ArticleBMC health services research2022
The impact of stroke, cognitive function and post-stroke cognitive impairment (PSCI) on healthcare utilisation in Ireland: a cross-sectional nationally representative study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Poststroke cognitive impairment among stroke survivors in Sub-Saharan Africa: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Systemic Extracerebral Atherosclerotic Burden and Dementia Risk After Incident Stroke.Annals of clinical and translational neurology · 2026Article
- Utilization of rehabilitation health professions' services in chronic stroke: A scoping review.BMC health services research · 2026Article
- Glycoalkaloids Affect the Animal Nervous System: A Review.Journal of toxicology · 2026Review
- Trends and cross-country inequalities in the global burden of subarachnoid hemorrhage, 1990-2021: a population-based study.Frontiers in public health · 2026Article
- The need for post-stroke cognitive screening - the rationale behind the Hungarian adaptation of the Oxford Cognitive Screen (OCS) and its pilot study.Cerebral circulation - cognition and behavior · 2026Article
- Sodium oligomannate modulates the gut-brain axis to alleviate post-stroke cognitive impairment by restoring butyrate metabolism.Microbiome · 2025Article
- Innovating Stroke Recovery: A Systematic Review of Virtual Reality in Cognitive Rehabilitation.Cureus · 2025Review
- Health care utilization and the associated costs attributable to cardiovascular disease in Ireland: a cross-sectional study.European heart journal. Quality of care & clinical outcomes · 2025Article
- Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review.Stroke research and treatment · 2025Review
- Review
- Examining Eye Tracking Metrics and Cognitive Function in Post-Stroke Individuals: A Comparison of Visual Searching Tasks between Those with and without Cognitive Impairment.Cerebrovascular diseases (Basel, Switzerland) · 2024Article
- Enriched rehabilitation on brain functional connectivity in patients with post-stroke cognitive impairment.Frontiers in neurology · 2024Article
- Article
- Multivariate logistic regression analysis of clinical characteristics and risk factors of cognitive impairment after cerebral ischemic stroke: implications for clinical treatment.Annals of translational medicine · 2023Article
- The continuous performance test aids the diagnosis of post-stroke cognitive impairment in patients with right hemisphere damage.Frontiers in neurology · 2023Article
- Interaction of High-Sugar Diet and History of Stroke with Risk of Cognitive Decline in Older Adults.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Comparative efficacy of non-pharmacological interventions for post-stroke cognitive impairment: a systematic review and network meta-analysis of randomized controlled trials.Frontiers in neurologyArticle
- Development and validation of a predictive model for cognitive impairment after first-episode acute ischemic stroke without reperfusion therapy.Frontiers in neurologyArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCognitive impairment after stroke is associated with poorer health outcomes and increased need for long-term care. The aim of this study was to determine the impact of stroke, cognitive function and post-stroke cognitive impairment (PSCI) on healthcare utilisation in older adults in Ireland.
methodsThis cross-sectional study involved secondary data analysis of 8,175 community-dwelling adults (50 + years), from wave 1 of The Irish Longitudinal Study on Ageing (TILDA). Participants who had been diagnosed with stroke by a doctor were identified through self-report in wave 1. Cognitive function was measured using the Montreal Cognitive Assessment (MoCA). The main outcome of the study was healthcare utilisation, including General Practitioner (GP) visits, emergency department visits, outpatient clinic visits, number of nights admitted to hospital, and use of rehabilitation services. The data were analysed using multivariate adjusted negative binomial regression and logistic regression. Incidence-rate ratios (IRR), odds ratios (OR) and 95% confidence intervals (CI) are presented.
resultsThe adjusted regression analyses were based on 5,859 participants who completed a cognitive assessment. After adjusting for demographic and clinical covariates, stroke was independently associated with an increase in GP visits [IRR (95% CI): 1.27 (1.07, 1.50)], and outpatient service utilisation [IRR: 1.49 (1.05, 2.12)]. Although participants with poor cognitive function also visited the GP more frequently than participants with normal cognitive function [IRR: 1.07 (1.04, 1.09)], utilisation of outpatient services was lower in this population [IRR: 0.92 (0.88, 0.97)]. PSCI was also associated with a significant decrease in outpatient service utilisation [IRR: 0.75 (0.57, 0.99)].
conclusionsStroke was associated with higher utilisation of GP and outpatient services. While poor cognitive function was also associated with more frequent GP visits, outpatient service utilisation was lower in participants with poor cognitive function, indicating that cognitive impairment may be a barrier to outpatient care. In Ireland, the lack of appropriate neurological or cognitive rehabilitation services appears to result in significant unaddressed need among individuals with cognitive impairment, regardless of stroke status.
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