Neuropsychological assessment in acute stroke patients.
Battery
Brain lesion
Cognitive domain
Stroke
Journal
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
16
05
2019
accepted:
30
12
2019
pubmed:
11
1
2020
medline:
9
2
2021
entrez:
11
1
2020
Statut:
ppublish
Résumé
The number of people suffering from stroke is strongly increasing, giving rise to multiple cognitive deficits which frequently prevent a full recovery. The identification of both spared and impaired cognitive domains has a key role to plan adequate interventions. However, the existing standard tests are either too expensive in terms of time and efforts for patients in acute stage or they derived from instruments addressing different pathologies such as dementia. We developed a brief neuropsychological battery (mental performance in acute stroke, MEPS) to assess different cognitive domains (language, memory, praxis, visual perception) in acute stroke patients. MEPS was validated by enrolling a sample of 204 patients suffering from stroke in acute stage, and 263 healthy controls participants. The results indicated an adequate construct validity and a high ability in discriminating patients from healthy controls. MEPS can be considered a simple and highly valuable bedside battery, easy to administer, with values of sensitivity and specificity suitable to be proposed as a screening tool for patients with acute stroke.
Sections du résumé
BACKGROUND AND PURPOSE
OBJECTIVE
The number of people suffering from stroke is strongly increasing, giving rise to multiple cognitive deficits which frequently prevent a full recovery. The identification of both spared and impaired cognitive domains has a key role to plan adequate interventions. However, the existing standard tests are either too expensive in terms of time and efforts for patients in acute stage or they derived from instruments addressing different pathologies such as dementia.
METHODS
METHODS
We developed a brief neuropsychological battery (mental performance in acute stroke, MEPS) to assess different cognitive domains (language, memory, praxis, visual perception) in acute stroke patients. MEPS was validated by enrolling a sample of 204 patients suffering from stroke in acute stage, and 263 healthy controls participants.
RESULTS
RESULTS
The results indicated an adequate construct validity and a high ability in discriminating patients from healthy controls.
CONCLUSIONS
CONCLUSIONS
MEPS can be considered a simple and highly valuable bedside battery, easy to administer, with values of sensitivity and specificity suitable to be proposed as a screening tool for patients with acute stroke.
Identifiants
pubmed: 31919698
doi: 10.1007/s10072-019-04236-0
pii: 10.1007/s10072-019-04236-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM