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June 01, 1992; 42 (6) Article

Dementia after stroke

Baseline frequency, risks, and clinical features in a hospitalized cohort

T. K. Tatemichi, D. W. Desmond, R. Mayeux, M. Paik, Y. Stern, M. Sano, R. H. Remien, J.B.W. Williams, J. P. Mohr, W. A. Hauser, M. Figueroa
First published June 1, 1992, DOI: https://doi.org/10.1212/WNL.42.6.1185
T. K. Tatemichi
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D. W. Desmond
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R. Mayeux
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M. Paik
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Y. Stern
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M. Sano
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R. H. Remien
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J.B.W. Williams
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J. P. Mohr
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W. A. Hauser
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M. Figueroa
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Citation
Dementia after stroke
Baseline frequency, risks, and clinical features in a hospitalized cohort
T. K. Tatemichi, D. W. Desmond, R. Mayeux, M. Paik, Y. Stern, M. Sano, R. H. Remien, J.B.W. Williams, J. P. Mohr, W. A. Hauser, M. Figueroa
Neurology Jun 1992, 42 (6) 1185; DOI: 10.1212/WNL.42.6.1185

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Abstract

We determined the frequency of dementia in a cohort of 251 patients aged ⩾60 years hospitalized with acute ischemie stroke, based on examinations performed 3 months after stroke onset. Using modified DSM-III-R criteria, we found dementia in 66 patients (26.3%). Diagnostic agreement among raters was excellent (kappa = 0.96). In a control sample of 249 stroke-free subjects recruited from the community and matched by age, we found dementia in eight subjects (3.2%). Using a logistic regression model to estimate the risk of dementia associated with stroke in the combined samples, the odds ratio (OR) for stroke patients compared with control subjects was 9.4 (p <0.001). Advancing age and fewer years of education were significant, independent correlates of dementia, with a trend evident for race (non-white versus white). Confining the analysis to subjects residing in the Washington Heights-Inwood community of northern Manhattan, the OR was 10.3 (p <0.001) with significant age and race effects. We conclude that ischemie stroke significantly increases the risk of dementia, with independent contributions by age, education, and race.

  • © 1992 by AAN Enterprises, Inc.

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