Telephone interview for cognitive status-modified in study of cognitive impairment after cerebral ischemia
Notice bibliographique
Résumé
Objective To study the variation characteristics of cognitive impairment and its influencing factors using telephone interview for cognitive status-modified(TICS-m)in patients after cerebral ischemia, and evaluate the application value of TICS-m. Methods Ninety-five patients with cerebral ischemia, matched the criteria and admitted to our hospital from December 2014 to December 2015, were chosen. Their related information was recorded, their cognitive function was assessed by face-to-face neuropsychological tests, including Montreal Cognitive Assessment(MoCA), Hamilton Depression Rating Scale, activities of daily living(ADL)and Chinese Neuropsychiatric Inventory(CNPI), in the acute stage(10-14 d), and then, their cognitive function was assessed by TICS-m 4, 12 and 18 weeks after cerebral ischemia and their rehabilitation was followed up. Results The incidence of cognitive impairment after cerebral ischemia in the acute stage was 78.9%; when cutoffs of dementia was <28 points and mild cognitive impairment(MCI)was 28-33 points in TICS-m, the incidences of cognitive impairment 4, 12 and 18 weeks after cerebral ischemia were 69.4%(MCI: 45.8%, dementia: 23.6%), 57.3%(MCI: 42.6%, dementia: 14.8%), 44.9%(MCI: 34.7%, dementia: 10.2%). And the TICS-m total scores 12 and 18 weeks after cerebral ischemia were significantly increased than that 4 weeks after cerebral ischemia, amplification reaching to 7.9% and 10.7%(P<0.05); subtests analysis indicated that 12 and 18 weeks after cerebral ischemia, the memory recovered obviously: the scores were significantly increased, amplification reaching to 34.5% and 49.0% as compared with those 4 weeks after the cerebral ischemia(P<0.05). Logistic regression analysis indicated that age(OR=66.615, P= 0.001, 95% CI: 5.449-814.349), education level(OR=0.134, P=0.009, 95% CI: 0.029-0.608)and work type(OR=0.090, P=0.004, 95%CI: 0.017-0.464)were closely related to the cognitive impairment after cerebral ischemia. The follow-up visit analysis showed that most patients(91.8%)could take the drug for the secondary prevention of stroke and return to the clinic regularly, and only a small part of patients(31.8%)took the related drugs to improve their cognitive impairment; about 77.6% patients recovered good after discharge, 54.7% patients supported and hoped the doctors continue the follow-up visit by telephone. Conclusions The incidence of cognitive impairment is high after cerebral ischemia and it declines over time, and advanced age, low education level and manual work are the important factors affect the incidence. TICS-m is an effective and convenient tool to assess the characteristic and prognosis of patients with cognitive impairment after the cerebral ischemia, and it' s suitable for clinic follow-up study and scientific research. Key words: Telephone interview for cognitive status-modified; Cerebral ischemia; Cognitive function
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».