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dc.contributor.authorMorsund, Åse Hagen
dc.contributor.authorEllekjær, Hanne
dc.contributor.authorGramstad, Arne
dc.contributor.authorReiestad, Magnus Tallaksen
dc.contributor.authorMidgard, Rune
dc.contributor.authorSando, Sigrid Botne
dc.contributor.authorJonsbu, Egil
dc.contributor.authorNæss, Halvor
dc.PublishedMorsund Åh, Ellekjær H, Gramstad A, Reiestad MT, Midgard R, Sando SB, Jonsbu E, Næss H. The development of cognitive and emotional impairment after a minor stroke: A longitudinal study. Acta Neurologica Scandinavica. 2019;140(4):281-289eng
dc.description.abstractObjectives: To study the development of cognitive and emotional symptoms between 3 and 12 months after a minor stroke. Material and Methods: We included patients from stroke units at hospitals in the Central Norway Health Authority and from Haukeland University Hospital. We administered a selection of cognitive tests, and the patients completed a questionnaire 3 and 12 months post‐stroke. Cognitive impairment was defined as impairment of ≥2 cognitive tests. Results: A total of 324 patients completed the 3‐month testing, whereas 37 patients were lost to follow‐up at 12 months. The results showed significant improvement of cognitive function defined as impairment of ≥2 cognitive tests (P = .03) from months 3 to 12. However, most patients still showed cognitive impairment at 12 months with a prevalence of 35.4%. There is significant association between several of the cognitive tests and hypertension and smoking (P = .002 and .05). The prevalence of depression, but not anxiety, increased from 3 to 12 months (P = .04). The prevalence of fatigue did not change and was thus still high with 29.5% after 12 months. Conclusions: This study shows that an improvement of cognitive function still occurs between 3 and 12 months. Despite this, the prevalence of mostly minor cognitive impairment still remains high 12 months after the stroke. The increasing prevalence of depressive symptoms highlights the importance of being vigilant of depressive symptoms throughout the rehabilitation period. Furthermore, high prevalence of fatigue persisted.en_US
dc.rightsAttribution-NonCommercial CC BY-NCeng
dc.subjectcerebrovascular diseaseseng
dc.subjectmild cognitive impairementeng
dc.subjectquality of lifeeng
dc.titleThe development of cognitive and emotional impairment after a minor stroke: A longitudinal studyeng
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2019 The Author(s)eng
dc.source.journalActa Neurologica Scandinavica

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