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Cohort studies around the world have demonstrated cognitive decline over time after stroke , affecting verbal memory, verbal fluency, temporal orientation, processing speed, executive function, and overall cognition
.
However, the exact timing of this connection is unclear
Cohort studies around the world have demonstrated cognitive decline over time after stroke , affecting verbal memory, verbal fluency, temporal orientation, processing speed, executive function, and overall cognition
Data from the Survey of Health, Ageing and Retirement in Europe (SHARE) provide an opportunity to investigate the relationship between stroke events and cognition in multiple countries
.
There is evidence of disparities in access to and provision of acute stroke care across European countries
We investigated memory trajectories before and after first and recurrent stroke in 18 European countries and tested whether national acute stroke care was associated with post-stroke memory changes
Data from the European Survey on Health, Ageing and Retirement (2004-2019)
.
First stroke and recurrent stroke were identified in individuals without stroke at baseline
Within each country, each participant with a stroke (case group) was matched with an individual without stroke (control group) using propensity score matching
- The final analysis sample included 35,164 participants who were stroke-free at baseline (≥50 years of age)
.
Between 2004 and 2019, a total of 2362 first strokes and 341 recurrent strokes were identified; - In the case group, the mean acute decline in memory scores after first stroke and recurrent stroke was 0.
The study found sharp, but not accelerated, declines in memory after first and repeated strokes
Lu W, Richards M, Werring D, Bobak M.
Memory Trajectories Before and After First and Recurrent Strokes [published online ahead of print, 2021 Dec 10].
Neurology.
2021;10.
1212/WNL.
0000000000013171.
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