Ann Rehabil Med.  2013 Oct;37(5):611-618. 10.5535/arm.2013.37.5.611.

Risk Factor of Visuospatial Neglect: A Study of Association Between Visuospatial Neglect and Anemia

• Kim HJ
• Yoon TS
• Han SJ

• KMID: 2266577
• DOI: http://doi.org/10.5535/arm.2013.37.5.611

Abstract

OBJECTIVE
To investigate the correlation between visuospatial neglect and anemia in patients with right cerebral infarction, as well as to identify the risk factor of neglect and furnish preliminary data on rehabilitation management.
METHODS
The line bisection test and Albert test were conducted on subjects with right cerebral infarction in order to analyze neglect severity. Multiple linear regression analysis was conducted to investigate correlation between neglect severity and hemoglobin and hematocrit level. Logistic regression analysis was applied to identify the risk factor of neglect.
RESULTS
Visuospatial neglect was observed in 33 subjects out of 124. Hemoglobin and hematocrit were not directly correlated with visuospatial neglect severity, whereas infarct size was directly correlated. Subjects with visuospatial neglect were characterized by a large infarct size, a low score in the Mini-Mental State Examination and long hospital stay.
CONCLUSION
In this study, visuospatial neglect was found to be uncorrelated with anemia. It implies that emphasis should be placed on the early detection of anemia and neglect in patients with left hemiplegia, the formulation of respective therapeutic plans and improvement of prognosis. The study found that the possibility of a visuospatial neglect occurrence increases with infarct size. In this regard, it is required that visuospatial neglect was detected and treated in the earliest possible stage, notwithstanding the difficulty that lies in the precise measurement of the severity.

Keyword

Hemispatial neglect; Anemia; Hemoglobins

MeSH Terms

Anemia*
Cerebral Infarction
Hematocrit
Hemiplegia
Hemoglobins
Humans
Linear Models
Logistic Models
Perceptual Disorders
Prognosis
Risk Factors*
Surveys and Questionnaires
Hemoglobins

Figure

• 

  Fig. 1 The graph shows that the line bisection text, conducted on the day of transfer, was negatively correlated with the hemoglobin (Hb) level without adjustment for the age, gender, infarct size, and Mini-Mental State Examination.

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