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Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study

BACKGROUND: : Cognitive status evaluation is not routine in the acute stroke setting and there is no consensus on which neuropsychological tool is more feasible and informative. The aim of this pilot study was to compare the feasibility and acceptability of two brief cognitive tests, the Montreal Co...

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Autores principales: Brambilla, Michela, Cerasetti, Martina, Pepe, Fulvio, Pini, Elisa, Pomati, Simone, Magni, Eugenio, Berlingeri, Manuela, Pantoni, Leonardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616334/
https://www.ncbi.nlm.nih.gov/pubmed/36324706
http://dx.doi.org/10.1016/j.cccb.2021.100021
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author Brambilla, Michela
Cerasetti, Martina
Pepe, Fulvio
Pini, Elisa
Pomati, Simone
Magni, Eugenio
Berlingeri, Manuela
Pantoni, Leonardo
author_facet Brambilla, Michela
Cerasetti, Martina
Pepe, Fulvio
Pini, Elisa
Pomati, Simone
Magni, Eugenio
Berlingeri, Manuela
Pantoni, Leonardo
author_sort Brambilla, Michela
collection PubMed
description BACKGROUND: : Cognitive status evaluation is not routine in the acute stroke setting and there is no consensus on which neuropsychological tool is more feasible and informative. The aim of this pilot study was to compare the feasibility and acceptability of two brief cognitive tests, the Montreal Cognitive Assessment (MoCA) and the Oxford Cognitive Screen (OCS), in acute stroke, with a focus on patients' experience, administration time, and the cognitive data obtained. METHODS: : Patients with a diagnosis of ischemic or hemorrhagic stroke or of transient ischemic attack admitted to two stroke units were included. The sample consisted of 34 participants (mean age ±SD 71.1 ± 16.1 years, 25 males). Within five days of onset, patients were evaluated by means of the MoCA and OCS by a trained neuropsychologist. RESULTS: Both tests were feasible in the stroke unit setting and had a high level of acceptability by patients. MoCA test was fully completed by 25 patients, OCS by 21 patients. The OCS administration time was longer than that of the MoCA. However, OCS was perceived less demanding than MoCA by patients. Twenty patients completed both the MoCA and the OCS entirely, and only 2 of them did not show any impairment in both tests. Seventeen patients showed at least an impaired domain on the OCS and 15 patients presented with a MoCA global score below cut-off for cognitive impairment. CONCLUSIONS: Our preliminary study did not show a superiority of the OCS over the widely used MoCA, and suggests the need for further validation in larger samples of stroke patients, exploring tests accuracy in detecting cognitive post-stroke impairment.
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spelling pubmed-96163342022-11-01 Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study Brambilla, Michela Cerasetti, Martina Pepe, Fulvio Pini, Elisa Pomati, Simone Magni, Eugenio Berlingeri, Manuela Pantoni, Leonardo Cereb Circ Cogn Behav Article BACKGROUND: : Cognitive status evaluation is not routine in the acute stroke setting and there is no consensus on which neuropsychological tool is more feasible and informative. The aim of this pilot study was to compare the feasibility and acceptability of two brief cognitive tests, the Montreal Cognitive Assessment (MoCA) and the Oxford Cognitive Screen (OCS), in acute stroke, with a focus on patients' experience, administration time, and the cognitive data obtained. METHODS: : Patients with a diagnosis of ischemic or hemorrhagic stroke or of transient ischemic attack admitted to two stroke units were included. The sample consisted of 34 participants (mean age ±SD 71.1 ± 16.1 years, 25 males). Within five days of onset, patients were evaluated by means of the MoCA and OCS by a trained neuropsychologist. RESULTS: Both tests were feasible in the stroke unit setting and had a high level of acceptability by patients. MoCA test was fully completed by 25 patients, OCS by 21 patients. The OCS administration time was longer than that of the MoCA. However, OCS was perceived less demanding than MoCA by patients. Twenty patients completed both the MoCA and the OCS entirely, and only 2 of them did not show any impairment in both tests. Seventeen patients showed at least an impaired domain on the OCS and 15 patients presented with a MoCA global score below cut-off for cognitive impairment. CONCLUSIONS: Our preliminary study did not show a superiority of the OCS over the widely used MoCA, and suggests the need for further validation in larger samples of stroke patients, exploring tests accuracy in detecting cognitive post-stroke impairment. Elsevier 2021-07-04 /pmc/articles/PMC9616334/ /pubmed/36324706 http://dx.doi.org/10.1016/j.cccb.2021.100021 Text en © 2021 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Brambilla, Michela
Cerasetti, Martina
Pepe, Fulvio
Pini, Elisa
Pomati, Simone
Magni, Eugenio
Berlingeri, Manuela
Pantoni, Leonardo
Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study
title Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study
title_full Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study
title_fullStr Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study
title_full_unstemmed Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study
title_short Comparison of Oxford Cognitive Screen and Montreal Cognitive Assessment feasibility in the stroke unit setting. A pilot study
title_sort comparison of oxford cognitive screen and montreal cognitive assessment feasibility in the stroke unit setting. a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616334/
https://www.ncbi.nlm.nih.gov/pubmed/36324706
http://dx.doi.org/10.1016/j.cccb.2021.100021
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