Can We Forget the Mini-Mental State Examination? A Systematic Review of the Validity of Cognitive Screening Instruments Within One Month After Stroke
Clinical Rehabilitation
Van Heugten, C. M., Walton, L., et al. (2015).
Clinical Rehabilitation, 29(7), 694-704.
This systematic review examines the validity of multi-domain cognitive screening tools in the first four weeks after stroke.
No funding received
Up to June 25, 2014
Published studies (not further specified)
51
<div>Sixteen multi-domain cognitive screening instruments were assessed for criterion, convergent and predictive validity for use in acute stroke populations (≤4 weeks post-stroke). While none of the instruments fulfilled all assessment criteria, the findings suggest that the Montreal Cognitive Assessment had adequate criterion validity (78% sensitivity; 90% specificity) and the Cognistat, The Montreal Cognitive Assessment & Functional Independence Measure-Cognitive test had adequate predictive validity. However, the Mini Mental State Examination showed insufficient criterion and predictive validity in this population. Due to the heterogeneity of study methods that precluded a meta-analysis, further research is warranted.</div>
