Analiza budowy zdań u pacjentów z udarem niedokrwiennym mózgu

Introduction . The definition of brain health and the best method of promoting optimal brain health is an American Heart Association/American Stroke Association initiative. Intact cognitive function is important following an ischemic stroke for successful rehabilitation. Therefore having a simple metric of cognitive function would be optimal for all health professionals. Aim . The aim of this study was to investigate if using Developmental Sentence Scoring (DSS) on sentences written by patients on a Mini-Mental State Examination (MMSE) could provide a simple metric of cognitive function. Material and Methods . This secondary analysis reports on sentences written by patients after an ischemic stroke using quantitative and conventional content analysis methods. Results . A mean score of 24.38 (SD±13, range 9–30) was found in the 76 patients who had written something in the course of the Folstein MMSE. The number of words ranged from 1 to 16 with the greatest number (21) averaging 5 words. The DSS ranged from 0–11 with a mean of 4. The mean Folstein MMSE (N=30), was 27.53 (SD±2.74, range 18–30) in patients who consented to a home visit 3 years after their stroke. Twenty seven of the 30 patients had written something and the number of words ranged from 1 to 12 with the greatest number (10) averaging 5 words. The DSS ranged from 0–12 with a mean of 4. Conventional content analysis revealed an overarching pattern articulated in two ways: (1) Awareness of recent space and time and remote memories of people and place (2) Expression of the self as person. Conclusions . This secondary analysis provides normative data and a rich description of cognitive function in a group of individuals describing the DSS at baseline and again at 3 years after stroke but the sample was too small to be able to provide a simple metric of cognitive function. (JNNN 2018;7(4):140–144)