Changes of cognitive domain function and risk factors of cognitive dysfunction in patients with mild acute cerebral infarction
10.19845/j.cnki.zfysjjbzz.2022.0218
- VernacularTitle:轻型急性脑梗死后患者认知域功能的变化及认知功能障碍的危险因素分析
- Author:
Jiahong WU
1
;
Tao WANG
1
;
Yuanxiang HU
1
Author Information
1. Department of Gerontology,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China
- Publication Type:Journal Article
- Keywords:
Mild acute cerebral infarction ; Cognition impairment; Cognitive domain ; Risk factor ; Artificial neural network model
- From:
Journal of Apoplexy and Nervous Diseases
2022;39(10):872-876
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the changes of cognitive domain function and risk factors of cognitive dysfunction (CI) in patients with mild acute cerebral infarction.Methods A total of 195 patients with mild acute cerebral infarction in our hospital were selected as the infarction group,and 50 healthy subjects were selected as the control group.The cognitive domains scores of different infarct sites were compared between the two groups.According to the Montreal Cognitive Assessment Scale (MoCA) score,the infarction group was divided into CI group (150 cases) and non-CI group (45 cases),and the general data of the two groups were compared.Multifactorial analysis of risk factors affecting CI in patients with mild acute cerebral infarction.The Receiver Operating Characteristic (ROC) and calibration curve were used to evaluate the discrimination and accuracy of the artificial neural network model.Results Compared with the control group,the cognitive function of infarct group decreased (P<0.05).CI rate of mild acute cerebral infarction was 76.92% (150/195).Multivariate Logistic analysis showed that female,diabetes mellitus,hypertension and HSS-SP≤55 were independent risk factors for CI in patients with mild acute cerebral infarction,while high education level was a protective factor (P<0.05).ROC curve and calibration curve show that the model has good discrimination and accuracy.Conclusion Clinical attention should be paid to menopausal women,patients HBS-SP score and other risk factors to prevent and slow down the occurrence of CI.
- Full text:2024072320341431842Changes of cognitive domain function and risk factors of cognitive dysfunction in patients with mild acute cerebral infarction.pdf