IDENTIFYING RISK FACTORS FOR COGNITIVE IMPAIRMENT POST-ACUTE ISCHEMIC STROKE IN ATHLETES

Abstract

Objective: This study investigates the risk factors associated with cognitive impairment following acute ischemic stroke (AIS) specifically in athletes, assessing how these factors influence cognitive outcomes. Methods: A cohort of 163 athletes who experienced AIS and were admitted to our hospital formed the basis of this research. Cognitive functions were evaluated using the Mini-Mental State Examination (MMSE) 14 days post-stroke onset. Participants were categorized into two groups based on cognitive performance: a control group (72 athletes with cognitive impairment) and an observation group (91 athletes without cognitive impairment). Comparative analysis focused on baseline demographics, vascular risk factors, and medical clinical laboratory data. Logistic regression was utilized to determine the predictors of cognitive impairment post-AIS. Results: Significant differences in risk factors were observed between the two groups (P < 0.05), with the control group exhibiting higher rates of factors traditionally associated with cognitive decline post-stroke. These included age, presence of diabetes, previous stroke incidents, history of transient ischemic attacks, and levels of low-density lipoprotein. Conclusion: The incidence of cognitive impairment is notably high in athletes following AIS, with several modifiable and non-modifiable risk factors contributing to its prevalence. This study highlights the importance of targeted prevention strategies and early intervention to mitigate the risk of cognitive decline in athletes recovering from AIS, emphasizing the need for specialized clinical pathways that consider the unique demands and health profiles of this population.