Aims/Background: The outcomes of cognitive assessments after stroke provide important information for the implementation of immediate specialist interventions. This study investigated the trajectory of cognitive changes in an acute stroke sample. This was done by examining the relationship between cognitive changes following stroke as determined by the Montreal Cognitive Assessment (MoCA) and patients' discharge locations (own home, home with social care package, and placement). Method: The data of 124 hospitalised patients with acute stroke was retrospectively analysed. Patients' age ranged from 51 to 96 years, 77 patients were women and 47 were men. Data of post-stroke cognitive outcomes as represented by the MoCA results and discharge location were collected. Results: Patients' MoCA Mean outcome was 12.12 and Standard Deviation 7.77. Significant differences were found between patients with low post-stroke cognitive functioning, requiring more intensive care after discharge (i.e. placement), and those with better cognition, who subsequently were discharged home. The MoCA subdomain ‘Concentration and Calculation’ was associated most with discharge location. The study outcomes can potentially improve the efficiency of very early interventions and hospital discharge plans for acute stroke patients.
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