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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Baseline cognitive function, recurrent stroke, and risk of dementia in stroke patients</title><author><name sortKey="Rist, Pamela M" sort="Rist, Pamela M" uniqKey="Rist P" first="Pamela M." last="Rist">Pamela M. Rist</name></author><author><name sortKey="Chalmers, John" sort="Chalmers, John" uniqKey="Chalmers J" first="John" last="Chalmers">John Chalmers</name></author><author><name sortKey="Arima, Hisatomi" sort="Arima, Hisatomi" uniqKey="Arima H" first="Hisatomi" last="Arima">Hisatomi Arima</name></author><author><name sortKey="Anderson, Craig" sort="Anderson, Craig" uniqKey="Anderson C" first="Craig" last="Anderson">Craig Anderson</name></author><author><name sortKey="Macmahon, Stephen" sort="Macmahon, Stephen" uniqKey="Macmahon S" first="Stephen" last="Macmahon">Stephen Macmahon</name></author><author><name sortKey="Woodward, Mark" sort="Woodward, Mark" uniqKey="Woodward M" first="Mark" last="Woodward">Mark Woodward</name></author><author><name sortKey="Kurth, Tobias" sort="Kurth, Tobias" uniqKey="Kurth T" first="Tobias" last="Kurth">Tobias Kurth</name></author><author><name sortKey="Tzourio, Christophe" sort="Tzourio, Christophe" uniqKey="Tzourio C" first="Christophe" last="Tzourio">Christophe Tzourio</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23686974</idno><idno type="pmc">3695012</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3695012</idno><idno type="RBID">PMC:3695012</idno><idno type="doi">10.1161/STROKEAHA.111.680728</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001C72</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C72</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Baseline cognitive function, recurrent stroke, and risk of dementia in stroke patients</title><author><name sortKey="Rist, Pamela M" sort="Rist, Pamela M" uniqKey="Rist P" first="Pamela M." last="Rist">Pamela M. Rist</name></author><author><name sortKey="Chalmers, John" sort="Chalmers, John" uniqKey="Chalmers J" first="John" last="Chalmers">John Chalmers</name></author><author><name sortKey="Arima, Hisatomi" sort="Arima, Hisatomi" uniqKey="Arima H" first="Hisatomi" last="Arima">Hisatomi Arima</name></author><author><name sortKey="Anderson, Craig" sort="Anderson, Craig" uniqKey="Anderson C" first="Craig" last="Anderson">Craig Anderson</name></author><author><name sortKey="Macmahon, Stephen" sort="Macmahon, Stephen" uniqKey="Macmahon S" first="Stephen" last="Macmahon">Stephen Macmahon</name></author><author><name sortKey="Woodward, Mark" sort="Woodward, Mark" uniqKey="Woodward M" first="Mark" last="Woodward">Mark Woodward</name></author><author><name sortKey="Kurth, Tobias" sort="Kurth, Tobias" uniqKey="Kurth T" first="Tobias" last="Kurth">Tobias Kurth</name></author><author><name sortKey="Tzourio, Christophe" sort="Tzourio, Christophe" uniqKey="Tzourio C" first="Christophe" last="Tzourio">Christophe Tzourio</name></author></analytic><series><title level="j">Stroke; a journal of cerebral circulation</title><idno type="ISSN">0039-2499</idno><idno type="eISSN">1524-4628</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background and purpose</title><p id="P1">To determine the interrelationships between baseline MMSE and risk of overall dementia, post-recurrent stroke dementia and dementia without recurrent stroke among patients with a history of stroke.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Prospective cohort study among participants enrolled in the Perindopril Protection Against Recurrent Stroke Study (PROGRESS) for whom baseline Mini-Mental State Examination (MMSE) score was available. Baseline MMSE was divided into four categories: 30, 29–27, 26–24, or <24. Participants were followed for incident dementia and recurrent stroke. Logistic regression models were used to examine the association between MMSE and dementia.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of the 6080 participants included in this analysis, 2493 had MMSE=30, 1768 had MMSE=29–28, 1369 had MMSE=26–24 and 450 had MMSE<24. Average follow-up time was 3.8 years. There were 407 cases of dementia, 106 of which were preceded by a recurrent stroke. The risk of overall dementia increased with decreasing MMSE score. However, the impact of MMSE on risk of dementia without recurrent stroke was much stronger than the impact of MMSE on the risk of post-recurrent stroke dementia. For those with MMSE<24, the risk of dementia without recurrent stroke was 47.89 (95% CI: 28.57–80.26) while the risk of post-recurrent stroke dementia was only 7.17 (95% CI: 3.70–13.89). Higher MMSE scores were even less strongly associated with the risk of post-recurrent stroke dementia.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Stroke patients with low MMSE scores are at high risk of dementia over time, even in the absence of a recurrent stroke, and should therefore be followed closely for further cognitive decline.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0235266</journal-id><journal-id journal-id-type="pubmed-jr-id">7613</journal-id><journal-id journal-id-type="nlm-ta">Stroke</journal-id><journal-id journal-id-type="iso-abbrev">Stroke</journal-id><journal-title-group><journal-title>Stroke; a journal of cerebral circulation</journal-title></journal-title-group><issn pub-type="ppub">0039-2499</issn><issn pub-type="epub">1524-4628</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23686974</article-id><article-id pub-id-type="pmc">3695012</article-id><article-id pub-id-type="doi">10.1161/STROKEAHA.111.680728</article-id><article-id pub-id-type="manuscript">NIHMS468005</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Baseline cognitive function, recurrent stroke, and risk of dementia in stroke patients</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rist</surname><given-names>Pamela M.</given-names></name><degrees>ScD</degrees></contrib><contrib contrib-type="author"><name><surname>Chalmers</surname><given-names>John</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Arima</surname><given-names>Hisatomi</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Anderson</surname><given-names>Craig</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>MacMahon</surname><given-names>Stephen</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Woodward</surname><given-names>Mark</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Kurth</surname><given-names>Tobias</given-names></name><degrees>MD, ScD</degrees></contrib><contrib contrib-type="author"><name><surname>Tzourio</surname><given-names>Christophe</given-names></name><degrees>MD, PhD</degrees></contrib><aff id="A1">Division of Preventive Medicine (P.M.R.,T.K.), Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA; the Departments of Epidemiology (P.M.R.,T.K.) and Social and Behavioral Sciences (P.M.R.), Harvard School of Public Health, Boston, MA; The George Institute for Global Health (J.C.,H.A.,C.A.,S.M.,M.W.), University of Sydney, Australia; INSERM Unit 708–Neuroepidemiology (T.K.,C.T.), Bordeaux, France, and University of Bordeaux (T.K.,C.T.), Bordeaux, France</aff></contrib-group><author-notes><corresp id="cor1">Corresponding Author: Pamela M. Rist, 900 Commonwealth Avenue, 3rd fl, Brigham and Women's Hospital Division of Preventive Medicine, Boston, MA 02215, <email>prist@mail.harvard.edu</email>, TEL:(617)278-0878, FAX:(617)731-3843</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>1</day><month>5</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>16</day><month>5</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>7</month><year>2014</year></pub-date><volume>44</volume><issue>7</issue><fpage>1790</fpage><lpage>1795</lpage><abstract><sec id="S1"><title>Background and purpose</title><p id="P1">To determine the interrelationships between baseline MMSE and risk of overall dementia, post-recurrent stroke dementia and dementia without recurrent stroke among patients with a history of stroke.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Prospective cohort study among participants enrolled in the Perindopril Protection Against Recurrent Stroke Study (PROGRESS) for whom baseline Mini-Mental State Examination (MMSE) score was available. Baseline MMSE was divided into four categories: 30, 29–27, 26–24, or <24. Participants were followed for incident dementia and recurrent stroke. Logistic regression models were used to examine the association between MMSE and dementia.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of the 6080 participants included in this analysis, 2493 had MMSE=30, 1768 had MMSE=29–28, 1369 had MMSE=26–24 and 450 had MMSE<24. Average follow-up time was 3.8 years. There were 407 cases of dementia, 106 of which were preceded by a recurrent stroke. The risk of overall dementia increased with decreasing MMSE score. However, the impact of MMSE on risk of dementia without recurrent stroke was much stronger than the impact of MMSE on the risk of post-recurrent stroke dementia. For those with MMSE<24, the risk of dementia without recurrent stroke was 47.89 (95% CI: 28.57–80.26) while the risk of post-recurrent stroke dementia was only 7.17 (95% CI: 3.70–13.89). Higher MMSE scores were even less strongly associated with the risk of post-recurrent stroke dementia.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Stroke patients with low MMSE scores are at high risk of dementia over time, even in the absence of a recurrent stroke, and should therefore be followed closely for further cognitive decline.</p></sec></abstract><kwd-group><title>Indexing Terms</title><kwd>cerebrovascular disease</kwd><kwd>cognitive functioning</kwd><kwd>dementia</kwd><kwd>epidemiology</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute on Aging : NIA</funding-source><award-id>T32 AG000158 || AG</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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