低血是住院中风后患者认知恶化的预测因素
Yoshihiro Yoshimura1, Hidetaka Wakabayashi2, Fumihiko Nagano1
1Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto 869-1106, Japan.
概括
低血症或低水平与住院中风患者的认知功能恶化有关. 早期发现低血症可以帮助预测康复期间的认知衰退.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 内部医学 内部医学
背景情况:
- 有限证据表明,低血与住院老年人的认知功能之间存在关联.
- 脑卒中患者是一个脆弱的人群,他们的认知功能对于恢复至关重要.
研究的目的:
- 为了研究低血和入院中风后患者的基线认知状态之间的关系.
- 检查中风幸存者住院期间低血和认知功能改善之间的关联.
主要方法:
- 对955名住院中风后患者进行了回顾性队列研究.
- 低血症定义为血清<135mEq/L,在入院后24小时内进行评估.
- 用FIM认知分数测量认知功能;使用多变量线性回归分析.
主要成果:
- 8.8%的患者呈现低血症.
- 基线低血症与入院和出院时较低的FIM认知得分有显著的关联.
- 低血与住院期间认知能力改善的减少相关.
结论:
- 基线低血与中风患者在康复期间的认知能力下降有关.
- 低血症的早期评估是中风后认知结果的关键预后指标.
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