Clinical analysis of prognosis at 18 months after attack in patients with mild ischemic stroke
Bibliographic record
Abstract
Objective To investigate activities of daily living, depression, anxiety, fatigue and cognitive impairments at 18 months after attack in patients with mild ischemic stroke. Methods In this cross-sectional study, 86 patients with acute ischemic stroke were hospitalized in the Neurology Department of Shanghai Ruijin Hospital from January 2013 to April 2013.Among them, 58 cases who were eventually interviewed and selected, were divided into mild stroke group[NIHSS ≤3, n=37]and medium-severe stroke group[NIHSS>3, n=21]according to the admission score of the National Institutes of Health Stroke Scale(NIHSS). Follow-up was done at 1.5 years after stroke to assess NIHSS, modified Rankin scale(mRS), Stroke Impact Scale(SIS), Hamilton depression scale(HAMD), Hamilton Anxiety Scale(HAMA), Modified Fatigue Impact Scale(MFIS)and Montreal Cognitive Assessment(MoCA). Meanwhile, 35 patients with high risk of ischemic cerebrovascular disease were evaluated by HAMD, HAMA, MFIS and MoCA. Results Patients in the mild stroke group showed significantly better prognoses identified by the assessed scores of NIHSS[median(M)=0, interquartile range(IQR)=0, z=-3.879], mRS[M=1, IQR=1, z=-2.381], SIS-total score[697.36 ± 85.66, t=2.351]and SIS-Stroke recovery score(84.15±11.94, t=3.696), as well as the SIS partial items, including strength(79.49±15.88, t=2.099), instrumental activities of daily living[M=97.5, IQR=10, z=-2.858], locomotivity[M=97.2, IQR=0, z=-3.083], hand function[M=100, IQR=20, z=-2.259]and social participation[M=90.6, IQR=28, z=-2.582], at 1.5-year follow-up.These parameters were markedly different from those in the medium-severe group(all P<0.05). Additionally, the high-risk group for cerebrovascular disorder showed no case with depression, anxiety and fatigue, but showed 10 cases(28.6%)with cognitive impairments.Furthermore, the mild stroke group versus the medium-severe stroke group showed a similar incidences of depression(16.2% vs.38.1%, P=0.061), anxiety(10.8% vs.19.0%, P=0.443), fatigue(35.1% vs.38.1%, P=0.822)and cognitive impairments(59.5% vs.66.7%, P=0.587). Conclusions The motor function-evaluated activities of daily living are little affected in mild ischemic stroke at 18months follow-up, but rates of depression, anxiety, fatigue and cognitive decline are not uncommon. Key words: Mild Stroke; Activities of Daily Living; Depression; Anxiety; Fatigue; Cognitive Impairments
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".