PREVALENCE AND ASSOCIATED FACTORS OF COGNITIVE IMPAIRMEN T AMONG STROKE SURVIVORS ATTENDING AT COMPREHENSIVE SPECIALIZED HOSPITALS IN AMHARA REGION ETHIOPIA, 2022

Abstract

Abstract Background Cognitive impairment is when a person has suffered focused attention, executive function, recall, producing and understanding language, solving problem, and making decisions. Deficit in cognitive impairment is among the more serious of the sequalae of stroke, delaying and often seriously compromising attempts at rehabilitation. Post stroke cognitive impairment is associated with impaired activities of daily living, which in turn may result in greater utilization of healthcare services and reduced capacity for independent living and reduction in functional performance. Objective: - To assess the prevalence and associated factors of cognitive impairment among stroke survivors at comprehensive specialized hospitals in Amhara region Ethiopia 2022. Methods: - Institutional based cross sectional study design was conducted from April to June . All stroke survivors who were attended at selected comprehensive specialized hospital during the study period were included. Data was collected by interviewing the participants using a structured questionnaire and medical chart review through trained data collectors. Participants were selected through systematic random Sampling technique. Cognitive impairment was measured using Montreal cognitive assessment basic. Data was analyzed using descriptive statistics, binary and multivariate logistic regression methods. AOR with P value <0.05 with 95% CI was considered statistically significant. Result. A total of 422 stroke survivors were included in this study. The overall prevalence of cognitive impairment among stroke survivors was 58.3% (95% CI 53.4%- 63.0%).old age (AOR; 7.115,CI(4.403-11.451)),beinghypertensive(AOR;7.517,CI(3.457-16.346)),time to hospital hospital(AOR;4.328,CI(1.490-12.054))and being illiterate(AOR;5.256,CI(4.429-18.640)) were found significant factors. Conclusion: Cognitive impairment is relatively common among stroke survivors in this study, More than half of stroke survivors attended at comprehensive specialized hospitals in Amhara region during the study period were found to present with cognitive impairment Key words:-stroke, cognitive impairment, prevalence, Ethiopia