Article

The objective of this study was to investigate the value of screening for
cognitive functions at the start of an inpatient rehabilitation programme to
predict the health status 1 and 3 years poststroke. In this longitudinal cohort
study of stroke patients in inpatient rehabilitation data of 134 participants
were analysed. Cognitive and clinical data were collected after admission to
inpatient rehabilitation treatment. Data on health status were collected at 1 and
3 years post stroke. Cognitive functioning was assessed with the Cambridge
Cognitive Examination (CAMCOG). Health status was assessed with the
Stroke-Adapted Sickness Impact Profile. Statistical analyses included descriptive
statistics, Pearson correlations and multiple regression analysis. One year
poststroke, the CAMCOG dimensions of orientation (beta=-0.21), Perception
(beta=-0.16) and Memory (beta=-0.16), as well as age and motor function were
significant predictors of health status. Cognitive variables alone explained
2.5-10.3% of the variance. Three years poststroke, CAMCOG Perception (beta=-0.19
and -0.18) and Language (beta=-0.15), as well as age, type of stroke and motor
function were significant predictors of health status, and the cognitive
variables alone explained 1.7-10.9% of the variance. CAMCOG scores were
significant predictors of long-term health status in patients with stroke,
although the amount of explained variance was small.

Langue : ANGLAIS