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The montreal cognitive assessment and mini-mental state examination visuoexecutive subtests in acute ischemic stroke patients and their correlations with demographic and clinical factors

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Abstract

Visuoexecutive impairment is common among acute ischemic stroke patients. This study aimed to examine the ability of the Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) visuoexecutive subtests to detect visuoexecutive abnormality in acute ischemic stroke patients and to identify the predictors for their impairments. 336 patients who completed the MMSE and MoCA were enrolled in this study. We compared the proportion of participants with incorrect MoCA visuoexecutive tasks and MMSE pentagon copying. Multivariate logistic regression analysis was used to evaluate the associations between the visuoexecutive dysfunction and demographic and clinical characteristics in the samples. Among all the participants, the MoCA detected more visuoexecutive dysfunction than the MMSE (88.69% vs. 45.83%, respectively; p < 0.001). The predictors identified by the univariate analysis included the factors of gender, age, educational level, smoking, alcohol consumption, Oxfordshire Community Stroke Project (OCSP), previous strokes, initial NIHSS score and number of old lacunar infarctions, while from the multivariate logistic regression analysis, the factors of age, educational level, NIHSS score, previous strokes and number of old lacunar infarctions served as predictive factors for the visuoexecutive impairment in acute stroke patients. In conclusion, visuoexecutive impairment is associated with the factors of the educational level, stroke severity, stroke history and number of old lacunar infarctions. Our findings may guide the clinicians to intervene the risks for the patients at an early stage after stroke and form the basis for good rehabilitation plans.

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Acknowledgements

We wish to thank the staff at the Department of Neurology, Hebei General Hospital and Xing-Xuan Fang of International College, Hebei Medical University for proof reading the article.

Funding

This Research Project is funded by the Clinical Medicine Program for Advanced Talents of Hebei Province (2015) (361003).

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Authors and Affiliations

  1. Department of Graduate School, Hebei Medical University, Shijiazhuang, 050000, Heibei, China

    Wei Wang, Fang-Ming Dong, Kai Shao & Zhong-Min Zhao

  2. Department of Graduate School, Hebei North University, Zhangjiakou, 075000, Heibei, China

    Shang-Zun Guo & Yi-Ming Yang

  3. Department of Neurology, Hebei General Hospital, Shijiazhuang, 050051, Heibei, China

    Wei Wang, Fang-Ming Dong, Kai Shao, Shang-Zun Guo, Zhong-Min Zhao, Yi-Ming Yang, Ya-Xue Song & Jian-Hua Wang

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  1. Wei Wang
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Correspondence to Jian-Hua Wang.

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Wang, W., Dong, FM., Shao, K. et al. The montreal cognitive assessment and mini-mental state examination visuoexecutive subtests in acute ischemic stroke patients and their correlations with demographic and clinical factors. Acta Neurol Belg 121, 1707–1714 (2021). https://doi.org/10.1007/s13760-020-01479-z

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