Clinical factors related to severity of post stroke dementia

نویسندگان

  • J. H. Lee
  • J. H. Park
  • S. H. Hwang
  • S. H. Suk
  • A. Lourbopoulos
چکیده

Introduction: The results of clinical studies about the severity of post stoke dementia patients are limited in Korea. We investigate clinical factors related to severity of dementia and to inspect the clinical factors related to the progression of dementia severity. Methods: The patients who visited the hospital by first time between March 2010 and September 2012, among the patients with post stoke dementia admitted to 50 geriatric hospitals spread all over Korea, formed the analysis cohorts. Retrospective review of medical records was performed. Results: A total of 2965 patients were included. The average duration of illness is 24.61±28.18 months. By the severity of illness, mild cases were 1032 patients (34.81%), moderate 1278 (43.10%), severe 655 (22.09%), and mean score of MMSE was 14.82±6.24. The severity of dementia is higher in patients with overweight by 3.10 times (p=0.017) existence of inmate by 5.92 times (p=0.0002), past history of aphasia symptom by 0.18 times (p=0.0004). Among the clinical factors related to the progression of dementia severity, female patients showed longer duration of illness by 2.89 times compared with average, by the results of univariate analysis of 120 severe dementia patients. Conclusions: Among the clinical factors related to severity of post stroke dementia in inpatients of 50 geriatric hospital in Korea, severity of dementia is higher in patients with overweight, existence of inmate, past history of aphasia symptom. The progression speed of dementia is suggested to be slow in female, regarding longer duration of illness in severe dementia patients. Disclosure: Nothing to disclose EP1215

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تاریخ انتشار 2014