Risk factors associated with post-stroke dementia: a systematic review and meta-analysis

This study aimed to evaluate the risk factors for prognostic of post-stroke dementia (PSD). A systematic review included case-control and/or cohort studies, we searched both published and unpublished literatures between 2000 to July 31, 2016. Two authors independently screened and selected research...

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Main Authors: Jesada Surawan, Suchat Areemit, Somsak Tiamkao, Theparak Sirithanawuthichai, Suprawita Saensak
Format: Article
Language:English
Published: MDPI AG 2017-09-01
Series:Neurology International
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/ni/article/view/7216
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author Jesada Surawan
Suchat Areemit
Somsak Tiamkao
Theparak Sirithanawuthichai
Suprawita Saensak
author_facet Jesada Surawan
Suchat Areemit
Somsak Tiamkao
Theparak Sirithanawuthichai
Suprawita Saensak
author_sort Jesada Surawan
collection DOAJ
description This study aimed to evaluate the risk factors for prognostic of post-stroke dementia (PSD). A systematic review included case-control and/or cohort studies, we searched both published and unpublished literatures between 2000 to July 31, 2016. Two authors independently screened and selected research articles. If another one disagreed, the third author would be just along with his/her professionally. Moreover, Critical appraisal was measured by the quality (GRADE). Data collection was in the data extraction form. The Rev-Man 5.3 was used to estimate pooled data. The fixed-effect model will be used when the heterogeneity I<sup>2</sup>&gt;50%. Result eight publications were pooled for measuring an association between risk factors and PSD by meta-analysis. There were 6 strongly PSD risk factors. The pooled relative ratio (RR) of atrial fibrillation was 1.68, previous stroke 1.59, myocardial infarction 1.40, hypertension 1.36, diabetes mellitus 1.25 and previous transient ischemic attack 1.25 respectively. Un-pooled data from 13 publications reported that the risk factors for dementia in stroke patients were i) demographic factors, ii) vascular risk factors, iii) stroke factors, iv) stroke complications, and v) abnormalities on brain imaging. Strongly risk factors associated with increasing PSD risk were atrial fibrillation, previous stroke, myocardial infarction, hypertension, diabetes mellitus, and previous transient ischemic attack. Further studies, strongly risk factors need to investigate and develop the risk score for the prediction of dementia in stroke patients.
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spelling doaj.art-b0bea123324c40638084c9ff13cb298f2023-02-02T09:08:24ZengMDPI AGNeurology International2035-83852035-83772017-09-019310.4081/ni.2017.72163787Risk factors associated with post-stroke dementia: a systematic review and meta-analysisJesada Surawan0Suchat Areemit1Somsak Tiamkao2Theparak Sirithanawuthichai3Suprawita Saensak4Health Science Program, Faculty of Medicine, Mahasarakham UniversityDepartment of Medicine, Faculty of Medicine, Mahasarakham UniversityDepartment of Medicine, Faculty of Medicine, Khon Kaen UniversityDepartment of Medicine, Faculty of Medicine, Mahasarakham UniversityDepartment of Medicine, Faculty of Medicine, Mahasarakham UniversityThis study aimed to evaluate the risk factors for prognostic of post-stroke dementia (PSD). A systematic review included case-control and/or cohort studies, we searched both published and unpublished literatures between 2000 to July 31, 2016. Two authors independently screened and selected research articles. If another one disagreed, the third author would be just along with his/her professionally. Moreover, Critical appraisal was measured by the quality (GRADE). Data collection was in the data extraction form. The Rev-Man 5.3 was used to estimate pooled data. The fixed-effect model will be used when the heterogeneity I<sup>2</sup>&gt;50%. Result eight publications were pooled for measuring an association between risk factors and PSD by meta-analysis. There were 6 strongly PSD risk factors. The pooled relative ratio (RR) of atrial fibrillation was 1.68, previous stroke 1.59, myocardial infarction 1.40, hypertension 1.36, diabetes mellitus 1.25 and previous transient ischemic attack 1.25 respectively. Un-pooled data from 13 publications reported that the risk factors for dementia in stroke patients were i) demographic factors, ii) vascular risk factors, iii) stroke factors, iv) stroke complications, and v) abnormalities on brain imaging. Strongly risk factors associated with increasing PSD risk were atrial fibrillation, previous stroke, myocardial infarction, hypertension, diabetes mellitus, and previous transient ischemic attack. Further studies, strongly risk factors need to investigate and develop the risk score for the prediction of dementia in stroke patients.http://www.pagepress.org/journals/index.php/ni/article/view/7216Risk factorsPost-StrokeDementiaSystematic reviewAlzheimer
spellingShingle Jesada Surawan
Suchat Areemit
Somsak Tiamkao
Theparak Sirithanawuthichai
Suprawita Saensak
Risk factors associated with post-stroke dementia: a systematic review and meta-analysis
Neurology International
Risk factors
Post-Stroke
Dementia
Systematic review
Alzheimer
title Risk factors associated with post-stroke dementia: a systematic review and meta-analysis
title_full Risk factors associated with post-stroke dementia: a systematic review and meta-analysis
title_fullStr Risk factors associated with post-stroke dementia: a systematic review and meta-analysis
title_full_unstemmed Risk factors associated with post-stroke dementia: a systematic review and meta-analysis
title_short Risk factors associated with post-stroke dementia: a systematic review and meta-analysis
title_sort risk factors associated with post stroke dementia a systematic review and meta analysis
topic Risk factors
Post-Stroke
Dementia
Systematic review
Alzheimer
url http://www.pagepress.org/journals/index.php/ni/article/view/7216
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