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Prognosis for patients with neglect and anosognosia with special reference to cognitive impairment.
- Source :
-
Journal of Rehabilitation Medicine . Nov2003, Vol. 35 Issue 6, p254-258. 5p. - Publication Year :
- 2003
-
Abstract
- OBJECTIVE: To describe prognosis in patients with unilateral neglect, anosognosia, or both, within a community based stroke cohort. METHODS: Patients (n = 377) were evaluated at baseline for the presence of neglect and anosognosia. After 1 year, the level of disability was established in survivors. Predictors for death and dependency were examined in multivariate analysis. The following independent variables were used: age, consciousness, hemianopia, arm paresis, leg paresis, sensory disturbance, aphasia, neglect, anosognosia, diabetes mellitus, cardiovascular disease, pre- and post-stroke cognitive impairment. RESULTS: Age, consciousness and sensory disturbance predicted death. Post-stroke cognitive impairment, neglect, hemianopia, arm paresis and age predicted dependency. CONCLUSION: Neglect in the acute phase, which occurs in patients irrespective of pre-stroke cognitive level, negatively affects disability after 1 year. Anosognosia more often occurs in patients who are cognitively impaired before the stroke. These patients often are ADL-dependent already, or become dependent because of cognitive impairment, not because of anosognosia. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 16501977
- Volume :
- 35
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Rehabilitation Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 106745809