Evidence map›Paper›PMID 42358927›Full record

ArticleFrontiers in neurology

Impact of rehabilitation trajectory on affective and cognitive impairment after intracerebral hemorrhage: a cohort study.

Qiuyi Jiang, Guangyao Shi, Hongli Zhang, Shouyue Wu, Chunyang Liu, Jian Zhang, Enzhou Lu, Chao Yuan, Yanchao Liang, Lu Wang and 1 more

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Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Qiuyi Jiang *Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Guangyao Shi *Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Hongli Zhang *Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Shouyue WuDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Chunyang LiuDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Jian ZhangDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Enzhou LuDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Chao YuanDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Yanchao LiangDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Lu WangDepartment of Urology (Heilongjiang Key Laboratory of Scientific Research in Urology), The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Guang YangDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spontaneous intracerebral hemorrhage (ICH) significantly affects cognitive and affective functions, with most studies focusing on factors present at or before the index event. This study examines the impact of rehabilitation trajectories within 12 months on cognitive impairment, depression, and anxiety in supratentorial ICH patients with small hematomas. Methods: This cohort study included 1,692 ICH patients treated between January 2018 and December 2020. Neurological rehabilitation was assessed using the modified Rankin Scale (mRS) at 3, 6, and 12 months, with mRS trajectories identified through a growth-based trajectory model. Affective and cognitive impairments were measured using standardized questionnaires, and their association with different mRS trajectories was analyzed using multivariate logistic regression. Results: 1,563 patients were divided into two trajectories: early rehabilitation (75.5%) and late rehabilitation (24.5%). The late-rehabilitation group showed a higher prevalence of cognitive impairment and depression. After adjustment, late rehabilitation was linked to increased odds of cognitive impairment (OR 1.40, 95% CI 1.02-1.93, Conclusion: Early and sustained rehabilitation is crucial for reducing long-term cognitive and affective impairments following ICH. Personalized strategies are essential, especially for patients on a late-rehabilitation trajectory, to improve neuropsychiatric outcomes.

Indexed as

anxiety symptomscognitive impairmentdepressive symptomsintracerebral hemorrhageneuropsychiatric outcomerehabilitation trajectory

Identifiers

PMID42358927
PMCPMC13290636

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