Early cognitive and emotional outcome after stroke is independent of discharge destination
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ORIGINAL COMMUNICATION
Early cognitive and emotional outcome after stroke is independent of discharge destination Jos P. L. Slenders1 · Daan P. J. Verberne2 · Johanna M. A. Visser‑Meily3,4 · Renske M. Van den Berg‑Vos1,5 · Vincent I. H. Kwa1 · Caroline M. van Heugten2,6 Received: 23 March 2020 / Revised: 10 June 2020 / Accepted: 12 June 2020 © The Author(s) 2020
Abstract Background and purpose Cognitive and emotional problems occur frequently after stroke. Patients with minor stroke are more likely to be discharged home. This paper compares early cognitive and emotional outcomes in patients discharged home after stroke versus patients discharged to inpatient rehabilitation, and examines the effect of cognitive and emotional outcomes on long-term participation. Methods In this multicenter prospective cohort study, patients with stroke were assessed at two months with the Hospital Anxiety and Depression Scale (HADS), the Checklist for Cognitive and Emotional Consequences following Stroke (CLCE24) and the Montreal Cognitive Assessment (MoCA). One year post stroke, participation was assessed with the Restriction subscale of the Utrecht Scale for Evaluation of Rehabilitation—Participation (USER-P Restriction). Results The study included 332 patients. Two months post stroke, anxiety and cognitive problems were equally prevalent among patients discharged home (n = 243; 73%) and patients discharged to inpatient rehabilitation (n = 89; 27%) (HADS-A = 4.8 ± 3.9 versus 4.6 ± 4.0, p = 0.747; MoCA
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