Department of Neurology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India.
Alzheimer Dis Assoc Disord. 2021;35(3):275-277. doi: 10.1097/WAD.0000000000000452.
Cognitive dysfunction after stroke is an important concern. We explored the utility of everyday abilities scale for India (EASI) for screening for dementia among young stroke survivors.
We interviewed 150 young stroke survivors and caregivers. Vascular dementia was diagnosed according to American Heart Association-American Stroke Association (ASA-AHA) criteria. EASI was administered to all caregivers. Receiver operating characteristic curve analysis was used to determine the area under the curve and optimum cut-points for EASI for the identification of dementia.
Median EASI scores among subjects with dementia (n=35; 23.3%) was 2 (interquartile range: 0-4) and significantly different from those without (median: 0; interquartile range: 0-1; P<0.001). The area under the curve was 0.768 (95% confidence interval: 0.674-0.863), and at the optimum cut-point of 2 on EASI, a sensitivity of 60% and specificity of 91.3% was achieved for the identification of dementia.
EASI appears to be a promising tool to screen for dementia among young stroke survivors.
中风后的认知功能障碍是一个重要的关注点。我们探讨了印度日常生活能力量表（EASI）在筛查年轻中风幸存者痴呆中的效用。
我们对 150 名年轻中风幸存者及其照顾者进行了访谈。血管性痴呆根据美国心脏协会-美国中风协会（ASA-AHA）标准进行诊断。对所有照顾者进行 EASI 评估。采用受试者工作特征曲线分析确定 EASI 曲线下面积和最佳截断点，以识别痴呆。
痴呆组（n=35；23.3%）的 EASI 中位数评分为 2（四分位距：0-4），与无痴呆组（中位数：0；四分位距：0-1；P<0.001）有显著差异。曲线下面积为 0.768（95%置信区间：0.674-0.863），在 EASI 的最佳截断值为 2 时，用于识别痴呆的敏感度为 60%，特异度为 91.3%。
EASI 似乎是一种有前途的工具，可用于筛查年轻中风幸存者的痴呆。
