An evaluation of screening measures for cognitive impairment after stroke.

@article{Blake2002AnEO,
  title={An evaluation of screening measures for cognitive impairment after stroke.},
  author={Holly Blake and Michelle McKinney and K. A. Treece and Elizabeth Lee and Nadina B Lincoln},
  journal={Age and ageing},
  year={2002},
  volume={31 6},
  pages={
          451-6
        }
}
OBJECTIVES To assess the sensitivity and specificity of a screening battery for detecting cognitive impairment after stroke. DESIGN A randomized controlled trial. METHODS Stroke patients were recruited from hospitals in three centres. Patients were screened for cognitive impairment on the Mini-Mental State Examination, the Sheffield Screening Test for Acquired Language Disorders and Raven's Coloured Progressive Matrices and received a further battery of assessments of cognitive function… Expand
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Strokes pathology creating negative effects on brain structure producing both physical and cognitive impairments, the recovery of both are time sensitive. Early detection of cognitive impairment (CI)Expand
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TLDR
The previously reported high sensitivity of MoCA is associated with low specificity and both screening tests are moderately sensitive to acute poststroke cognitive impairment. Expand
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TLDR
The results indicated that the MMSE has modest qualities in screening for mild cognitive disturbances and is adequate in screening in stroke patients 1 month after stroke, and cannot be used to predict further cognitive deterioration or improvement over time. Expand
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There is currently no existing freely available short screen for cognitive problems that targets stroke survivors specifically. We have developed a short cognitive screen, the Oxford Cognitive ScreenExpand
Restrictions of the Mini-Mental State Examination in acute stroke.
TLDR
The Mini-Mental State Examination is particularly insensitive to impairments in abstract reasoning, executive functioning, and visual perception/construction, and the optimum MMSE cut-off value could be identified. Expand
The validity of brief screening cognitive instruments in the diagnosis of cognitive impairment and dementia after first-ever stroke
TLDR
The S-MMSE and the IQCODE were individually poor at detecting CIND and dementia after a nonaphasic first-ever stroke and the combination was useful in detecting dementia but it does not replace the need for detailed neuropsychological tests. Expand
Test Accuracy of Short Screening Tests for Diagnosis of Delirium or Cognitive Impairment in an Acute Stroke Unit Setting
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The primary analysis suggests that 4AT is a reasonable choice for delirium and cognitive screening in this setting, however, these data are based on standard MoCA diagnostic threshold and may not be suited for an acute stroke population. Expand
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