Validation of the screening instrument for neuropsychological impairment in stroke

Sødring, Karen Margrethe; Laake, Knut; Sveen, Unni; Wyller, Torgeir Bruun; Bautz‐Holter, Erik

doi:10.1002/pri.119

Cited by 16 publications

(14 citation statements)

References 12 publications

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“…After contacting the publication authors, we retrieved the data for one of these papers. The other two studies [10, 11] were excluded, as the requested data were not available. One article reported on the aphasia item of the Scandinavian Stroke Scale (SSS).…”

Section: Resultsmentioning

confidence: 99%

Screening tests for aphasia in patients with stroke: a systematic review

et al. 2016

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Aphasia has a large impact on the quality of life and adds significantly to the costs of stroke care. Early recognition of aphasia in stroke patients is important for prognostication and well-timed treatment planning. We aimed to identify available screening tests for differentiating between aphasic and non-aphasic stroke patients, and to evaluate test accuracy, reliability, and feasibility. We searched PubMed, EMbase, Web of Science, and PsycINFO for published studies on screening tests aimed at assessing aphasia in stroke patients. The reference lists of the selected articles were scanned, and several experts were contacted to detect additional references. Of each screening test, we estimated the sensitivity, specificity, likelihood ratio of a positive test, likelihood ratio of a negative test, and diagnostic odds ratio (DOR), and rated the degree of bias of the validation method. We included ten studies evaluating eight screening tests. There was a large variation across studies regarding sample size, patient characteristics, and reference tests used for validation. Many papers failed to report on the consecutiveness of patient inclusion, time between aphasia onset and administration of the screening test, and blinding. Of the three studies that were rated as having an intermediate or low risk of bias, the DOR was highest for the Language Screening Test and ScreeLing. Several screening tools for aphasia in stroke are available, but many tests have not been verified properly. Methodologically sound validation studies of aphasia screening tests are needed to determine their usefulness in clinical practice.

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Section: Resultsmentioning

confidence: 99%

Screening tests for aphasia in patients with stroke: a systematic review

et al. 2016

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“…Seven to 12 days (mean 8 days) after symptom onset, the following assessments were made: the 5-m Walking Test; 14 in patients without aphasia, the Mini-Mental State Examination (MMSE); 11 the Screening Instrument for Neuropsychological Impairment in Stroke (SINIS), 15 a brief tool designed to detect aphasia, visuocognitive impairment, and apraxia (a total score of 54 points indicating no im-pairment); the Clock Drawing Test (CDT); 16 and the Trail Making Test A (TMT-A). 17,18 The TMT-A has been validated for dominant/nondominant hand.…”

Section: Methodsmentioning

confidence: 99%

Prognostic Significance of Micturition Disturbances After Acute Stroke

Pettersen

Wyller

2006

J American Geriatrics Society

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“…The average CST total score was 17.3 6 2.6 (range, [9][10][11][12][13][14][15][16][17][18][19][20]. A total of 115 patients (61.2%) showed impairment in orientation for time, and 120 patients (64.2%) were impaired in general knowledge.…”

Section: Description Of Cognitive Impairmentsmentioning

confidence: 99%

“…13 Accurately determining the extent of cognitive dysfunction through a quick screen is not easy in acute stroke patients; however, extensive neuropsychological testing is not relevant and often not possible at this stage, when patients can be medically unstable or undergo dramatic changes. 10,14 Moreover, extensive neuropsychological testing is timeconsuming and can be exhausting for the patient. Thus, short cognitive screening seems to be the obvious best way to detect cognitive impairments in the early days poststroke.…”

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confidence: 99%