IJRR

International Journal of Research and Review

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Year: 2024 | Month: August | Volume: 11 | Issue: 8 | Pages: 384-391

DOI: https://doi.org/10.52403/ijrr.20240841

Characteristics of Vascular Cognitive Impairment in Acute Stroke Patients at Prof. Dr. I.G.N.G. Ngoerah General Hospital, September-October 2023

Harun Nurdiansah Amad1, Anak Agung Ayu Putri Laksmidewi2, Ketut Widyastuti3.

1Neurology Resident, Fakultas Kedokteran Universitas Udayana, Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Bali
2,3Neurologist, Fakultas Kedokteran Universitas Udayana, Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Bali

Corresponding Author: Harun Nurdiansah Amad

ABSTRACT

Background: Vascular cognitive impairment (VCI) is a medical term that encompasses a spectrum of cognitive impairments resulting from cerebral vascular disease. This includes a range of conditions, from mild cognitive impairment to dementia, which is caused by damage to the brain's blood vessels.
Objective: There have been few studies that provide a comprehensive understanding of vascular cognitive impairment, particularly in acute stroke patients. This study was therefore conducted to describe the characteristics of gender, age, type of stroke, and cognitive function in patients with acute stroke.
Methods: This research is a descriptive retrospective study designed to describe the characteristics of cognitive impairment in stroke patients in the Stroke Unit of Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali, during the period of September-October 2023. The data collected included demographic data on the distribution of research samples, such as age, gender, type of stroke, and stroke location. Additionally, a cognitive function assessment was conducted. 
Results: A total of 52 samples were included in this study, comprising 28 male and 24 female participants. The results indicated that the most prevalent cognitive impairment among the study participants was mild cognitive impairment (MCI), affecting 22 individuals (42.3%). The majority of these cases were attributed to non-hemorrhagic stroke, with 14 samples (26.92%). Moderate cognitive impairment was observed in 10 samples (19.23%), while severe cognitive impairment was present in 14 samples (26.92%), with both groups comprising the majority of patients with non-hemorrhagic stroke.
Conclusion:  VCI is a common complication of stroke and contributes to the poorer health status of stroke survivors. Regular cognitive function assessments are recommended so that patients can be properly diagnosed and the progression of VCI to Stroke Cognitive Impairment can be prevented.

Keywords: Stroke, Vascular Cognitive Impairment, Post Stroke Cognitive Impairment

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