Interpretation of <i>European Stroke Organization (ESO) and European Academy of Neurology (EAN) Joint Guideline on Post-stroke Cognitive Impairment</i>_West China Medical Journal

Authors：

GAO Jing ¹ , BAI Yanjie ^1,2 ,  FENG Xiaodong ^1,2

1. Rehabilitation Center, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan 450000, P. R. China;
2. College of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, Henan 450000, P. R. China;

Corresponding author：

FENG Xiaodong, Email: fxd0502@163.com

Keywords：

Stroke; cognitive impairment; dementia; diagnosis; prognosis; guideline

DOI：

10.7507/1002-0179.202204020

Video：

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Abstract Full text Figures/Tables Video References Cited by

Post-stroke cognitive impairment (PSCI) is the most common dysfunction after stroke, which seriously affects patients’ quality of life and survival time. To strengthen the management and prevention of PSCI, the European Stroke Organization and the European Academy of Neurology jointly developed the guidelines for PSCI in 2021. This paper introduces the background, compilation method and structure, management suggestions and expert consensus of PSCI, the next research direction, etc. Compared with the current prevention and treatment measures of PSCI in China, it aims to provide methodological reference for Chinese scholars to develope PSCI guidelines and reference evidence for clinical prevention and treatment of PSCI.

Citation： GAO Jing, BAI Yanjie, FENG Xiaodong. Interpretation of European Stroke Organization (ESO) and European Academy of Neurology (EAN) Joint Guideline on Post-stroke Cognitive Impairment. West China Medical Journal, 2022, 37(5): 641-645. doi: 10.7507/1002-0179.202204020 Copy

1.	王俊. 中国卒中后认知障碍防治研究专家共识. 中国卒中杂志, 2020, 15(2): 158-166.
2.	Quinn TJ, Richard E, Teuschl Y, et al. European Stroke Organisation and European Academy of Neurology joint guidelines on post-stroke cognitive impairment. Eur J Neurol, 2021, 28(12): 3883-3920.
3.	汪凯, 董强. 卒中后认知障碍管理专家共识 2021. 中国卒中杂志, 2021, 16(4): 376-389.
4.	Pollock A, St George B, Fenton M, et al. Top ten research priorities relating to life after stroke. Lancet Neurol, 2012, 11(3): 209.
5.	Wardlaw JM, Doubal F, Brown R, et al. Rates, risks and routes to reduce vascular dementia (R4vad), a UK-wide multicentre prospective observational cohort study of cognition after stroke: protocol. Eur Stroke J, 2021, 6(1): 89-101.
6.	Noel-Storr AH, McCleery JM, Richard E, et al. Reporting standards for studies of diagnostic test accuracy in dementia: the STARDdem Initiative. Neurology, 2014, 83(4): 364-373.
7.	Quinn TJ, Elliott E, Langhorne P. Cognitive and mood assessment tools for use in stroke. Stroke, 2018, 49(2): 483-490.
8.	Weaver NA, Kuijf HJ, Aben HP, et al. Strategic infarct locations for post-stroke cognitive impairment: a pooled analysis of individual patient data from 12 acute ischaemic stroke cohorts. Lancet Neurol, 2021, 20(6): 448-459.
9.	Tang EY, Harrison SL, Errington L, et al. Current developments in dementia risk prediction modelling: an updated systematic review. PLoS One, 2015, 10(9): e0136181.
10.	董强, 郭起浩, 罗本燕, 等. 卒中后认知障碍管理专家共识. 中国卒中杂志, 2017, 12(6): 519-531.
11.	Mok VC, Lam BY, Wong A, et al. Early-onset and delayed-onset poststroke dementia - revisiting the mechanisms. Nat Rev Neurol, 2017, 13(3): 148-159.
12.	Pearce LA, McClure LA, Anderson DC, et al. Effects of long-term blood pressure lowering and dual antiplatelet treatment on cognitive function in patients with recent lacunar stroke: a secondary analysis from the SPS3 randomised trial. Lancet Neurol, 2014, 13(12): 1177-1185.
13.	Casolla B, Caparros F, Cordonnier C, et al. Biological and imaging predictors of cognitive impairment after stroke: a systematic review. J Neurol, 2019, 266(11): 2593-2604.
14.	De Bruijn RF, Bos MJ, Portegies ML, et al. The potential for prevention of dementia across two decades: the prospective, population-based Rotterdam study. BMC Med, 2015, 13: 132.
15.	王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告 2020》概要. 中国脑血管病杂志, 2022, 19(2): 136-144.
16.	中国医师协会神经内科分会认知障碍专业委员会, 《中国血管性认知障碍诊治指南》编写组. 2019 年中国血管性认知障碍诊治指南. 中华医学杂志, 2019, 99(35): 2737-2744.

1. 王俊. 中国卒中后认知障碍防治研究专家共识. 中国卒中杂志, 2020, 15(2): 158-166.
2. Quinn TJ, Richard E, Teuschl Y, et al. European Stroke Organisation and European Academy of Neurology joint guidelines on post-stroke cognitive impairment. Eur J Neurol, 2021, 28(12): 3883-3920.
3. 汪凯, 董强. 卒中后认知障碍管理专家共识 2021. 中国卒中杂志, 2021, 16(4): 376-389.
4. Pollock A, St George B, Fenton M, et al. Top ten research priorities relating to life after stroke. Lancet Neurol, 2012, 11(3): 209.
5. Wardlaw JM, Doubal F, Brown R, et al. Rates, risks and routes to reduce vascular dementia (R4vad), a UK-wide multicentre prospective observational cohort study of cognition after stroke: protocol. Eur Stroke J, 2021, 6(1): 89-101.
6. Noel-Storr AH, McCleery JM, Richard E, et al. Reporting standards for studies of diagnostic test accuracy in dementia: the STARDdem Initiative. Neurology, 2014, 83(4): 364-373.
7. Quinn TJ, Elliott E, Langhorne P. Cognitive and mood assessment tools for use in stroke. Stroke, 2018, 49(2): 483-490.
8. Weaver NA, Kuijf HJ, Aben HP, et al. Strategic infarct locations for post-stroke cognitive impairment: a pooled analysis of individual patient data from 12 acute ischaemic stroke cohorts. Lancet Neurol, 2021, 20(6): 448-459.
9. Tang EY, Harrison SL, Errington L, et al. Current developments in dementia risk prediction modelling: an updated systematic review. PLoS One, 2015, 10(9): e0136181.
10. 董强, 郭起浩, 罗本燕, 等. 卒中后认知障碍管理专家共识. 中国卒中杂志, 2017, 12(6): 519-531.
11. Mok VC, Lam BY, Wong A, et al. Early-onset and delayed-onset poststroke dementia - revisiting the mechanisms. Nat Rev Neurol, 2017, 13(3): 148-159.
12. Pearce LA, McClure LA, Anderson DC, et al. Effects of long-term blood pressure lowering and dual antiplatelet treatment on cognitive function in patients with recent lacunar stroke: a secondary analysis from the SPS3 randomised trial. Lancet Neurol, 2014, 13(12): 1177-1185.
13. Casolla B, Caparros F, Cordonnier C, et al. Biological and imaging predictors of cognitive impairment after stroke: a systematic review. J Neurol, 2019, 266(11): 2593-2604.
14. De Bruijn RF, Bos MJ, Portegies ML, et al. The potential for prevention of dementia across two decades: the prospective, population-based Rotterdam study. BMC Med, 2015, 13: 132.
15. 王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告 2020》概要. 中国脑血管病杂志, 2022, 19(2): 136-144.
16. 中国医师协会神经内科分会认知障碍专业委员会, 《中国血管性认知障碍诊治指南》编写组. 2019 年中国血管性认知障碍诊治指南. 中华医学杂志, 2019, 99(35): 2737-2744.

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Interpretation of European Stroke Organization (ESO) and European Academy of Neurology (EAN) Joint Guideline on Post-stroke Cognitive Impairment

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