CHARACTERISTICS OF CORRELATION BETWEEN COGNITIVE AND PSYCHOEMOTIONAL IMPAIRMENTS IN PATIENTS IN ACUTE PERIOD OF CEREBRAL ISCHEMIC STROKE IN DIFFERENT CAROTID SYSTEMS
Notice bibliographique
Résumé
Cerebral stroke is one of the most common causes of death; in most countries it is ranking the third position by the incidence rate. The prevalence of strokes in Ukraine is one of the highest in Europe. In recent years, there has been an increase in the prevalence of post-stroke cognitive and anxiety-depressive disorders. The aim of the study is to identify and analyze the features of correlations between cognitive and psycho-emotional disorders in people in the acute period of cerebral ischemic stroke of different hemispheric localization. Materials and methods. The study included 43 post-stroke patients, average age 59.81±1.28 years. The dextrocerebral ischemic stroke was diagnosed in 20 patients (46.5%, group 1; average age 61.25±1.98 years), sinistrocerebral ischemic stroke was detected in 23 patients (53.5%, group 2; average age 58.57±1.67 years). The control group consisted of 16 healthy individuals (10 men and 6 women, the average age 59.5±1.74 years). All patients underwent comprehensive neuropsychological testing. The examination was carried out on the 3rd - 7th days following the cerebrovascular event. Assessment of neurocognitive status was performed by using the Mini-Mental State Examination, the Montreal Cognitive Assessment Scoring, Beck’s Depression Scale, and the Spielberger-Khanin Reactive and Personal Anxiety Questionnaire. The analysis of the results obtained showed that the patients with sinistrocerebral ischemic stroke have a positive correlation between post-stroke cognitive impairment (total score Mini-Mental State Examination = 21.3±0.61, Montreal Cognitive Assessment Scoring = 18.22±0.9) and indicators of language, speech and memory dysfunctions as compared to the individuals with ischemic stroke in the right carotid pool, who have positive correlations between indicators of post-stroke cognitive impairment (total score Mini-Mental State Examination = 24.05±0.52, Montreal Cognitive Assessment Scoring = 21.35±0.84) and indicators of attention and abstract thinking dysfunction. Indicators of depressive disorders positively correlate with indicators of post-stroke cognitive dysfunction only in the group of sinistrocerebral ischemic stroke, while the degree and frequency of depressive disorders are significantly more often observed when ischemic focus is localized in the right hemisphere, and their indicators have direct correlations in both groups of patients. The features of correlations between psychodiagnostic indicators taking into account lateralization of the ischemic centre, investigated in the study, can serve as a ground for applying separate subtest-blocks of the specified psychodiagnostic scales for patients with hemispheric ischemic stroke. This approach is time-saving, and can make the scale more widely available and accelerate the screening of neurocognitive status in order to optimize therapeutic and rehabilitation interventions.
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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 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| 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 | 0,001 |
| 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 ».