{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T02:09:19Z","timestamp":1786500559928,"version":"build-2736575974"},"reference-count":30,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T00:00:00Z","timestamp":1628640000000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["Programme Efficiency Studies; project number 84300"],"award-info":[{"award-number":["Programme Efficiency Studies; project number 84300"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>After stroke, many patients experience cognitive and\/or emotional problems. While national guidelines recommend screening for these problems, actual screening rates might be limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to examine the clinical practice at neurology departments regarding screening, information provision and follow-up care for cognitive and emotional problems after transient ischaemic attack (TIA) and ischaemic stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A nationwide, cross-sectional, online survey was conducted between October 2018 and October 2019 among neurologists in all hospitals in the Netherlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Neurologists in 78 hospitals were invited to join the survey, and 52 (67%) of them completed it. Thirty-one (59%) neurologists reported that screening for cognitive problems after TIA and ischaemic stroke was mostly or always performed. When cognitive screening was performed, 42 (84%) used validated screening instruments. Twenty-nine (56%) of the respondents reported that screening for emotional problems was mostly or always performed. When emotional screening was performed, 31 (63%) reported using validated screening instruments. Timing of screening and information provision was highly variable, and the majority reported that there was no protocol for follow-up care when cognitive or emotional problems were found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates that clinical practice at neurology departments is highly variable regarding screening, information provision and follow-up care for cognitive and emotional problems in patients after TIA or ischaemic stroke. Approximately half of the participating neurologists reported that screening was performed only sometimes or never for cognitive and emotional problems after TIA and ischaemic stroke.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2020-046316","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T16:27:32Z","timestamp":1628785652000},"page":"e046316","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Screening and follow-up care for cognitive and emotional problems after transient ischaemic attack and ischaemic stroke: a national, cross-sectional, online survey among neurologists in the Netherlands"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0314-9797","authenticated-orcid":false,"given":"Jos","family":"Slenders","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renske","family":"Van den Berg-Vos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Visser-Meily","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"van Heugten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0942-6206","authenticated-orcid":false,"given":"Vincent","family":"Kwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"key":"2022071306350944000_11.8.e046316.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61953-4"},{"key":"2022071306350944000_11.8.e046316.2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.12469"},{"key":"2022071306350944000_11.8.e046316.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2013.05.003"},{"key":"2022071306350944000_11.8.e046316.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2012.00906.x"},{"key":"2022071306350944000_11.8.e046316.5","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/2396987318825484","article-title":"Systematic review and meta-analysis of the prevalence of cognitive impairment no dementia in the first year post-stroke","volume":"4","author":"Sexton","year":"2019","journal-title":"Eur Stroke J"},{"key":"2022071306350944000_11.8.e046316.6","doi-asserted-by":"publisher","DOI":"10.1111\/ijs.12357"},{"key":"2022071306350944000_11.8.e046316.7","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1080\/09638288.2016.1271466","article-title":"Long-term restrictions in participation in stroke survivors under and over 70 years of age","volume":"40","author":"de Graaf","year":"2018","journal-title":"Disabil Rehabil"},{"key":"2022071306350944000_11.8.e046316.8","doi-asserted-by":"crossref","first-page":"769","DOI":"10.2340\/16501977-2384","article-title":"Anxiety after stroke: a systematic review and meta-analysis","volume":"50","author":"Rafsten","year":"2018","journal-title":"J Rehabil Med"},{"key":"2022071306350944000_11.8.e046316.9","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1080\/09638288.2016.1200676","article-title":"Long-term impact of stroke on patients' health-related quality of life","volume":"39","author":"De Wit","year":"2017","journal-title":"Disabil Rehabil"},{"key":"2022071306350944000_11.8.e046316.10","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1179\/1074935714Z.0000000012","article-title":"Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke","volume":"22","author":"Babulal","year":"2015","journal-title":"Top Stroke Rehabil"},{"key":"2022071306350944000_11.8.e046316.11","doi-asserted-by":"publisher","DOI":"10.1310\/tsr2001-52"},{"key":"2022071306350944000_11.8.e046316.12","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000015"},{"key":"2022071306350944000_11.8.e046316.13","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000098"},{"key":"2022071306350944000_11.8.e046316.14","unstructured":"Rudd T , Bowen A , James M , et al . 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