A Comparison of Different Cognitive Screening Instruments on Early Detection of Mild Cognitive Impairments in Post-Stroke Patients.
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
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) is crucial to augment recovery rate. Formal cognitive assessment often needs 2-4 hours, which may not be clinically available. There is a need of an efficient cognitive screening test as an aide for subsequent proper referral to neuropsychologists for a thorough neuropsychological assessment. The Mini mental state Examination (MMSE), The Montreal Cognitive assessment (MoCA) and the Addenbrooke's Cognitive Examination-Revised (ACE-R) are commonly used as screening tools for CI. Thisstudy aimed to compare the proportions of MCI determined by different cognitive screening instruments (CSI), identifying the most effective one. This was a cross-sectional study for stroke patients with age 55.81±3.03 years, and stroke duration 4.86±0.73 months. The proportion of MCI identified using MMSE, MoCA and ACE-R were 40%, 66% and 75%. This difference was statistically significant (chi-square test, p < 0. 05). The proportion of MCI identified in post-stroke patients was higher when using ACE-R and the MoCAin comparison to the MMSE,the ACE-R and The MoCAare recommended as an alternative in the early detection of MCI in post-stroke patients.
Authors and Affiliations
Ayman A. Nassif, Moataz M. El Semary, Ghada A. Abdallah, Rabab A. Mohamed
Keywords
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- EP ID EP436282
- DOI 10.9790/1959-0703058592.
- Views 123
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