The PSACA test: A new cognitive assessment tool for detection of post-stroke dementia in a sample of older Egyptians

Q4 Medicine

NPG Neurologie - Psychiatrie - Geriatrie Pub Date : 2025-03-26 DOI:10.1016/j.npg.2025.02.001

S.A. Sayed , S.E. Morsy , N.N. Adly , S.A. Hamza , H.M. Tawfik

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引用次数: 0

Abstract

Background

Post-stroke cognitive impairment and dementia are major public health problems.

Objectives

Construction of a cognitive assessment tool applicable to post-stroke dementia detection in the older population and suitable for both illiterate and educated Egyptians.

Methods

The new post-stroke Ain-Shams cognitive assessment (PSACA) test was scored out of 69 points. The validity and reliability of the PSACA test were assessed on a pilot sample of 30 older participants, comparing the test with the Mini-Mental State Examination (MMSE) test. Then a cross-sectional study for the detection of dementia was conducted recruiting 120 Egyptian older post-stroke participants aged 60 years and over, from Ain-Shams University Hospital clinics.

Results

The mean age of the participants was 69.17 (± 8.03). The test proved valid and reliable (Cronbach's Alpha was 0.72). The cutoff point of the PSACA test for post-stroke dementia diagnosis was ≤ 54.5, with a sensitivity of 90% and a specificity of 78.7%.

Conclusion

The PSACA test is a valid and reliable test that can be administered to detect post-stroke dementia.

查看原文本刊更多论文

PSACA测试：一种新的认知评估工具，用于检测老年埃及人中风后痴呆的样本

脑卒中后认知障碍和痴呆是主要的公共卫生问题。目的构建一种适用于老年人群卒中后痴呆检测的认知评估工具，适用于文盲和受过教育的埃及人。方法采用新型脑卒中后Ain-Shams认知能力评估（PSACA），计分69分。PSACA测试的效度和信度在30名老年参与者的试点样本中进行评估，并将测试与迷你精神状态检查（MMSE）测试进行比较。然后进行了一项检测痴呆症的横断面研究，从Ain-Shams大学医院的诊所招募了120名60岁及以上的埃及老年中风后参与者。结果患者平均年龄为69.17（±8.03）岁。检验证明有效可靠（Cronbach’s Alpha为0.72）。PSACA检测诊断脑卒中后痴呆的截止点≤54.5，敏感性为90%，特异性为78.7%。结论PSACA试验是一种有效、可靠的检测脑卒中后痴呆的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NPG Neurologie - Psychiatrie - Geriatrie Medicine-Neurology (clinical)

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

34 days

期刊介绍： Aux confins de la neurologie, de la psychiatrie et de la gériatrie, NPG propose a tous les acteurs de la prise en charge du vieillissement cérébral normal et pathologique, des développements récents et adaptés a leur pratique clinique.