Test Accuracy of Short Screening Tests for Diagnosis of Delirium or Cognitive Impairment in an Acute Stroke Unit Setting

• Published in: Stroke (1970) Vol. 44; no. 11; pp. 3078 - 3083
• Main Authors: Lees, Rosalind, Corbet, Sinead, Johnston, Christina, Moffitt, Emma, Shaw, Grahame, Quinn, Terence J.
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 01.11.2013
• Subjects: Adult and adolescent clinical studies; Aged; Aged, 80 and over; Biological and medical sciences; Cognition Disorders - complications; Cognition Disorders - diagnosis; Delirium - complications; Delirium - diagnosis; Female; Glasgow Coma Scale; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy; Hospital Units; Humans; Male; Medical sciences; Mental Status Schedule; Middle Aged; Nervous system (semeiology, syndromes); Neurology; Neuropsychological Tests; Organic mental disorders. Neuropsychology; Predictive Value of Tests; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Reproducibility of Results; Sensitivity and Specificity; Stroke - complications; Stroke - physiopathology; Surveys and Questionnaires; Vascular diseases and vascular malformations of the nervous system; Delirium; Stroke; Nervous system diseases; Prognosis; Cognitive disorder; Cardiovascular disease; outcomes assessment; Screening test; Cerebral disorder; Organic mental disorder; Vascular disease; measures; Central nervous system disease; specificity; cognitive impairment; Diagnosis; sensitivity; Mental confusion; Cerebrovascular disease; sensitivity ▪ specificity; stroke; delirium

Guidelines recommend cognitive screening in acute stroke. Various instruments are available, with no consensus on a preferred tool. We aimed to describe test accuracy of brief screening tools for diagnosis of cognitive impairment and delirium in acute stroke. We collected data on sequential stroke u...