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Post-stroke dementia and permanent institutionalization.

Gerli Sibolt1, Sami Curtze1, Hanna Jokinen1

  • 1Department of Neurology, University of Helsinki and Helsinki University Hospital, Finland.

Journal of the Neurological Sciences
|January 17, 2021
PubMed
Summary
This summary is machine-generated.

Post-stroke dementia significantly increases the risk of earlier permanent institutionalization. However, due to shorter survival, the total time spent in nursing homes was not significantly longer for these patients.

Keywords:
InstitutionalizationIschemic strokePost-stroke dementia

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Area of Science:

  • Neurology
  • Geriatrics
  • Public Health

Background:

  • Dementia is a leading cause of institutionalization.
  • Preventive strategies require understanding the impact of post-stroke dementia on long-term care needs.
  • Previous studies lacked follow-up data on institutionalization rates after stroke and dementia.

Purpose of the Study:

  • To compare institutionalization rates and length of stay in care facilities for stroke patients with and without post-stroke dementia.
  • To evaluate the long-term impact of dementia following a stroke on institutional care utilization.

Main Methods:

  • A cohort of 410 ischemic stroke patients (aged 55-85) was followed for 21 years.
  • Dementia was diagnosed using DSM-III criteria 3 months post-stroke.
  • Institutionalization data were obtained from national registries.

Main Results:

  • Post-stroke dementia was linked to shorter survival (6.6 vs 10.1 years) and less time not institutionalized (5.4 vs 9.4 years).
  • Patients with post-stroke dementia had higher rates and earlier onset of permanent institutionalization (HR 1.53).
  • Time spent permanently institutionalized was not significantly different between groups (0.73 vs 1.1 years).

Conclusions:

  • Post-stroke dementia is associated with earlier permanent institutionalization.
  • Despite earlier institutionalization, significantly shorter survival limits the total time spent in nursing homes.
  • These findings highlight the need for integrated care strategies for stroke survivors with dementia.