About this trial
Present study aims to track the post-stroke cognitive trajectories and to investigate its inter-individual variability.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years old
First-ever anterior circulation ischemic stroke confirmed by routine MRI
Time of enrollment: ≤ 10 days from stroke onset.
Disqualifiers
Previous stroke anamnestic or based on clinical imaging
Additional stroke in posterior circulation
Conditions that preclude the cognitive testing (e.g. delirium, intubation, reduced vigilance
Neurological or psychiatric conditions that preclude the data interpretation (e.g. pre-stroke dementia, schizophrenia, brain tumor, regular intake of benzodiazepine, depression)
Trial population
The study recuits patients hospitalized at the Department of Neurology of the University Hospital of Bern (Inselspital)
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Number of participants with delayed cognitive deterioration (DCD)
The investigators will assess number of participants with deterioration of the cognitive performance in ≥2 cognitive domains on ≥ 1 Standard Deviation (1 SD).
Number of participants with delayed functional deterioration
The investigators will assess number of participants with deterioration of functional disability will be defined as decrease in disability level to one point assessed via modified Rankin Scale (mRS, 0-6, whereas 0=no functional disability).
Secondary outcomes
Number of participants with post-stroke cognitive impairment
The investigators will assess number of participants with post-stroke cognitive impairment that is defined as at least moderate deficit (performance below -1.5 SD) in ≥ 2 cognitive domains. The cognitive performance across all basic cognitive domains is assessed using a standardized neuropsychological test battery with available normative data. The test battery includes tests from Consortium to Establish a Registry for Alzheimer's Disease (CERAD), Trail Making Test A + B, verbal fluency, alertness test, digit span (forward and backward), Bells test, and Montreal Cognitive Assessment.
Sponsors and contacts
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Roza Umarova
Lead sponsor
Insel Gruppe AG, University Hospital Bern
Sponsor institution