Cognitive impairment in sporadic cerebral small vessel disease: A systematic review and meta-analysis.
Cognitive impairment in sporadic cerebral small vessel disease: A systematic review and meta-analysis.
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DOI:
10.1002/alz.12221
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发表时间:
2021-04
期刊:
影响因子:
--
通讯作者:
Wardlaw JM
中科院分区:
文献类型:
--
作者:
Hamilton OKL;Backhouse EV;Janssen E;Jochems ACC;Maher C;Ritakari TE;Stevenson AJ;Xia L;Deary IJ;Wardlaw JM
This paper is a proposal for an update on the characterisation of cognitive impairments associated with sporadic cerebral small vessel disease (SVD). We pose a series of questions about the nature of SVD-related cognitive impairments and provide answers based on a comprehensive review and meta-analysis of published data from 69 studies. Although SVD is thought primarily to affect executive function and processing speed, we hypothesise that SVD affects all major domains of cognitive ability. We also identify low levels of education as a potentially modifiable risk factor for SVD-related cognitive impairment. Therefore, we propose the use of comprehensive cognitive assessments and the measurement of educational level both in clinics and research settings, and suggest several recommendations for future research.
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