Have Stroke Neurologists Entered the Arena of Stroke-Related Cognitive Dysfunctions?

Pantoni, Leonardo

doi:10.1161/strokeaha.117.016869

Cited by 22 publications

(14 citation statements)

References 17 publications

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“…Similarly, patients provide accounts of fragmented care (1), which could have a negative impact on the stroke-survivor and their families. Although there have been calls for stroke clinicians to have increased awareness of the cognitive consequences of stroke (6), even if this happens, services presently available to support patients and families are limited. A previous survey by the Stroke Association found that 77% of stroke survivors have problems with memory yet nearly 50% of stroke-survivors reported that the support they received for their memory problems and fatigue was poor (7).…”

Section: Introductionmentioning

confidence: 99%

Impact of Memory Problems Post-stroke on Patients and Their Family Carers: A Qualitative Study

et al. 2020

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Background: Memory problems post-stroke are common and for some, these problems could then progress to a dementia illness. Once in the community, stroke-survivors are looked after by their family doctors although there is evidence that these patients may struggle to access appropriate help in the community for these problems. Although a stroke-survivor may be physically capable of performing daily tasks, they and their families may have to learn to manage and adapt to their new memory deficits. There is often less focus on cognitive recovery post-stroke from clinical services perhaps because of the lack of awareness and evidence of these adaptations. There is also good evidence that organized stroke care improves physical recovery but no equivalent evidence for the effectiveness of cognitive rehabilitation. The aim of this qualitative study was to report the impact of memory problems on the stroke-survivor and their family once they are living in the community. Methods: Semi-structured interviews were conducted with patients and family carers to gain an in-depth understanding of their experiences. Participants were invited to take part in an interview at around six and 12-months post-stroke. A topic guide was developed to explore participant's care experiences post-stroke when they have also presented with memory difficulties. Data collection and analysis were iterative; all transcripts were anonymized. The data were thematically analyzed. Results: Twenty-two interviews were conducted. Five family carers and ten stroke-survivors were interviewed at six-months post-stroke, of these eight stroke-survivors and four family carers agreed to a 12-month follow-up interview. They identified several areas of impact: (1) impact on daily life; (2) emotional impact; and (3) compensating strategies implemented in response to impact. Conclusion: Living with stroke combined with memory impairment can have negative effects on the stroke-survivor and their family once in the community. Health professionals and services in the community need to recognize the burden of managing symptoms post-stroke for these individuals and their families. Understanding the impact can enable more effective community and specialist support to be provided particularly if we were to also identify those who may then be at risk of a future dementia illness.

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Section: Introductionmentioning

confidence: 99%

Impact of Memory Problems Post-stroke on Patients and Their Family Carers: A Qualitative Study

et al. 2020

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“…As recently stated by Pantoni et al, 12 it is time for stroke clinicians to give consideration to the long-term cognitive consequences of stroke. We must develop new strategies in both diagnostic tools and therapeutic approaches to avoid the burgeoning epidemic of poststroke cognitive impairments.…”

Section: Strokementioning

confidence: 99%

Transient Ischemic Attack and Minor Stroke

Deplanque

Bastide

Bordet

2018

Stroke

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“…Cognitive dysfunction post-stroke is both common and severe particularly as early post–stroke cognition has been associated with long-term functional outcomes [32]. Further, patients and caregivers highlight cognition among the top 10 priorities to life post-stroke with clinicians being urged to increase their attention to cognition post-stroke [33,34].…”

Section: Non-cognitive Risk Prediction Modelsmentioning

confidence: 99%

Risk Prediction Models for Post-Stroke Dementia

2017

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A strong association exists between stroke and dementia with both diseases linked to ageing. Survival rates from stroke are improving which would equate to an ever-expanding population of patients at risk of future dementia. Early or timelier identification of dementia has become a priority in many countries, including the UK. Although screening for dementia is not advocated, targeting at risk populations could be used to reduce an individual's risk via intervention (i.e., personalised medicine), where available. One approach to improving identification of high-risk dementia individuals is using risk prediction models. Such models could be applied to stroke survivors. Dementia risk prediction models specific to stroke survivors have recently been developed and will be discussed here.

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Have Stroke Neurologists Entered the Arena of Stroke-Related Cognitive Dysfunctions?

Cited by 22 publications

References 17 publications

Impact of Memory Problems Post-stroke on Patients and Their Family Carers: A Qualitative Study

Impact of Memory Problems Post-stroke on Patients and Their Family Carers: A Qualitative Study

Transient Ischemic Attack and Minor Stroke

Risk Prediction Models for Post-Stroke Dementia

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