ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TÌNH TRẠNG RỐI LOẠN CHỨC NĂNG NHẬN THỨC Ở BỆNH NHÂN SAU ĐỘT QUỴ NÃO ĐƯỢC ĐIỀU TRỊ TẠI BỆNH VIỆN PHỤC HỒI CHỨC NĂNG BẮC NINH

Abstract

Objective: To describe the clinical and paraclinical characteristics and cognitive impairment among post-stroke patients treated at Bac Ninh Rehabilitation Hospital.

Subjects and Methods: A cross-sectional descriptive study was conducted on 282 post-stroke patients hospitalized at Bac Ninh Rehabilitation Hospital from March 2025 to March 2026. Cognitive function was assessed using the Mini-Mental State Examination (MMSE).

Results: The mean age of the study participants was 64.64 ± 11.75 years, with the 61–70-year age group accounting for the highest proportion (36.9%). Males represented 62.8% of the study population. Ischemic stroke accounted for 64.9% of cases, while hemorrhagic stroke accounted for 35.1%. The most common clinical manifestations were headache (80.5%), dizziness (67.7%), dysarthria (50.4%), sensory impairment (100%), and hemiplegia (99.6%). The mean MMSE score was 24.46 ± 4.23. The prevalence of cognitive impairment was 40.8%, including mild cognitive impairment in 33.3% and severe cognitive impairment in 7.4% of patients. The most frequently affected cognitive domains were perception (42.2%), memory (34.8%), attention (27.0%), orientation (24.3%), language (20.9%), and executive function (13.1%).

Conclusion: Cognitive impairment is a common complication among post-stroke patients, with a prevalence of 40.8%. The most affected cognitive domains were perception, memory, and attention. Assessment of cognitive function using the MMSE is useful for the early detection of cognitive impairment and may facilitate the development of appropriate rehabilitation programs for post-stroke patients.