The American Heart Association highlights the significant risk of cognitive impairment and dementia among stroke survivors. Over 50% of stroke survivors may experience cognitive impairment within the first year, with one-third facing dementia within five years. Early and ongoing screening is critical for effective treatment and rehabilitation, including multidisciplinary care and cognitive rehabilitation. Cognitive impairment can fluctuate, especially in the first six months post-stroke.
Despite its prevalence, cognitive impairment often goes underreported and underdiagnosed, impacting survivors’ daily lives. Early detection is essential for immediate care planning, and healthcare professionals are encouraged to use brief screening tests to identify cognitive issues. Collaborative care involving various health specialists is recommended to optimize monitoring and support for survivors.
The statement also emphasizes preventing recurrent strokes through managing risk factors such as high blood pressure and diabetes to mitigate cognitive decline. There is a pressing need for further research into effective, culturally relevant treatments and screening methods. Identifying patients vulnerable to cognitive impairment can enhance long-term care and support. The scientific statement aims to raise awareness and inform future guidelines to improve care for stroke survivors facing cognitive challenges.
