ArticleScientific reports2021
Barriers to cognitive screening in acute stroke units.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- The Prognostic Test Accuracy of the Short and Standard Forms of the Montreal Cognitive Assessment.Cerebrovascular diseases (Basel, Switzerland) · 2025Trial
- Effect of very early supported discharge versus usual care on activi-ties of daily living ability after mild stroke: a randomized controlled trial.Journal of rehabilitation medicine · 2023Trial
- Cognitive Outcomes After Reperfusion Therapy for Acute Ischaemic Stroke: A Systematic Review and Meta-analysis and the PRECISE-ACTION Framework for Transdisciplinary Cognitive Management.Clinical drug investigation · 2026Article
- IQCODE-Brief Version in Stroke Patients.Brain and behavior · 2026Article
- Developing a core outcome set for intervention studies in post stroke cognitive impairment (COS-PSCI): a protocol.BMJ open · 2026Article
- NIH Stroke Scale and age predict early post-stroke cognitive impairment.Frontiers in stroke · 2026Article
- Reflections on the Hungarian Oxford Cognitive Screen in post-stroke cognitive care.Cerebral circulation - cognition and behavior · 2026Article
- Using the RE-AIM and TDF frameworks to evaluate the implementation of a standardized cognitive assessment protocol in outpatient rehabilitation.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Long-term cognitive outcomes after decompressive hemicraniectomy for right-hemisphere large middle cerebral artery ischemic stroke.European journal of neurology · 2025Article
- Documentation of cognitive impairment screening amongst older hospitalised Australians: a prospective clinical record audit.BMC geriatrics · 2023Article
- Development of a Swedish short version of the Montreal Cognitive Assessment for cognitive screening in patients with stroke.Journal of rehabilitation medicine · 2023Article
- Association of cognitive function very early after stroke with subjective cognitive complaints after 3 months, a register-based study.PloS one · 2023Article
- A register-based study on associations between pre-stroke physical activity and cognition early after stroke (part of PAPSIGOT).Scientific reports · 2022Article
- Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke.Frontiers in human neuroscience · 2021Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cognitive impairment is common after stroke. However, not all patients with stroke undergo cognitive screening, despite recommendations. The aim of this retrospective, explorative study was to examine the barriers to cognitive screening in acute stroke units. Data were retrieved from two Swedish Stroke registries. The outcome variable was cognitive screening during the stay at acute stroke units. Forty-three candidate explanatory variables were considered for analysis, encompassing sociodemographic factors and stroke-related outcomes during the stay at acute stroke units. The Least Absolute Shrinkage and Selection Operator and decision-tree methods were used. Of the 1120 patients (56% male, mean age: 72 years, 50% with mild stroke), 44% did not undergo cognitive screening. Walking 10 m post-stroke was the most important attribute for decisions regarding cognitive screening. The classification accuracy, sensitivity, and specificity of the model were 70% (95% CI 63-75%), 71% (63-78%), and 67% (55-77%), respectively. Patient-related parameters that influenced cognitive screening with a valid and reliable screening instrument in acute stroke units included new stroke during the hospitalisation, aphasia at admission, mobility problems, impaired verbal output skills, and planned discharge to another care facility. The barriers to cognitive screening were both patient- and organisation-related, suggesting the need for patient-tailored cognitive screening tools as well as the implementation and systematic adherence to guidelines.
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