Cognition in the first week after stroke: how does it relate to personal and instrumental activities of daily living at follow-up?

Sarah Buys; Louise Gustafsson; Hannah Gullo; Rohan Grimley; Mathew Summers; Alana Campbell

doi:10.1017/BrImp.2021.3

Back

Cognition in the first week after stroke: how does it relate to personal and instrumental activities of daily living at follow-up?

Journal article

Peer reviewed

Cognition in the first week after stroke: how does it relate to personal and instrumental activities of daily living at follow-up?

Sarah Buys, Louise Gustafsson, Hannah Gullo, Rohan Grimley, Mathew Summers and Alana Campbell

Brain Impairment, Vol.23, pp.185-195

2022

DOI: https://doi.org/10.1017/BrImp.2021.3

Files and links (1)

url

https://doi.org/10.1017/BrImp.2021.3View

Published Version

Abstract

Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)

Clinical Health (Organs, Diseases and Abnormal Conditions)

self-care

community living

mild stroke

occupation

functional

Background: The Montreal Cognitive Assessment (MoCA) is routinely used during the early assessment of people after stroke to indicate cognitive effects and inform clinical decision-making. Aim: The purpose of this study was to examine the relationship between cognition in the first week post-stroke and personal and instrumental activities of daily skills at 1 month and 3 months post-stroke. Method: A prospective cohort study consecutively recruited people admitted to the acute stroke ward. Acute cognitive status was measured using the MoCA within 1 week post-stroke onset. Functional outcomes were measured using the Functional Independence Measure (FIM) and the Australian Modified Lawton's Instrumental Activities of Daily Living Scale (Lawton's) at 1 month and 3 months post-stroke. Results: Fifty participants with predominantly mild stroke (n = 47) and mean age of 69.8 achieved a mean MoCA score of 23.1. Controlling for age, the MoCA was associated with the overall FIM score at 1 month (P = 0.02). It was nearing significance for the Lawton's at 1 month (P = 0.06) but was not associated with either outcome at 3 months. A score of less than 23 on the MoCA was indicative of lower scores on both outcomes. Conclusions: A low MoCA score within 1 week of stroke may indicate need for support or rehabilitation due to early impacts on personal activities of daily living, but is not associated with poor functional outcomes at 3 months.

Details

Title: Cognition in the first week after stroke: how does it relate to personal and instrumental activities of daily living at follow-up?
Authors: Sarah Buys (Author) - University of Queensland
Louise Gustafsson (Corresponding Author) - University of Queensland
Hannah Gullo (Author) - University of Queensland
Rohan Grimley (Author) - Sunshine Coast University Hospital
Mathew Summers (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
Alana Campbell (Author) - Sunshine Coast University Hospital
Publication details: Brain Impairment, Vol.23, pp.185-195
Publisher: Cambridge University Press
DOI: 10.1017/BrImp.2021.3
ISSN: 1839-5252
Grant note: Sunshine Coast Hospital and Health Service Transition and Transformation Strategic Research Funding
Organisation Unit: School of Health - Psychology; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy; School of Health
Language: English
Record Identifier: 99571508702621
Output Type: Journal article

Metrics

21 Record Views

See more details

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration
Web Of Science research areas: Clinical Neurology; Neurosciences; Rehabilitation

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: InCites