Shin Seyoung, Yeo Seung Mi, Lee Byung Chan, Chang Won Hyuk
Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
Brain Neurorehabil. 2024 Nov 21;17(3):e20. doi: 10.12786/bn.2024.17.e20. eCollection 2024 Nov.
Post-stroke cognitive impairment (PSCI) is a common and significant disorder affecting a considerable proportion of stroke patients. PSCI is a known factor that increases the risk of mortality, dependency, and institutionalization in stroke patients. The early prediction of PSCI and the implementation of cognitive rehabilitation could enhance the quality of life of stroke patients and reduce the burden on their families. It is therefore imperative to identify risk factors for PSCIs in the early stages of stroke and to implement early cognitive rehabilitation with an appropriate prognosis. A number of risk factors for PSCI can be identified in patient characteristics, clinical findings, and imaging findings. It is unfortunate that the majority of factors associated with PSCI are non-modifiable. However, the only modifiable factor that can be controlled is the management of stroke risk factors for secondary prevention. Further research is needed to elucidate the potential benefits of various cognitive rehabilitation programs for the prevention and improvement of PSCI.
卒中后认知障碍（PSCI）是一种常见且严重的疾病，影响着相当比例的卒中患者。PSCI是一个已知的增加卒中患者死亡、依赖和机构化风险的因素。PSCI的早期预测和认知康复的实施可以提高卒中患者的生活质量并减轻其家庭负担。因此，在卒中早期识别PSCI的危险因素并进行适当预后的早期认知康复至关重要。在患者特征、临床发现和影像学发现中可以确定许多PSCI的危险因素。不幸的是，与PSCI相关的大多数因素是不可改变的。然而，唯一可以控制的可改变因素是对卒中危险因素进行二级预防管理。需要进一步研究以阐明各种认知康复计划对预防和改善PSCI的潜在益处。
