Amiens University Hospital, Amiens, France. garcia.pierre-yves@chu-amiens.fr)
Abstract	BACKGROUND: Frequencies of cognitive impairment and dementia have not been assessed in spontaneous intracerebral hemorrhage (ICH). The objective of this study was to determine the frequencies and patterns of cognitive impairment and dementia in a cross-sectional study of consecutive patients hospitalized in a single university medical center. METHODS: Of 183 consecutive patients hospitalized between 2002 and 2006, 80 survivors were contacted and 78 were included (mean time since stroke 40 months). Thirty patients were scored with the Informant Questionnaire on Cognitive Decline in the Elderly and Instrumental Activities of Daily Living in a telephone interview, and 48 underwent a comprehensive clinical and neuropsychological assessment. RESULTS: Dementia was observed in 18 of 78 patients (23%; 95% confidence interval [CI] 13-32%) and cognitive impairment without dementia was seen in 37 of 48 patients (77%; 95% CI 65-89%). The cognitive disorders mainly concerned episodic memory (52%), psychomotor speed (44%), and executive function (37%), followed by language and visuoconstructive abilities. In a logistic regression analysis, Rankin score >1 at discharge and hemorrhage volume were the initial factors to be selected as a predictor of long-term dementia. CONCLUSIONS: This single-center, cross-sectional study revealed that the prevalence of dementia and cognitive impairment without dementia after ICH are high and are similar to those observed in cerebral infarct. Further longitudinal, prospective studies are required to assess accurately the prevalence, mechanisms and predictors of post-ICH dementia.
File Format	HTM / HTML
ISSN	10523057
Issue Number	1
Volume Number	22
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2013-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Chi-square Distribution Cross-sectional Studies Prevalence Psychology Humans Memory Middle Aged Male Cognition Motor Activity Epidemiology Journal Article Language Time Factors Discipline Cardiology Questionnaires Female Diagnosis France Executive Function Disability Evaluation Cerebral Hemorrhage Risk Factors Hospitals, University Physiopathology Neuropsychological Tests Cognition Disorders Aged Dementia
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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Cognitive impairment and dementia after intracerebral hemorrhage: a cross-sectional study of a hospital-based series.

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