Association of blood pressure and cognitive function based on MoCA‐INA and MMSE scores among ischemic stroke patients at Atma Jaya Hospital in 2014‐2019

Abstract

AbstractBackgroundCognitive impairment is a common finding among stroke patients and causing significant decline in survivors’ quality of life. Hypoperfusion is one of the mechanism of transient or permanent ischemia and cause of cognitive deficit. Hypertension causes right shift on cerebrovascular autoregulation, causing brain to be more vulnerable to hypoperfusion in hypotensive state. However, studies assessing the association of blood pressure on acute phase of stroke and cognitive function are still scarce.MethodA cross‐sectional study using secondary data from Atma Jaya Hospital Stroke Registry in 2014‐2019. Total sampling method resulted in 144 eligible samples. Blood pressure measurement was done at the time of admission, cognitive function was assessed at the time of discharge using MoCA‐INA and MMSE questionnaires. Data analysis was performed using Kruskall‐Wallis comparative test.ResultNo significant association of systolic blood pressure and cognitive function based on MoCA‐INA (p = 0,569) and MMSE (p = 0,147) scores. No significant association of diastolic blood pressure and cognitive function based on MoCA‐INA (p = 0,818) and MMSE (p = 0,184) scores.ConclusionNo significant association of blood pressure on acute phase of stroke and cognitive function based on MoCA‐INA and MMSE scores among ischemic stroke patients at Atma Jaya Hopital in 2014‐2019.