Evidence map›Paper›PMID 39781311›Full record

ReviewJournal of medicine and life2024

Potential challenges to harmonize post-stroke cognitive assessment and its prognostic value: a narrative review.

Margarita Alexandrova

Abstract readReview
In one paragraph

Review in Journal of medicine and life, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Margarita AlexandrovaDepartment of Medical Physics and Biophysics, Medical University-Pleven, Pleven, Bulgaria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With advances in scientific and clinical knowledge, stroke has evolved from a major cause of death to a chronic condition affecting the daily lives of sufferers, their relatives, and society. Post-stroke cognitive impairment (PSCI) is common even among individuals with good neurological recovery. When deciding on interventions aimed to improve the life quality of post-stroke patients, identifying those at high risk of cognitive decline proves crucial. Given the complexity of PSCI assessment, this narrative review discusses the feasibility of developing standardized criteria for selecting cognitive instruments. Potential approaches for establishing harmonized procedures for post-stroke cognitive assessment are presented depending on how the cognitive impairment is defined, the cognitive domains examined, the methods used to generalize cognitive data by components/domains, and their normalization against standardized normative samples. The prognostic value of cognitive assessment to identify patients at high risk of PSCI, functional dependence, and poor survival is also discussed. Implementing harmonized criteria for assessing the cognitive status of stroke patients could reduce the now considerable heterogeneity between studies and serve as a reliable basis for determining the prevalence and predicting the occurrence/aggravation of PSCI.

Indexed as

Cognitive DysfunctionStrokeCognitionHumansNeuropsychological TestsPrognosisACE-R, Addenbrooke's Cognitive Examination-Revised;AUC, area under the curve;CI, confidence interval;cognitive assessmentDSM-5, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition;harmonized criteriaHR, hazard ratio;ICH, intracerebral hemorrhage;IST, Isaacs Set Test;MCI, mild cognitive impairment;MMSE, Mini-Mental State Examination;MoCA, Montreal Cognitive Assessment;mRS, modified Rankin scale;NIHSS, National Institutes of Health Stroke Scale;NPV, negative predictive value;OCS, Oxford Cognitive Screen;OR, odds ratio;PPV, positive predictive value;prognosisPSCIPSCI, post-stroke cognitive impairment;SD, standard deviation;strokeTIA, transient ischemic attack;VASCOG, Vascular Behavioral and Cognitive Disorders;VCD,vascular cognitive disorders

Identifiers

PMID39781311
PMCPMC11705473

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.