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We interviewed 120 elderly hemiplegic patients 1 year after their acute stroke to assess cognitive impairment using the Mini-Mental State Examination,functional autonomy using the Barthel Index,mood disorders using the Hamilton Rating Depression Scale,and social integration using Social Functioning Exam.Of the 76 patients admitted to this study,eight (12.1%of those testable)had significant cognitive impairment,41(53.9%)were functionally self-sufficient,27(35.5%)showed depressive symptoms,and 44 (57.9%)had problems in social and family integration.We suggest that a complete rehabilitation program aimed at producing a good quality of life for elderly hemiplegic patients should take into account all these aspects of human existence. |
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