Article

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.
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Langue : ANGLAIS