The Predictive Value Of The Chinese (Putonghua) Version Of The Oxford Cognitive Screen For The Recovery Of Neurological Functional And Activities Of Daily Living In Patients With Cognitive Impairment After Stroke

Objective:This study adopted an observational study to observe the cognitive function of patients with post-stroke cognitive impairment using OCS-P,and to explore the predictive value of specific cognitive fields on the recovery of neurological function and the outcome of daily living activities at the time of discharge.Methods:At the time of admission,the patients who met the standard of natrium were evaluated on cognitive function and ability of daily living activities.Meanwhile,the data of the therapist's assessment of the patients and the self-assessment of the patients were collected.The general data included: the patient's age,gender,education level,disease course,height,weight,etc.The assessment included the assessment of cognitive function using the OCS-P.Modified Barthel Index was used to assess the ability of daily living activities,the outcome of neurological function recovery after stroke was assessed by the Modified RANKIN scale,and the depression level was assessed by the 17-item Hamilton depression rating scale.The level of participation was assessed by the Pittsburgh rehabilitation participation scale.The motor function of the patients was assessed using the fugl-meyer Assessment scale.At the time of discharge,the Pittsburgh Rehabilitation Participation Scale?the modified RANKIN scale and Modified Barthel Index were evaluated,and the binary logistic regression model was used for analysis.Meanwhile,the education level,stroke type,length of stay,participation level,admission MBI and admission FMA were adjusted.The AIC and BIC were used to measure the goodness of the statistical model fitting,the ROC was used to measure the diagnostic efficiency of the statistical model,IDI and NRI were used to determine the degree of improvement of the new model after the introduction of the new indicators.At discharge,MBI?60 was divided into daily living activities with good outcome,the modified RANKIN scale score?2 was classified as good outcome of neurological function.Results:1.The overall cognitive function neural functional recovery in patients with cerebral apoplexy cognitive impairment of predictive value: this study used OCS-P task damaged number for the patient's overall cognitive function,the OCS-P for patients with task damaged number into a binary Logistic regression model,adjust the level of education,type of stroke,hospitalization days,participation level,hospital MBI scores,FMA admission score.The results showed that the number of task impairment was a risk factor for poor outcome of MRS(P<0.05,OR=1.325).Under other conditions unchanged,the risk of poor neurological recovery increased by 1.325 times for each additional task impairment.2.The overall cognitive function in stroke patients with cognitive impairment in discharge ADL outcome prediction value: the OCS-P for patients with task damaged number into a binary Logistic regression model,adjust the level of education,type of stroke,hospitalization days,participation level,hospital MBI scores,FMA admission score,the results show that task damaged number has nothing to do with ADL outcomes(P>0.05).3.The predictive value of all dimensions of OCS-P on neurological recovery in patients with cognitive impairment after stroke upon discharge: The execution function of the single factor analysis was statistically significant,execution function-mix,sentences reading,directional,verbal memory,episodic memory,number writing,calculation,imitation,a total of nine factors constructing binary Logistic regression analysis model,adjusting general data fixed number of year of the(education)and disease characteristics(type of stroke,hospitalization days),participation level,function level on admission(MBI,admission to the hospital FMA),results showed that the executive dysfunction is MRS ending adverse risk factors(P<0.05,OR=6.088),Patients with executive dysfunction had a 6.088 times greater risk of poor neurological recovery than those with normal executive function.4.OCS-P for each dimension of cognitive impairment in stroke patients ADL outcome prediction value: this study will be the implementation of the single factor analysis was statistically significant function to build model for binary Logistic regression analysis,the general data fixed number of year of the(education)and disease characteristics(type of stroke,hospitalization days),participation level,function level on admission(MBI,admission to the hospital FMA).The results showed that executive dysfunction was a risk factor for poor ADL outcome(P<0.05,OR=3.351),and the risk of poor ADL outcome in patients with executive dysfunction was 3.351 times that of patients with normal executive function.Conclusion:The OCS-P has a good predictive value for the daily life activities of patients with cognitive impairment after stroke.The executive function in its sub-dimensions is to predict the risk factors for the recovery of neurological function and poor recovery of daily life activities in patients with cognitive impairment after stroke.