FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to neurology, and can be used for prediction of complications, associated with endured first acute cerebral circulation disorder. At 3-4 week of acute cerebral circulation disorder state of cognitive status in patient is determined by means of MMSE test, degree of neurologic deficiency is determined using Scandinavian stroke scale NIHSS, education level is determined. Degree of cognitive disorder in early rehabilitation period of stroke (K) is calculated by formula: K=18.83+0.71·X+0.33·Y-0.27·Z; where X is patient's education level, where 1 point is incomplete high education, 2 points - high education, 3 points - specialised high education, 4 points - higher education, Y is result of MMSE test in acute period - in points, Z is value of NIHSS stroke scale at the end of acute period - in points. If K value is 28-30 points - no disorders of cognitive function will take place, 24-27 points - pre-dement cognitive disorders will take place - 1 degree, 20-23 points - dementia of light expression degree - 2 degree, 11-19 points - dementia of moderate expression degree - 3 degree will take place.
EFFECT: providing early prediction of cognitive deficiency formation in patients, who endured acute cerebral circulation disorder for the first time, namely ischemic stroke of hemispheric localisation, aimed at administration of preventive treatment in due time.
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Authors
Dates
2011-03-20—Published
2009-12-29—Filed