Cognitive impairment among stroke patients attended at Centre for the Rehabilitation of the Paralysed (CRP)

Abstract

Purpose: The purpose of the study was to find out the prevalence of cognitive impairment among stroke patients attended at CRP, Savar. Objectives: The objectives of this study were to evaluate the presence of cognitive impairment, severity level of cognitive impairment, to find out the odds of dementia, to know association between the cognitive impairment and odds of dementia with sociodemographic information like (age, gender, residential area, family type, frequency of comorbidities) and physical parameter related information. Methodology: The study design was cross-sectional. Total 54 samples were selected conveniently for this study from Centre for the rehabilitation of the paralyzed (CRP), Neurology unit, at Savar. Data was collected by using of questionnaire, cognitive performance was measured by Mini-Mental State Examination (MMSE) scale. The study was conducted by descriptive and inferential analysis through using SPSS software 20.0 version. Results: This study found the prevalence of cognitive impairment which was 31.5%, among them mild cognitive impairment was 47%, severe cognitive impairment was 53%, a significant association found between the presence of cognitive impairment and gender, also the association found between odds of dementia with gender. Not found any association between presence of cognitive impairment with other sociodemographic information and physical parameter related information such as age, residential area, body type, type of stroke, onset of stroke etc. Conclusion: Cognitive impairment is common following a stroke, and it can be a major factor in delayed functional recovery and return to previously sought activities. Due to its prevalence after stroke and association with poorer quality of life, cognitive impairment is a should be an essential rehabilitation target. Consequently, early detection and adequate therapy of this illness are essential throughout rehabilitation to prevent further complications and enhance the quality of life of stroke patients. Key word: Cognitive impairment, stroke, odds of dementia, MMSE scale.