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2. Contents Vol. 71, 2014

Author

Masaki Yazawa, Yukiko Hata, Hideyuki Tomita, Zhaolu Wang, Giancarlo Di Battista, Claudio Gasperini, Jill Abrigo, Lulu Zhou, Chiara Rosa Mancinelli, Xinfeng Liu, Hisao Ogata, Maria Grazia Grasso, Luca Prosperini, Hussien Heshmat Kassem, Laurent Tatu, Gelin Xu, Heejin Kim, Ding Bang Chen, Agnès Jacquin, Ka Sing Wong, Yuriko Nagane, Wenshan Sun, Tomohisa Nagasao, Reham Shamloul, Joëlle Hamblin, Xiu Ling Liang, Yang Kun Chen, Suk Jae Kim, M. Hervieu, Maurice Giroud, Renato P. Munhoz, Shu Yang Lu, Vincent Mok, Yan Guo, Sara Collorone, A. Jacquin, Diego Centonze, Giovanni Frisullo, Naoki Nishida, Thierry Ettlin, Francisco Cardoso, Lanlan Wang, Wusheng Zhu, Tatiana Koudriavtseva, Gabor S. Ungvari, Yannick Béjot, O. Rouaud, Koshi Kinoshita, Liang Ge, George Liu, Magali Laidet, Claude Touzery, Hélio A.G. Teive, Oh Young Bang, Yun Liao, Yunfei An, Dong Hoon Shin, Stéphane Armand, Hua Li, M.-E. Virat-Brassaud, Yunyun Xiong, Minmin Ma, M. Ménassa, Pasquale Calabrese, Ryota Tamura, Qiankun Cai, Patrice H. Lalive, Norihiro Suzuki, Yeonsil Moon, Shigeaki Suzuki, M. Giroud, Tomihiro Imai, Ada Francia, C. Aboa-Eboulé, Michel Chofflon, Yongkun Li, Satz Mengensatzproduktion, Seol-Heui Han, Yun Li, Xun Hua Li, Gilles Allali, Druckerei Stückle, Assem Hashad, Hans J. Markowitsch, Marianne Zeller, Qin Yin, Xiaobing Fan, Hiroyuki Murai, Fabio Buttari, Veronica Villani, Shunichi Shimizu, Hirotaka Katoh, Min Li, Mitsuru Kawamura, Emiko Tsuda, Adel Zaki, Katsuhiro Mizutani, Maud Maza, Foad Abd-Allah, Xiao-pei Sun, Xiang Xin Liu, Xuan Liu, Carlo Pozzilli, F. Ricolfi, Antonio Carota, Won-Jin Moon, Li Feng, Winnie C.W. Chu, Lixin Li, Vanessa Fernandez, Wai Kwong Tang, Yui Takeuchi, Yi Li, Yves Cottin, Tomoru Miwa, Simona Pontecorvo, Qizhang Wang, Yan-wei Miao, Jung Seok Lee, Jung-Kook Song, Maurizio Paciaroni, Ji Man Hong, Benoit Daubail, Xiaomeng Wang, Yusuke Shimizu, Le Hou, Maho Takagi, Dezhi Liu, Masakazu Ishii, Peter Flachenecker, Young Ook Noh, Wen Sun, Rezanejad Nasim, G.-V. Osseby, Simonetta Galgani, Lin Huan Huang, Frédéric Assal, Kimiaki Utsugisawa, Zhaoyao Chen, Sung Il Sohn, Jin Soo Lee, Ming Li, Kazuo Kishi, Alessandro Clemenzi, Uwe K. Zettl, Xinying Fan, Xiao-fei Ji, Jiangtao Tang, and Thomas Henze

Subjects
Neurology, Neurology (clinical)
Published
2014
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4. One-year survival of demented stroke patients: data from the Dijon Stroke Registry, France (1985-2008)

Author

Y, Béjot, A, Jacquin, O, Rouaud, J, Durier, C, Aboa-Eboulé, M, Hervieu, G-V, Osseby, and M, Giroud

Subjects
Adult, Aged, 80 and over, Male, Analysis of Variance, Time Factors, Age Factors, Middle Aged, Neuropsychological Tests, Stroke, Survival Rate, Risk Factors, Humans, Dementia, Female, France, Registries, Aged, Follow-Up Studies, Retrospective Studies
Abstract

Dementia is a frequent condition after stroke that may affect the prognosis of patients. Our aim was to determine whether post-stroke dementia was a predictor of 1-year case-fatality and to evaluate factors that could influence survival in demented stroke patients.From 1985 to 2008, all first-ever strokes were recorded in the population-based stroke registry of Dijon, France (150, 000 inhabitants). Dementia was diagnosed during the first month following stroke, according to DSM-III and DSM-IV criteria. Survival was evaluated at 1 year and multivariate analyses were performed using Cox proportional hazards to identify independent predictive factors. We recorded 3948 first-ever strokes. Among these stroke patients, 3201 (81%) were testable, and of these, 653 (20.4%) had post-stroke dementia (337 women and 316 men). Demented patients had lower 1-year survival than patients without dementia (82.9% vs. 86.9%, P = 0.013). However, in multivariate analysis, dementia did not appear as an independent predictor of 1-year death. In demented stroke patients, age80 years old, severe handicap at discharge, recurrent stroke within the first year and subarachnoid haemorrhage were associated with a higher risk of 1-year death, and the risk was lower in the study period 2003-2008. Dementia after stroke is not independently associated with an increased risk of death at 1 year. In recent years, 1-year case-fatality decreased in demented as well as in and non-demented patients suggesting that improvements in the management of stroke also benefited the most fragile patients.

Published
2011

6. Personality, Alzheimer's disease and behavioural and cognitive symptoms of dementia: the PACO prospective cohort study protocol

Author

Jean-Michel Dorey, Pierre Krolak-Salmon, Catherine Padovan, Florence Dibie-Racoupeau, Marie-Anne Hénaff, Denis Federico, Bernard Laurent, Michel Benoit, Marie-Odile Barrellon, Nawele Boublay, Zaza Makaroff, Isabelle Rouch, Sandrine Harston, Dupuis, Christine, Système Nerveux Autonome - Epidémiologie, Physiologie, Ingénierie, Santé (SNA-EPIS), Université Jean Monnet - Saint-Étienne (UJM)-Centre Hospitalier Universitaire de Saint-Etienne, Unité de Gériatrie, Hôpital des Charpennes [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL)-Centre Mémoire de Ressources et de Recherche (CMRR Lyon), Unité de Neurologie, CHU Saint-Etienne-Centre Mémoire de Ressources et de Recherche (CMRR Saint-Etienne), Psychiatrie, Centre Hospitalier le Vinatier [Bron], Pôle Information Médicale Evaluation Recherche (IMER), Hospices Civils de Lyon (HCL), Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center (CRNL), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Pôle de Gérontopsychiatrie, Hôpital Saint Jean de Dieu, Hôpital Xavier Arnozan - CHU de Bordeaux, Unité de Psychiatrie, Hôpital Pasteur [Nice] (CHU), Médecine Gériatrie, Centre hospitalier L'Hôpital du Gier (Saint-Chamond), The PACO study has been funded by the National French Program ofHospital Clinical Research (Programme Hospitalier de Recherche CliniqueNational 2009 and 2010), France Alzheimer, Janssen laboratory grants., The PACO Group : MO Barrellon, M Benoit, B Laurent, Z Makaroff, F Blanc, H Mollion, O Moreaud, C Padovan, X de Pétigny, P Rebaudet, S Relland, P H Robert, JM Dorey, I Roullet Solignac, O Rouaud, I Rouch, M Bonnefoy, F Sellal, C Terrat and A Vighetto., N Boublay, S Brengarth, MH Coste, B Croisile, D Federico, M Debray, F Dibie-Racoupeau, I Gallice, S Gaujard, P Grosmaitre, S Harston, MA Hénaff, P Krolak-Salmon, Système Nerveux Autonome - Epidémiologie, Physiologie, Ingénierie, Santé ( SNA-EPIS ), Université Jean Monnet [Saint-Étienne] ( UJM ) -Centre Hospitalier Universitaire de Saint-Etienne, Centre Mémoire de Ressources et de Recherche ( CMRR Lyon ) -Hôpital des Charpennes [CHU - HCL], Hospices Civils de Lyon ( HCL ) -Hospices Civils de Lyon ( HCL ), CHU Saint-Etienne-Centre Mémoire de Ressources et de Recherche ( CMRR Saint-Etienne ), Pôle Information Médicale Evaluation Recherche ( IMER ), Hospices Civils de Lyon ( HCL ), Centre de recherche en neurosciences de Lyon ( CRNL ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] ( UJM ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), Hôpital Pasteur [Nice] ( CHU ), Université Jean Monnet [Saint-Étienne] (UJM)-Centre Hospitalier Universitaire de Saint-Etienne, Centre de recherche en neurosciences de Lyon (CRNL), and Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)

Subjects
Male, medicine.medical_specialty, Personality Inventory, media_common.quotation_subject, Population, [ SDV.MHEP.GEG ] Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology, Neuropsychological Tests, Study Protocol, Cognition, Social cognition, Alzheimer Disease, medicine, Dementia, Personality, Humans, Behaviour, [SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Prospective Studies, 10. No inequality, Psychiatry, education, media_common, Aged, education.field_of_study, [SDV.MHEP.GEG] Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology, business.industry, [SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology, Retrospective cohort study, Middle Aged, medicine.disease, Magnetic Resonance Imaging, 3. Good health, Caregivers, [ SDV.NEU ] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Disease Progression, Quality of Life, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Female, Geriatrics and Gerontology, Personality Assessment Inventory, Alzheimer's disease, business, Alzheimer’s disease, Cohort study, Follow-Up Studies
Abstract

Alzheimer’s disease is characterised by a loss of cognitive function and behavioural problems as set out in the term “Behavioural and Psychological Symptoms of Dementia”. These behavioural symptoms have heavy consequences for the patients and their families. A greater understanding of behavioural symptoms risk factors would allow better detection of those patients, a better understanding of crisis situations and better management of these patients. Some retrospective studies or simple observations suggested that personality could play a role in the occurrence of behavioural symptoms. Finally, performance in social cognition like facial recognition and perspective taking could be linked to certain personality traits and the subsequent risks of behavioural symptoms. We propose to clarify this through a prospective, multicentre, multidisciplinary study. Main Objective: - To assess the effect of personality and life events on the risk of developing behavioural symptoms. Secondary Objectives: - To evaluate, at the time of inclusion, the connection between personality and performance in social cognition tests; - To evaluate the correlation between performance in social cognition at inclusion and the risks of occurrence of behavioural symptoms; - To evaluate the correlation between regional cerebral atrophy, using brain Magnetic Resonance Imaging at baseline, and the risk of behavioural symptoms. Study type and Population: Prospective multicentre cohort study with 252 patients with Alzheimer’s disease at prodromal or mild dementia stage. The inclusion period will be of 18 months and the patients will be followed during 18 months. The initial evaluation will include: a clinical and neuropsychological examination, collection of behavioural symptoms data (Neuropsychiatric-Inventory scale) and their risk factors, a personality study using both a dimensional (personality traits) and categorical approach, an inventory of life events, social cognition tests and an Magnetic Resonance Imaging. Patients will be followed every 6 months (clinical examination and collection of behavioural symptoms data and risk factors) during 18 months. This study aims at better identifying the patients with Alzheimer’s disease at high risk of developing behavioural symptoms, to anticipate, detect and quickly treat these disorders and so, prevent serious consequences for the patient and his caregivers. ClincalTrials.gov: NCT01297140

Published
2014
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