针对失语性左半球卒中患者，卒中患者认知评估量表（CASP）与简易精神状态检查表（MMSE）及蒙特利尔认知评估量表（MoCA）的可行性比较
Feasibility of the cognitive assessment scale for stroke patients (CASP) vs. MMSE and MoCA in aphasic left hemispheric stroke patients.
作者信息
Barnay J-L, Wauquiez G, Bonnin-Koang H Y, Anquetil C, Pérennou D, Piscicelli C, Lucas-Pineau B, Muja L, le Stunff E, de Boissezon X, Terracol C, Rousseaux M, Bejot Y, Binquet C, Antoine D, Devilliers H, Benaim C
机构信息
Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France.
Unité de rééducation neurologique, département de MPR, CHU de Nîmes, 30240 Le Grau du Roi, France.
出版信息
Ann Phys Rehabil Med. 2014 Aug-Sep;57(6-7):422-35. doi: 10.1016/j.rehab.2014.05.010. Epub 2014 Jun 6.
INTRODUCTION
Post-stroke aphasia makes it difficult to assess cognitive deficiencies. We thus developed the CASP, which can be administered without using language. Our objective was to compare the feasibility of the CASP, the Mini Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) in aphasic stroke patients.
MATERIAL AND METHODS
All aphasic patients consecutively admitted to seven French rehabilitation units during a 4-month period after a recent first left hemispheric stroke were assessed with CASP, MMSE and MoCA. We determined the proportion of patients in whom it was impossible to administer at least one item from these 3 scales, and compared their administration times.
RESULTS
Forty-four patients were included (age 64±15, 26 males). The CASP was impossible to administer in eight of them (18%), compared with 16 for the MMSE (36%, P=0.05) and 13 for the MoCA (30%, P=0.21, NS). It was possible to administer the CASP in all of the patients with expressive aphasia, whereas the MMSE and the MoCA could not be administered. Administration times were longer for the CASP (13±4min) than for the MMSE (8±3min, P<10(-6)) and the MoCA (11±5min, P=0.23, NS).
CONCLUSION
The CASP is more feasible than the MMSE and the MoCA in aphasic stroke patients.
引言
中风后失语症使得评估认知缺陷变得困难。因此，我们开发了失语症认知筛查量表（CASP），该量表无需使用语言即可进行测评。我们的目的是比较失语症中风患者使用CASP、简易精神状态检查表（MMSE）和蒙特利尔认知评估量表（MoCA）的可行性。
材料与方法
在最近首次发生左侧半球中风后的4个月内，连续入住7个法国康复单元的所有失语症患者均接受了CASP、MMSE和MoCA测评。我们确定了无法对这3个量表中的至少一个项目进行测评的患者比例，并比较了它们的测评时间。
结果
纳入44例患者（年龄64±15岁，男性26例）。其中8例（18%）无法进行CASP测评，MMSE为16例（36%，P=0.05），MoCA为13例（30%，P=0.21，无统计学意义）。所有表达性失语症患者均能进行CASP测评，而MMSE和MoCA则无法进行。CASP的测评时间（13±4分钟）长于MMSE（8±3分钟，P<10(-6)）和MoCA（11±5分钟，P=0.23，无统计学意义）。
结论
在失语症中风患者中，CASP比MMSE和MoCA更具可行性。
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