Neurology:不到十分钟的简单测试可以判断中风患者三年后是否还活着

2018-10-23 xujing 中国循环杂志

一项德国研究显示,卒中后的记忆力和思维能力评估可以预测长期预后。


一项德国研究显示,卒中后的记忆力和思维能力评估可以预测长期预后。

研究者采用蒙特利尔认知评估测试对274例卒中1周内的患者进行认知功能异常的快速筛查,以预测他们三年后的健康状况。

该测试包括了注意与集中、执行功能、记忆、语言、视结构技能、抽象思维、计算和定向力等8个认知领域的11个检查项目。它被广泛用于中风患者。

研究人员发现,那些在中风后1周内有认知障碍(得分低于26分)的患者的生存率为83%,而那些没有认知功能障碍的人的生存率为97%。

分析显示,有认知障碍的患者的3年死亡风险显著高于无认知障碍患者的(OR=7.24)。

本研究中,有认知障碍的患者中,42%在三年内出现日常活动障碍,而没有认知障碍的患者则仅有13%。

有认知障碍的患者中,有29%在运动技能方面有困难,而没有认知障碍的患者只有5%。

原始出处:

Zietemann V,et al.Early MoCA predicts long-term cognitive and functional outcome and mortality after stroke.Neurology. 2018 Oct 17. pii: 10.1212/WNL.0000000000006506. doi: 10.1212/WNL.0000000000006506. [Epub ahead of print]

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    2019-04-20 yinhl1978
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  3. [GetPortalCommentsPageByObjectIdResponse(id=2000615, encodeId=7c442000615c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sat Apr 20 13:45:00 CST 2019, time=2019-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538076, encodeId=87f715380e62a, content=<a href='/topic/show?id=e835226210e' target=_blank style='color:#2F92EE;'>#中风患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22621, encryptionId=e835226210e, topicName=中风患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b5612933772, createdName=sunylz, createdTime=Thu Oct 25 12:45:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=350383, encodeId=95c4350383a9, content=学习了,涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Wed Oct 24 15:13:29 CST 2018, time=2018-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1045811, encodeId=d3c1104581128, content=中风是俗称,应该称为缺血性卒中吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=guging, createdTime=Wed Oct 24 00:45:00 CST 2018, time=2018-10-24, status=1, ipAttribution=)]
    2018-10-24 王秀

    学习了,涨知识了!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2000615, encodeId=7c442000615c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sat Apr 20 13:45:00 CST 2019, time=2019-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538076, encodeId=87f715380e62a, content=<a href='/topic/show?id=e835226210e' target=_blank style='color:#2F92EE;'>#中风患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22621, encryptionId=e835226210e, topicName=中风患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b5612933772, createdName=sunylz, createdTime=Thu Oct 25 12:45:00 CST 2018, time=2018-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=350383, encodeId=95c4350383a9, content=学习了,涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Wed Oct 24 15:13:29 CST 2018, time=2018-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1045811, encodeId=d3c1104581128, content=中风是俗称,应该称为缺血性卒中吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=guging, createdTime=Wed Oct 24 00:45:00 CST 2018, time=2018-10-24, status=1, ipAttribution=)]
    2018-10-24 guging

    中风是俗称,应该称为缺血性卒中吧

    0

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