Division of Population Health Sciences, Royal College of Surgeons in Ireland, D02 P796, Ireland.
Social Research Division, Economic and Social Research Institute, D02 K138, Ireland.
Int J Environ Res Public Health. 2020 Oct 1;17(19):7203. doi: 10.3390/ijerph17197203.
Post-stroke cognitive impairment (PSCI) is a common consequence of stroke. Epidemiological evidence indicates that, with an ageing population, stroke and PSCI are likely to increase in the coming decades. This may have considerable implications for the demand for nursing home placement. As prevalence estimates of both cognitive impairment and dementia on admission to nursing home among residents with and without stroke have not yet been compared, they were estimated and compared in this study. We performed a cross-sectional survey to establish the admission characteristics of 643 residents in 13 randomly selected nursing homes in Ireland. The survey collected data on resident's stroke and cognitive status at the time of nursing home admission. The survey found, among nursing home residents that experienced stroke prior to admission, prevalence estimates for cognitive impairment (83.8%; 95% CI = 76.9-90.6%) and dementia (66.7%; 95% CI = 57.9-75.4%) were significantly higher compared to residents that had not experienced stroke prior to admission (cognitive impairment: 56.6%; 95% CI = 52.4-60.8%; X (1) = 28.64; < 0.001; dementia: 49.8%; 95% CI = 45.6-54.1%; X (1) = 10.47; < 0.01). Since the prevalence of PSCI is likely to increase in the coming decades, the findings highlight an urgent need for health service planning for this increased demand for nursing home care to meet the care needs of these stroke survivors.
中风后认知障碍 (PSCI) 是中风的常见后果。流行病学证据表明，随着人口老龄化，中风和 PSCI 在未来几十年可能会增加。这可能对疗养院安置的需求产生重大影响。由于尚未比较有和没有中风的疗养院入住者认知障碍和痴呆症的入院率估计值，因此本研究对其进行了估计和比较。我们进行了一项横断面调查，以确定爱尔兰 13 家随机选择的疗养院中 643 名居民的入院特征。该调查收集了居民在疗养院入院时的中风和认知状况数据。调查发现，在入院前经历过中风的疗养院居民中，认知障碍（83.8%；95%CI=76.9-90.6%）和痴呆症（66.7%；95%CI=57.9-75.4%）的患病率估计值明显高于入院前没有经历过中风的居民（认知障碍：56.6%；95%CI=52.4-60.8%；X (1) = 28.64；<0.001；痴呆症：49.8%；95%CI=45.6-54.1%；X (1) = 10.47；<0.01）。由于 PSCI 的患病率在未来几十年可能会增加，因此这些发现强调了迫切需要为这种对疗养院护理需求的增加进行卫生服务规划，以满足这些中风幸存者的护理需求。
