非失语性半球卒中患者中，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）的比较
The Cognitive Assessment scale for Stroke Patients (CASP) vs. MMSE and MoCA in non-aphasic hemispheric stroke patients.
作者信息
Benaim C, 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, Antoine D, Binquet C, Devilliers H
机构信息
Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France; Inserm, centre d'investigation clinique, module épidémiologie clinique (CIC1432), CHU de Dijon, Dijon, France; Inserm, U1093, Dijon, France.
Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France.
出版信息
Ann Phys Rehabil Med. 2015 Apr;58(2):78-85. doi: 10.1016/j.rehab.2014.12.001. Epub 2015 Jan 15.
INTRODUCTION
CASP specifically assesses post-stroke cognitive impairments. Its items are visual and as such can be administered to patients with severe expressive aphasia. We have previously shown that the CASP was more suitable than the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in aphasic patients. Our objective was to compare the above scales in non-aphasic stroke patients, and assess to what extent the solely visual items of the CASP were problematic in cases of neurovisual impairments.
METHODS
Fifty non-aphasic patients admitted to Physical Medicine and Rehabilitation (PM&R) units after a recent left- or right-hemisphere stroke were evaluated with the CASP, MMSE and MoCA. We compared these three scales in terms of feasibility, concordance, and influence of neurovisual impairments on the total score.
RESULTS
Twenty-nine men and 21 women were included (mean age 63 ± 14). For three patients, the MoCa was impossible to administer. It took significantly less time to administer the CASP (10 ± 5 min) than the MoCA (11 ± 5 min, P=0.02), yet it still took more time than MMSE administration (7 ± 3 min, P<10(-6)). Neurovisual impairments affected equally the total scores of the three tests. Concordance between these scores was poor and only the CASP could specifically assess unilateral spatial neglect.
CONCLUSION
The sole visual format of the CASP scale seems suitable for administration in post-stroke patients.
引言
卒中后认知功能障碍量表（CASP）专门用于评估卒中后的认知障碍。其项目为视觉形式，因此可用于严重表达性失语患者。我们之前已经表明，在失语患者中，CASP比简易精神状态检查表（MMSE）和蒙特利尔认知评估量表（MoCA）更适用。我们的目的是比较上述量表在非失语性卒中患者中的表现，并评估在存在神经视觉障碍的情况下，CASP仅包含视觉项目的部分在多大程度上存在问题。
方法
对50名近期发生左半球或右半球卒中后入住物理医学与康复（PM&R）科的非失语患者进行了CASP、MMSE和MoCA评估。我们从可行性、一致性以及神经视觉障碍对总分的影响等方面对这三个量表进行了比较。
结果
纳入29名男性和21名女性（平均年龄63±14岁）。有3名患者无法进行MoCa评估。CASP的施测时间（10±5分钟）明显短于MoCA（11±5分钟，P=0.02），但仍比MMSE的施测时间（7±3分钟，P<10⁻⁶）长。神经视觉障碍对这三项测试的总分影响相同。这些分数之间的一致性较差，只有CASP能够专门评估单侧空间忽视。
结论
CASP量表的单一视觉形式似乎适合用于卒中后患者的评估。
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