Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego · 2007
[Stroke patients' apathy].
Клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jarzebska Ewa
Аннотация
UNLABELLED: High frequency of apathy described in stroke patients, its prognostic value related to dementia, and still unexplained relation between apathy, depression and irritability are factors that encourage to evaluation of stroke patient's apathy.
THE AIM OF THE STUDY: To evaluate frequency of apathy in acute stroke, existence of relations between apathy score and stroke location, and between apathy score and depression with irritability as a differentiate factor between them.
MATERIAL AND METHODS: 90 patients in age from 28 to 72 years (mean age=53 years) with acute stroke (in the 6th day after stroke onset) were examined. Stroke location was established by the computer tomography method. Evaluation of emotional disorders was made by means of the Starkstein's apathy scale, the ICD-10 organic depression diagnosis, the Hamilton's depression scale, the Hamilton's anxiety scale and the visual irritability analogue scale. Cognitive disorders were diagnosed by means of Mini Mental State. The intervariables relations were estimated by ANOVA and MANOVA.
RESULTS: apathy was diagnosed in 71% of patients, and depression in 43% of patients. Significant relations between apathy score and stroke location in internal carotid artery territory, and between apathy and a low score in Mini Mental State were identified. There wasn't relation between depression and stroke location, but intensity of irritability was higher in the patients with stroke in vertebrobasilar system territory. This work didn't demonstrated any relations between apathy score and depression (also when irritability was implemented as a covariate), or between apathy score and anxiety.
CONCLUSIONS: apathy occurs in 71% of acute stroke patients, and mainly takes place in patients with stroke in internal carotid artery territory. Apathy is related to low Mini Mental State score, but isn't related to depression. Irritability is related to stroke in vertebrobasilar system territory, but it isn't a differentiate factor between apathy and depression.
THE AIM OF THE STUDY: To evaluate frequency of apathy in acute stroke, existence of relations between apathy score and stroke location, and between apathy score and depression with irritability as a differentiate factor between them.
MATERIAL AND METHODS: 90 patients in age from 28 to 72 years (mean age=53 years) with acute stroke (in the 6th day after stroke onset) were examined. Stroke location was established by the computer tomography method. Evaluation of emotional disorders was made by means of the Starkstein's apathy scale, the ICD-10 organic depression diagnosis, the Hamilton's depression scale, the Hamilton's anxiety scale and the visual irritability analogue scale. Cognitive disorders were diagnosed by means of Mini Mental State. The intervariables relations were estimated by ANOVA and MANOVA.
RESULTS: apathy was diagnosed in 71% of patients, and depression in 43% of patients. Significant relations between apathy score and stroke location in internal carotid artery territory, and between apathy and a low score in Mini Mental State were identified. There wasn't relation between depression and stroke location, but intensity of irritability was higher in the patients with stroke in vertebrobasilar system territory. This work didn't demonstrated any relations between apathy score and depression (also when irritability was implemented as a covariate), or between apathy score and anxiety.
CONCLUSIONS: apathy occurs in 71% of acute stroke patients, and mainly takes place in patients with stroke in internal carotid artery territory. Apathy is related to low Mini Mental State score, but isn't related to depression. Irritability is related to stroke in vertebrobasilar system territory, but it isn't a differentiate factor between apathy and depression.