Uncharted territory: The feasibility of serial computerised cognitive assessment the first week post-stroke

Alana Campbell; Louise Gustafsson; Hannah Gullo; Mathew Summers; Ingrid Rosbergen; Rohan S Grimley

doi:10.1016/j.jstrokecerebrovasdis.2022.106614

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Uncharted territory: The feasibility of serial computerised cognitive assessment the first week post-stroke

Journal article

Peer reviewed

Uncharted territory: The feasibility of serial computerised cognitive assessment the first week post-stroke

Alana Campbell, Louise Gustafsson, Hannah Gullo, Mathew Summers, Ingrid Rosbergen and Rohan S Grimley

Journal of Stroke and Cerebrovascular Diseases, Vol.31(9), pp.1-10

2022

DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106614

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Abstract

CANTAB, Cambridge Neuropsychological Test Automated Battery

DASS-21, Depression Anxiety Stress Scales À Short Form

FSIQ, Full Scale Intelligence Quotient

HREC, Human Research Ethics Committee

MMSE, Mini-Mental State Examina- tion

MoCA, Montreal Cognitive Assessment

MTT, Multitasking Test

NIHSS, National Institutes of Health Stroke Scale

OCS, Oxford Cognitive Screen

PAL, Paired Associates Learning

RTI, Reaction Time

RVP, Rapid Visual Information Processing

SWM, Spatial Working Memory

4-AT4-A's Test for Delirium

WTARWechsler Test of Adult Reading

Background: Cognitive impairment is common and problematic post-stroke, yet vital information to understand early cognitive recovery is lacking. To examine early cognitive recovery, it is first necessary to establish the feasibility of repeat cognitive assessment during the acute post-stroke phase. Objective: To determine if serial computerised testing is feasible for cognitive assessment in an acute post-stroke phase, measured by assessment completion rates. Method: An observational cohort study recruited consecutive stroke patients admitted to an acute stroke unit within 48 hours of onset. Daily assessment with the Cambridge Neuropsychological Test Automated Battery (CANTAB) was performed for seven days, and single Montreal Cognitive Assessment (MoCA). Results: Seventy-one participants were recruited, mean age 74 years, with 67 completing daily testing. Participants had predominantly mild (85%; NIHSS ≤6), ischemic (90%) stroke, 32% demonstrated clinical delirium. The first day of testing, 76% of participants completed CANTAB batteries. Eighty-seven percent of participants completed MoCA a mean of 3.4 days post-stroke. The proportion of CANTAB batteries completed improved significantly from day 2 to day 3 post-stroke with test completion rates stabilizing ≥ 92% by day 4. Participants with incomplete CANTAB were older, with persisting delirium, and longer stay in acute care. Conclusion: Serial computerised cognitive assessments are feasible the first week post-stroke and provide a novel approach to measuring cognitive change for both clinical and research purposes. Maximum completion rates by day four have clinical implications for optimal timing of cognitive testing.

Details

Title: Uncharted territory: The feasibility of serial computerised cognitive assessment the first week post-stroke
Authors: Alana Campbell (Author) - Sunshine Coast Hospital and Health Service
Louise Gustafsson (Author) - Griffith University
Hannah Gullo (Author) - University of Queensland
Mathew Summers (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
Ingrid Rosbergen (Author) - University of Queensland
Rohan S Grimley (Author) - Griffith University
Publication details: Journal of Stroke and Cerebrovascular Diseases, Vol.31(9), pp.1-10
Publisher: Elsevier Inc.
DOI: 10.1016/j.jstrokecerebrovasdis.2022.106614
ISSN: 1532-8511
Organisation Unit: School of Health - Psychology; School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health
Language: English
Record Identifier: 99657598602621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Neurosciences; Peripheral Vascular Disease

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