Evidence map›Paper›PMID 29335318›Full record

SynthesisJournal of the American Heart Association2018

Longitudinal Effect of Stroke on Cognition: A Systematic Review.

Eugene Yh Tang, Obreniokibo Amiesimaka, Stephanie L Harrison, Emma Green, Christopher Price, Louise Robinson, Mario Siervo, Blossom Cm Stephan

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05951530 (The Impact of App-based Cognitive Training on Post-stroke Upper Extremity Rehabilitation), which is not on this map. Cited by 83 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05951530 nacompletednot on this mapstarted 2023, after this paper: background citation

The Impact of App-based Cognitive Training on Post-stroke Upper Extremity Rehabilitation

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled38ConditionsStrokeArmstraditional physical therapy, mobile app-based cognitive training
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Cognitive impairment after a stroke in young adults: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2023
    Pooled it
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  9. Trial
  10. Change in Cognition Following Ischaemic Stroke.Annals of clinical and translational neurology · 2026
    Trial
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  14. Article
  15. Article
  16. Review
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  18. Observational
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eugene Yh TangInstitute of Health and Society, Newcastle University Institute of Ageing Newcastle University, Newcastle upon Tyne, UK e.y.h.tang@newcastle.ac.uk.
Obreniokibo AmiesimakaInstitute of Health and Society, Newcastle University Institute of Ageing Newcastle University, Newcastle upon Tyne, UK.
Stephanie L HarrisonDepartment of Rehabilitation, Aged and Extended Care, Repatriation General Hospital, Flinders University, Daw Park, South Australia.
Emma GreenDepartment of Public Health and Primary Care, Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK.
Christopher PriceInstitute of Neuroscience, Stroke Research Group, Newcastle University, Newcastle upon Tyne, UK.
Louise RobinsonInstitute of Health and Society, Newcastle University Institute of Ageing Newcastle University, Newcastle upon Tyne, UK.
Mario SiervoInstitute of Cellular Medicine, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Blossom Cm StephanInstitute of Health and Society, Newcastle University Institute of Ageing Newcastle University, Newcastle upon Tyne, UK.

Funding

Department of Health DRF-2015-08-006Department of Health DRF‐2015‐08‐006Department of Health NIHR-RP-011-043Medical Research Council MR/N007921/1
6 · The paper itself

Abstract

backgroundStroke is associated with an increased risk of dementia; however, the impact of stroke on cognition has been found to be variable, such that stroke survivors can show decline, remain stable, or revert to baseline cognitive functioning. Knowing the natural history of cognitive impairment after stroke is important for intervention. The aim of this systematic review is to investigate the longitudinal course of cognitive function in stroke survivors. METHODS AND

resultsThree electronic databases (Medline, Embase, PsycINFO) were searched using OvidSP from inception to July 15, 2016. Longitudinal studies with ≥2 time points of cognitive assessment after stroke were included. In total, 5952 articles were retrieved and 14 were included. There was a trend toward significant deterioration in cognitive test scores in stroke survivors (8 studies). Cognitive stability (3 studies) and improvement (3 studies) were also demonstrated, although follow-up time tended to be shorter in these studies. Variables associated with impairment included age, ethnicity, premorbid cognitive performance, depression, stroke location, and history of previous stroke. Associations with

conclusionsStroke is associated with an increased risk of cognitive decline, but cognitive decline is not a consequence. Factors associated with decline, such as sociodemographic status, health-related comorbidity, stroke history, and clinical features could be used in models to predict future risk of dementia after stroke. A risk model approach could identify patients at greatest risk for timely intervention to reduce the frequency or delay the onset of poststroke cognitive impairment and dementia.

Indexed as

CognitionCognition DisordersHumansLongitudinal StudiesPrognosisRisk AssessmentRisk FactorsStrokeTime Factorscognitioncognitive impairmentdementiarisk factors/global assessmentstroke

Identifiers

PMID29335318
PMCPMC5850140

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.