RT Journal Article
T1 Cognitive, Functional, and Emotional Recovery in Patients with Stroke: A Multidimensional Prospective Analysis
A1 Pego Pérez, Emilio Rubén
A1 Bermello López, Lourdes
A1 Gómez Fernández, Eva
A1 Marín Arnés, María del Rosario
A1 Fernández Vázquez, Mercedes
A1 Touza González, Carlota
A1 Núñez Hernández, María Irene
K1 Ischemic stroke
K1 Transient ischemic attack
K1 Tissue plasminogen activator
K1 Functional status
K1 Cognitive dysfunction
K1 MMSE
K1 Mini mental state examination
K1 Depression
K1 Surveys and questionnaires
AB Background: Stroke is a major cerebrovascular disease characterized by disrupted cerebral blood flow, leading to neuronal damage and significant physical, cognitive, and emotional sequelae. While advancements in acute stroke management have improved survival rates, long-term complications such as cognitive impairment and depression continue to hinder recovery. This study addresses these dimensions within the context of ischemic stroke. Aim: The aim of this study was to analyze the cognitive status, functionality, and depressive symptoms in patients with ischemic stroke, exploring interrelations between cognitive, functional, and emotional outcomes to prioritize clinical interventions. Design: This was an analytical, observational, cohort, and prospective study. Methods: The study included 81 subjects diagnosed with ischemic stroke admitted to the Neurology Department of Lucus Augusti University Hospital. Data were collected at three time points—admission, discharge, and follow-up—using validated instruments such as the National Institutes of Health Stroke Scale, Mini-Mental State Examination, Barthel Index, and Beck Depression Inventory. Statistical analyses included Spearman’s correlation, Kruskal–Wallis, and Mann–Whitney tests. Results: Patients with greater cognitive impairment at admission showed poorer functional recovery and higher depressive symptoms during follow-up. Depressive symptoms remained minimal in most cases, but correlations with cognitive and functional deficits were significant. NIHSS scores at admission strongly predicted both functional and emotional recovery, reinforcing its value in early prognosis and therapeutic planning. Conclusions: This study highlights the importance of integrating cognitive, functional, and emotional dimensions into stroke care protocols to optimize patient recovery and improve long-term outcomes.
PB MDPI
SN 2035-8377
YR 2025
FD 2025-10-08
LK https://hdl.handle.net/10347/43026
UL https://hdl.handle.net/10347/43026
LA eng
NO Pego Pérez, E.R.; Bermello López, L.; Gómez Fernández, E.; Marín Arnés, M.d.R.; Fernández Vázquez, M.; Touza González, C.; Núñez Hernández, M.I. Cognitive, Functional, and Emotional Recovery in Patients with Stroke: A Multidimensional Prospective Analysis. Neurol. Int. 2025, 17, 164. https://doi.org/10.3390/ neurolint17100164
DS Minerva
RD 28 abr 2026