Cited by 420Dementia and Cognitive Impairment ResearchAcute Ischemic Stroke ManagementNeurological Disease Mechanisms and Treatments

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Dementia after stroke: Baseline frequency, risks, and clinical features in a hospitalized cohort

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Tatemichi, T. K., Desmond, D. W., Mayeux, R., Paik, M., Stern, Y., Sano, M., Remien, R. H., Williams, J.B.W., Mohr, J. P., Hauser, W. A., Figueroa, M.·1992·Neurology

DOI 10.1212/wnl.42.6.1185

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Abstract

We determined the frequency of dementia in a cohort of 251 patients aged greater than or equal to 60 years hospitalized with acute ischemic stroke, based on examinations performed 3 months after stroke onset. Using modified DSM-III-R criteria, we found dementia in 66 patients (26.3%). Diagnostic agreement among raters was excellent (kappa = 0.96). In a control sample of 249 stroke-free subjects recruited from the community and matched by age, we found dementia in eight subjects (3.2%). Using a logistic regression model to estimate the risk of dementia associated with stroke in the combined samples, the odds ratio (OR) for stroke patients compared with control subjects was 9.4 (p less than 0.001). Advancing age and fewer years of education were significant, independent correlates of dementia, with a trend evident for race (non-white versus white). Confining the analysis to subjects residing in the Washington Heights-Inwood community of northern Manhattan, the OR was 10.3 (p less than 0.001) with significant age and race effects. We conclude that ischemic stroke significantly increases the risk of dementia, with independent contributions by age, education, and race.

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Authors: Tatemichi, T. K., Desmond, D. W., Mayeux, R., Paik, M., Stern, Y., Sano, M., Remien, R. H., Williams, J. B. W., Mohr, J. P., Hauser, W. A., & Figueroa, M.
Affiliations: Columbia University (US)
ORCID: Desmond, D. W.
Mayeux, R.
Paik, M.
Stern, Y.
Sano, M.
Remien, R. H.
Mohr, J. P.
Hauser, W. A.
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1992-06
Volume: 42
Issue: 6
Pages: 1185-1185
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/wnl.42.6.1185
OpenAlex: W2132851971
Cited by: 420
References: 43
Citations by year: 2026: 1 · 2025: 1 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 33 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 13 · 2015: 8 · 2014: 8 · 2013: 16 · 2012: 16
FWCI: 6.07
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Neurology (publishedVersion)
PubMed (publishedVersion)
Funders: American Academy of Neurology
National Institutes of Health (7r01ns026179-11)
National Institute on Aging (P01AG007232)
National Institute of Mental Health (P30MH043520)
National Institute of Neurological Disorders and Stroke (R01 NS26179)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
Keywords: dementia, ischemic stroke, post-stroke dementia, dementia risk factors, age, race, older adults
MeSH terms: Aged, Cerebrovascular Disorders, Dementia, Hospitalization, Humans, Middle Aged, Prospective Studies, Reference Values, Risk Factors, Statistics as Topic, Cohort Studies, Incidence

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Dementia after stroke: Baseline frequency, risks, and clinical features in a hospitalized cohort

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