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Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: A nationwide population-based survey in Taiwan

Aging and Mental Health Apr 21, 2019

Kuo LM, et al. - Researchers analyzed a subsample of 592 older stroke survivors in a nationwide population-based survey of cognitive-dysfunction prevalence to examine how cognitive status is correlated with specific/overall health-related quality of life (HRQoL) in these patients in Taiwan. Findings suggest a strong predictive value of dementia and mild cognitive dysfunction for worse overall and specific HRQoL dimensions, especially self-care and usual activities for older stroke survivors. Compared to stroke survivors with normal cognitive function, those with dementia were 5.60 times more likely to have mobility problems, 12.20 times to have self-care problems, 16.61 times to have problems in usual activities, 4.31 times to have pain/discomfort, and 3.28 times to have anxiety/depression; those with mild cognitive dysfunction (MCD) were 2.57 times more likely to have mobility problems, 3.17 times to have self-care problems, 3.31 times to have problems in usual activities, 2.11 times to have pain/discomfort, and 2.35 times to have anxiety/depression.

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