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

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Buys, Sarah
Gustafsson, Louise
Gullo, Hannah
Grimley, Rohan
Summers, Mathew
Campbell, Alana
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2021
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Abstract

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.

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Brain Impairment

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This publication has been entered as an advanced online version in Griffith Research Online.

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Biomedical and clinical sciences

Psychology

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Buys, S; Gustafsson, L; Gullo, H; Grimley, R; Summers, M; Campbell, A, Cognition in the first week after stroke: how does it relate to personal and instrumental activities of daily living at follow-up?, Brain Impairment

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