post-stroke cognitive impairment
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Stroke patients meeting the diagnostic criteria established by the Fourth National Cerebrovascular Diseases Academic Conference (1995), with hemorrhagic/ischemic stroke confirmed by cranial CT or MRI; and meeting the diagnostic criteria for Post-Stroke Cognitive Impairment (PSCI) per the 2021 Expert Consensus on PSCI Management. (2) First-ever stroke with disease duration =14 days. (3) Identified as high-risk for PSCI (Montreal Cognitive Assessment, MoCA <26) and scoring =7 on the NINDS-CSN 5-minute protocol. (4) Age 35–75 years, regardless of gender. (5) Absence of severe aphasia allowing completion of cognitive tests. (6) Stable vital signs without progression of neurological symptoms. (7) No pre-stroke diagnosis of cognitive impairment-related disorders. (8) Provision of written informed consent.
Exclusion criteria
Exclusion criteria: (1) Failure to meet the inclusion criteria. (2) Complete left prefrontal cortex injury confirmed by CT/MRI. (3) Severe functional failure of vital organs (e.g., heart, brain, kidneys). (4) History of cranial surgery or skull defects. (5) Metallic implants or cardiac pacemakers (MRI contraindications). (6) Neuropsychiatric comorbidities or affective disorders that may compromise test validity. (7) Unstable vital signs, hematological diseases, autoimmune disorders (e.g., rheumatism), or malignancy. (8) Any other factors potentially interfering with cognitive assessment or treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Montreal Cognitive Assessment (MoCA);Mini-Mental State Examination (MMSE);Incidence of Post-Stroke Cognitive Impairment; | — |
Secondary
| Measure | Time frame |
|---|---|
| National Institutes of Health Stroke Scale (NIHSS);Modified Barthel Index (MBI); | — |
Countries
China
Contacts
First teaching hospital of Tianjin University of Traditional Chinese Medicine