To prospectively assess the cognitive status of CSDH patients compared to elderly healthy controls and study the association of cognitive status with specific management strategies of CSDH.
Key Findings:
73% of CSDH patients had Markwalder grading scale (MGS) score 1, indicating mild clinical severity.
Cognitive impairment was prevalent in CSDH patients, with a significant difference compared to healthy controls, highlighting the need for targeted interventions.
Cognitive complaints included memory deficits, slowed cognitive functioning, disorientation, and altered behavior, which are critical for understanding patient needs.
Interpretation:
CSDH patients exhibit significant cognitive impairment post-treatment, underscoring the necessity for long-term cognitive assessment and the development of tailored rehabilitation strategies.
Limitations:
The study's sample size was limited to 56 CSDH patients, which may affect the generalizability of the findings.
Cognitive assessments were conducted only three months post-treatment, which may not capture long-term outcomes; potential biases in patient selection should also be considered.
Conclusion:
Cognitive impairment in CSDH patients is prevalent and warrants further investigation to develop targeted cognitive rehabilitation programs, particularly focusing on long-term outcomes.
by Jurre Blaauw, Heleen M.den Hertog, Dana C. Holl, Nikki S. Thüss, Niels A. van der Gaag, Korné Jellema, Ruben Dammers, Kuan H. Kho, Rob J. M. Groen, Hester F. Lingsma, Bram Jacobs, Joukje van der Naalt
