Estado neurológico e cognição de pacientes pós-acidente vascular cerebral

Abstract

RESUMOObjeti vou-se investi gar por meio de uma equipe multi disciplinar o estado neurológi-co e o desempenho cogniti vo de pacientes pós-AVC mediante um estudo transversal com 45 pacientes em processo de reabilitação após um AVC agudo. Uti lizaram-se como instrumentos de coleta de dados uma fi cha de avaliação, o Mini Mental--MEEM e o Nati onal Internati onal Health Stroke Scale-NIHSS. Amostra predominantemente feminina (55,6%), AVC Isquêmico (86,7%), Hemisfério cerebral direito (60%) e Escolarizados (68,8%). A média do MEEM para escolarizados e analfabetos foi de 19,3 ± 5,0 e 15,92 ± 3,7 respecti vamente. A média geral do estado neurológico encontrado foi 13,0±4,8. Houve diferença signi fi cati va entre as médias cogniti vas dos pacientes quanto à escolaridade (p valor = 0,017) e relação signifi cati va entre o estado neurológico e o desempenho cogniti vo (r = -0,44 p valor = 0,002). O estado neurológi-co e o nível cogniti vo de pacientes pós-AVC agudo parecem estar diretamente relacionados, o que evidencia a necessidade de maior atenção à questão cogniti va envolvida no início do processo de reabilitação. DESCRITORES Acidente cerebral vascular Cognição Avaliação ReabilitaçãoThe neurological state and cognition of patients after a stoke * ORIGINAL ARTICLE ABSTRACTThe objecti ve of this study was to have a multi disciplinary team investi gate the neurological state and cogniti ve performance of pati ents aft er a stroke, through a cross-secti onal study with 45 pati ents in rehabilitati on aft er having an acute stroke. The data collecti on instruments used were an assessment sheet, the Mini Mental-ME-EM, and the Nati onal Internati onal Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate pati ents was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A signifi cant diff erence was found between the cogniti ve means of pati ents in terms of educati on (p value = 0.017), and there was a signifi cant relati onship between the neurological state and cogniti ve performance (r = -0.44 p value = 0.002). It appears to be a direct relati onship between the neurological state and cogniti on performance of pati ents after an acute stroke, which evinces the need for greater att enti on to the cogniti ve issue involved early in rehabilitati on. DESCRIPTORS Stroke Cogniti on Evaluati on Rehabilitati on RESUMENSe objeti vó investi gar mediante equipo multi disciplinario el estado neurológico y el desempeño cogniti vo de pacientes post-ACV. Estudio transversal con 45 pacientes post-ACV agudo en proceso de rehabilitación. Se uti lizaron para recolección de datos una fi cha de evaluación; el Mini Mental-MEEM y el Nati onal Internati onal Health Stroke Scale-NIHSS. Muestra predominantemente femenina (55,6%), ACV Isquémico (86,7%), Hemisferio cerebral derecho (60%) y Escolarizados (68,8%). La media de MEEM para escolarizados y analfabetos...

Caracterização de sujeitos com lesão cerebral adquirida em idade produtiva

“…Most participants in this study were married, as verified also in three other studies: one with 289 people who have had stroke in working age, accompanied by the Unified Health System (SUS) in the city of Recife, Pernambuco (PE) 18 ; another study conducted in Natal, Rio Grande do Norte (RN), with a group of 45 people who had stroke and varied age 19 , and a third performed in Jequié, Bahia (BA), which involved a group of 20 people diagnosed with stroke with different ages 20 . Related to TBI, a study conducted with a group of 56 participants in São José do Rio Preto, São Paulo (SP), showed that 56% were single and 40% were married 21 .…”

“…Many studies [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] indicate that the most common cause of ABI are CVA, and the derivatives of ischemic events (ICVA) the most frequent, as indicated by the data in this study, in which 41.1% of subjects were affected by ischemic stroke. ICVA has as a main risk factor the SAH, DM, hypercholesterolemia (high cholesterol), smoking and genetic factors 29 .…”

Qualidade de vida relacionada à saúde de pessoas após acidente vascular cerebral

“…In this study, the mean found at the MMSE among the 104 initial participants was 23.1 points (±5.54), a different value compared to that of another study that found a lower mean. (11) In this sample, 26% had cognitive deficit, a lower value than the 45% prevalence of patients with this type of deficit found in literature. (12) These results can be attributed to the fact that this study's participants had more years of schooling than those found in similar research, which influences an increase in scoring.…”

Instruments for Cognitive Screening in the Elderly

“…The presence of disturbances in cognition is an important complication of recovery, directly affecting the process of rehabilitation and recovery of the patient. 3 Cognitive dysfunctions may interfere with an individual's ability to understand precisely all parts of their condition, since a cognitively impaired patient may have difficulty keeping a memory of past events and associating related information. 4 Cognitive screening instruments are quick and easy to perform tests that provide approximate characterization of various cognitive functions and are indicated for use in distinguishing between normal and pathological conditions.…”