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June 15, 2026Communications MedicineOpen Access

Prospective analysis of long-term trajectories of functional scores before and after a diagnosis of stroke

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Authors

XSXianwen ShangLLLei LiuXZXueli Zhang

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Overview

Prospective analysis shows significant changes in functional scores before and after stroke diagnosis, indicating critical periods for prevention and management.

Key Points

  • This analysis aims to understand the long-term trajectories of functional scores before and after stroke diagnosis across different populations.
  • Analyzed data from four studies: CHARLS, ELSA, HRS, and SHARE with 1325, 754, 3907, and 2902 incident strokes, respectively.
  • Matched two non-stroke participants by age and gender to each stroke case.
  • Employed linear mixed models to estimate trajectories of functional scores over time.
  • Individuals with stroke exhibit a steeper decline in memory, with adjusted β values indicating significant decline across studies.
  • Stroke participants demonstrate greater limitations in activities of daily living starting several years before diagnosis, increasing for five years post-onset.
  • Women show greater increases in depressive symptoms (CESD), mobility limitations, and frailty compared to men.

Cite This Study

Shang et al. (2026) studied this question.

synapsesocial.com/papers/6a2f9621a1cfeec490827c3dhttps://doi.org/10.1038/s43856-026-01710-7
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