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Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review

Screening instruments are ideal for acute clinical settings because they are easy to apply, fast, inexpensive and sensitive for specific samples. However, there is a need to verify the psychometric properties of screening in stroke patients. OBJECTIVE: This study investigated the psychometric proper...

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Autores principales: Rodrigues, Jaqueline de Carvalho, Becker, Natália, Beckenkamp, Carolina Luísa, Miná, Camila Schorr, de Salles, Jerusa Fumagalli, Bandeira, Denise Ruschel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Neurologia Cognitiva e do Comportamento 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497015/
https://www.ncbi.nlm.nih.gov/pubmed/31073378
http://dx.doi.org/10.1590/1980-57642018dn13-010004
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author Rodrigues, Jaqueline de Carvalho
Becker, Natália
Beckenkamp, Carolina Luísa
Miná, Camila Schorr
de Salles, Jerusa Fumagalli
Bandeira, Denise Ruschel
author_facet Rodrigues, Jaqueline de Carvalho
Becker, Natália
Beckenkamp, Carolina Luísa
Miná, Camila Schorr
de Salles, Jerusa Fumagalli
Bandeira, Denise Ruschel
author_sort Rodrigues, Jaqueline de Carvalho
collection PubMed
description Screening instruments are ideal for acute clinical settings because they are easy to apply, fast, inexpensive and sensitive for specific samples. However, there is a need to verify the psychometric properties of screening in stroke patients. OBJECTIVE: This study investigated the psychometric properties (methodological procedures) of cognitive screening for patients with cerebrovascular diseases. METHODS: A systematic review of papers published on PsycINFO, Web of Knowledge, PubMed and Science Direct (2005 to 2016) was performed. RESULTS: A total of 55 articles remained after applying exclusion criteria. The samples ranged from 20 to 657 patients. Most articles evaluated elderly individuals with four to 13 years of education who had experienced ischemic or hemorrhagic stroke. There was a tendency to find evidence of validity for criteria and to analyze the sensitivity/specificity of the instruments. Although the studies frequently used the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) to seek evidence of validity and reliability, the use of these instruments among stroke patients has been criticized due to their psychometric properties and the neuropsychological functions evaluated. CONCLUSION: Although there is no gold standard screen for assessing adults post-stroke, instruments devised specifically for this population have shown promise. This review helps both researchers and clinicians to select the most appropriate screen for identifying cognitive impairment in adults post-stroke.
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spelling pubmed-64970152019-05-09 Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review Rodrigues, Jaqueline de Carvalho Becker, Natália Beckenkamp, Carolina Luísa Miná, Camila Schorr de Salles, Jerusa Fumagalli Bandeira, Denise Ruschel Dement Neuropsychol Original Article Screening instruments are ideal for acute clinical settings because they are easy to apply, fast, inexpensive and sensitive for specific samples. However, there is a need to verify the psychometric properties of screening in stroke patients. OBJECTIVE: This study investigated the psychometric properties (methodological procedures) of cognitive screening for patients with cerebrovascular diseases. METHODS: A systematic review of papers published on PsycINFO, Web of Knowledge, PubMed and Science Direct (2005 to 2016) was performed. RESULTS: A total of 55 articles remained after applying exclusion criteria. The samples ranged from 20 to 657 patients. Most articles evaluated elderly individuals with four to 13 years of education who had experienced ischemic or hemorrhagic stroke. There was a tendency to find evidence of validity for criteria and to analyze the sensitivity/specificity of the instruments. Although the studies frequently used the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) to seek evidence of validity and reliability, the use of these instruments among stroke patients has been criticized due to their psychometric properties and the neuropsychological functions evaluated. CONCLUSION: Although there is no gold standard screen for assessing adults post-stroke, instruments devised specifically for this population have shown promise. This review helps both researchers and clinicians to select the most appropriate screen for identifying cognitive impairment in adults post-stroke. Associação de Neurologia Cognitiva e do Comportamento 2019 /pmc/articles/PMC6497015/ /pubmed/31073378 http://dx.doi.org/10.1590/1980-57642018dn13-010004 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rodrigues, Jaqueline de Carvalho
Becker, Natália
Beckenkamp, Carolina Luísa
Miná, Camila Schorr
de Salles, Jerusa Fumagalli
Bandeira, Denise Ruschel
Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review
title Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review
title_full Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review
title_fullStr Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review
title_full_unstemmed Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review
title_short Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review
title_sort psychometric properties of cognitive screening for patients with cerebrovascular diseases a systematic review
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497015/
https://www.ncbi.nlm.nih.gov/pubmed/31073378
http://dx.doi.org/10.1590/1980-57642018dn13-010004
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