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Frequency and predictors of proxy‐confirmed post‐stroke cognitive complaints in lacunar stroke patients without major depression
Author(s) -
Xiong YunYun,
Wong Adrian,
Mok Vincent C. T.,
Tang WaiKwong,
Lam Wynnie W. M.,
Kwok Timothy C. Y.,
Chu Winnie C. W.,
Chan Anne Y. Y.,
Wong Lawrence K. S.
Publication year - 2011
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2652
Subject(s) - stroke (engine) , lacunar stroke , cognition , depression (economics) , logistic regression , subclinical infection , medicine , physical therapy , psychology , psychiatry , ischemic stroke , mechanical engineering , ischemia , engineering , economics , macroeconomics
Objective Many lacunar stroke patients complained of cognitive decline after stroke. This study aims to investigate the factors underlying post‐stroke cognitive complaints in these patients. Methods Seventy‐five consecutive lacunar stroke patients without major depression were recruited for the study. Stroke severity was measured using NIHSS score and MRI was performed during the acute admission period. At 3 months, objective psychometric performance and depressive symptoms were assessed. Post‐stroke cognitive complaints were corroborated by a proxy. Using logistic regression we examined the contribution of demographic features, stroke severity, objective psychometric scores, depressive symptoms, and imaging features (white matter lesion volume and infarct measures) to post‐stroke cognitive complaints. Results Thirty‐two (42.7%) patients had post‐stroke cognitive complaints. Patients with post‐stroke cognitive complaints had more depressive symptoms and worse psychometric performance than those without. In the multivariate logistic regression model, only the severity of depressive symptoms was independently associated with post‐stroke cognitive complaints. Conclusions This study suggests that post‐stroke cognitive complaints are frequent among lacunar stroke patients without major depression and are prominently determined by the subclinical depressive symptomatology. Copyright © 2010 John Wiley & Sons, Ltd.