Cognitive recovery trajectories 3 months following stroke in Mexican American and non-Hispanic white adults.
Cognition
Disparities
Mexican Americans
Stroke
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
12
08
2022
revised:
01
11
2022
accepted:
19
11
2022
pmc-release:
01
02
2024
pubmed:
3
12
2022
medline:
11
1
2023
entrez:
2
12
2022
Statut:
ppublish
Résumé
We examined whether cognitive trajectories from 0-3 months after stroke differ between Mexican Americans (MAs) and non-Hispanic white (NHW) adults. The sample included 701 participants with ischemic stroke (62% MA; 38% NHW) from the population-based stroke surveillance study, the Brain Attack Surveillance in Corpus Christi (BASIC) Project, between 2008-2013. The outcome was the modified Mini Mental State Examination (3MSE, range 0-100 lower scores worse). Linear mixed effects models were utilized to examine the association between ethnicity and cognitive trajectories from 0-3 months following stroke, adjusting for confounders. MAs were younger, had lower educational attainment, and fewer had health insurance than NHWs (all p< 0.01). A smaller proportion of MAs were rated by informants as exhibiting pre-stroke cognitive decline than NHW (p < .0.05). After accounting for confounders, MAs demonstrated lower cognitive performance at post-stroke baseline and at 3-months following stroke (-2.00; 95% CI =-3.92, -0.07). Cognitive trajectories from 0-3 months following stroke were indicative of modest cognitive recovery (increase of 0.034/day, 95% CI =0.030-0.036) and did not differ between MAs and NHWs (p = 0.68). We found no evidence that cognitive trajectories in the first three months following stroke differed between MAs and NHWs. MAs demonstrated lower cognitive performance shortly after stroke and at three months following stroke compared to NHWs. Further research is needed to identify factors contributing to ethnic disparities in cognitive outcomes after stroke.
Identifiants
pubmed: 36459957
pii: S1052-3057(22)00594-8
doi: 10.1016/j.jstrokecerebrovasdis.2022.106902
pmc: PMC10249629
mid: NIHMS1898622
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
106902Subventions
Organisme : NIA NIH HHS
ID : R01 AG069148
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS100687
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS038916
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG024824
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG068410
Pays : United States
Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.
Références
Cerebrovasc Dis. 2005;19(2):102-9
pubmed: 15608434
Am J Epidemiol. 2004 Aug 15;160(4):376-83
pubmed: 15286023
Acta Neurol Scand. 2017 Jun;135(6):603-607
pubmed: 27412470
Alzheimers Dement (Amst). 2021 Mar 31;13(1):e12161
pubmed: 33816754
Epidemiology. 2012 Jan;23(1):119-28
pubmed: 21989136
Stroke. 2013 Jan;44(1):138-45
pubmed: 23150656
J Am Geriatr Soc. 2003 Feb;51(2):169-77
pubmed: 12558712
J Int Neuropsychol Soc. 2018 Feb;24(2):117-127
pubmed: 28791943
BMJ Open. 2013 Sep 03;3(9):e003105
pubmed: 24002980
Nat Hum Behav. 2017;1:
pubmed: 28713861
J Int Neuropsychol Soc. 2005 Nov;11(7):795-806
pubmed: 16519259
Stroke. 2017 Jun;48(6):1685-1687
pubmed: 28386042
Neuropsychol Rev. 2006 Jun;16(2):53-64
pubmed: 16967344
Stroke. 2014 Apr;45(4):1096-101
pubmed: 24627112
J Clin Psychiatry. 1987 Aug;48(8):314-8
pubmed: 3611032
Psychol Med. 1991 Aug;21(3):785-90
pubmed: 1946866
Stroke. 2020 Jan;51(1):99-107
pubmed: 31822247
J Clin Epidemiol. 2008 Aug;61(8):827-31
pubmed: 18468855
Int Psychogeriatr. 2004 Sep;16(3):275-93
pubmed: 15559753
J Geriatr Psychiatry Neurol. 2022 Jul;35(4):555-564
pubmed: 34291678
JAMA. 2015 Jul 7;314(1):41-51
pubmed: 26151265
J Health Dispar Res Pract. 2017 Spring;10(1):111-123
pubmed: 28959503
Am J Geriatr Psychiatry. 2012 Apr;20(4):317-26
pubmed: 22367162