Anneke A. W. Welkamp, Christel C. M. v. Leeuwen, Marcel W. M. Post, Janneke M. Stolwijk-Swüste
{"title":"脊髓损伤后住院康复期间的认知评估：一项回顾性横断面研究","authors":"Anneke A. W. Welkamp, Christel C. M. v. Leeuwen, Marcel W. M. Post, Janneke M. Stolwijk-Swüste","doi":"10.1038/s41393-024-01035-z","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Study design</h3><p>Cross-sectional study.</p><h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Cognitive screening is underdeveloped in spinal cord injury (SCI). Therefore, the objectives of our study were: (1) to evaluate cognitive functioning of rehabilitation inpatients with recently acquired spinal cord injury (SCI) with the Montreal Cognitive Assessment (MoCA); (2) to analyse associations between patient and lesion characteristics and the MoCA scores and (3) to compare the MoCA with the cognitive domain of the Utrecht scale for Evaluation of Rehabilitation (USER).</p><h3 data-test=\"abstract-sub-heading\">Setting</h3><p>Inpatient rehabilitation in a specialized rehabilitation centre in the Netherlands.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>MOCA and USER data of inpatients between November 2020 and December 2021 were used. Correlation and regression analysis were used.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Included were 98 adults aged (median) 61.6 years (range 19.5–83.6), 66% male, 26.5% traumatic SCI, 63% persons with paraplegia. MoCA and USER scores were available for 83 and 92 individuals, respectively. In 44.6% of the participants, the MoCA score was below the cut-off. Age (r = 0.31, <i>p</i> = 0.005) and educational level (r = 0.54 <i>P</i> < 0.00) were significantly correlated to the MoCA score. The MoCA and the cognitive domain of the USER were moderately correlated (r = 0.25, <i>p</i> = 0.03).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Almost half of the inpatients scored below the cut-off score on the MoCA. Since the MoCA is a validated cognitive screening tool, the moderate correlation of the MoCA and the cognitive domain of the USER suggests that the USER alone is not sufficient in detecting cognitive deficits. We recommend to screen for cognitive deficits in all people with new SCI.</p><h3 data-test=\"abstract-sub-heading\">Sponsorship</h3><p>None.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cognitive assessment during inpatient rehabilitation after spinal cord injury, a retrospective cross-sectional study\",\"authors\":\"Anneke A. W. Welkamp, Christel C. M. v. Leeuwen, Marcel W. M. Post, Janneke M. Stolwijk-Swüste\",\"doi\":\"10.1038/s41393-024-01035-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Study design</h3><p>Cross-sectional study.</p><h3 data-test=\\\"abstract-sub-heading\\\">Objectives</h3><p>Cognitive screening is underdeveloped in spinal cord injury (SCI). Therefore, the objectives of our study were: (1) to evaluate cognitive functioning of rehabilitation inpatients with recently acquired spinal cord injury (SCI) with the Montreal Cognitive Assessment (MoCA); (2) to analyse associations between patient and lesion characteristics and the MoCA scores and (3) to compare the MoCA with the cognitive domain of the Utrecht scale for Evaluation of Rehabilitation (USER).</p><h3 data-test=\\\"abstract-sub-heading\\\">Setting</h3><p>Inpatient rehabilitation in a specialized rehabilitation centre in the Netherlands.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>MOCA and USER data of inpatients between November 2020 and December 2021 were used. Correlation and regression analysis were used.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>Included were 98 adults aged (median) 61.6 years (range 19.5–83.6), 66% male, 26.5% traumatic SCI, 63% persons with paraplegia. MoCA and USER scores were available for 83 and 92 individuals, respectively. In 44.6% of the participants, the MoCA score was below the cut-off. Age (r = 0.31, <i>p</i> = 0.005) and educational level (r = 0.54 <i>P</i> < 0.00) were significantly correlated to the MoCA score. The MoCA and the cognitive domain of the USER were moderately correlated (r = 0.25, <i>p</i> = 0.03).</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusions</h3><p>Almost half of the inpatients scored below the cut-off score on the MoCA. Since the MoCA is a validated cognitive screening tool, the moderate correlation of the MoCA and the cognitive domain of the USER suggests that the USER alone is not sufficient in detecting cognitive deficits. 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Cognitive assessment during inpatient rehabilitation after spinal cord injury, a retrospective cross-sectional study
Study design
Cross-sectional study.
Objectives
Cognitive screening is underdeveloped in spinal cord injury (SCI). Therefore, the objectives of our study were: (1) to evaluate cognitive functioning of rehabilitation inpatients with recently acquired spinal cord injury (SCI) with the Montreal Cognitive Assessment (MoCA); (2) to analyse associations between patient and lesion characteristics and the MoCA scores and (3) to compare the MoCA with the cognitive domain of the Utrecht scale for Evaluation of Rehabilitation (USER).
Setting
Inpatient rehabilitation in a specialized rehabilitation centre in the Netherlands.
Methods
MOCA and USER data of inpatients between November 2020 and December 2021 were used. Correlation and regression analysis were used.
Results
Included were 98 adults aged (median) 61.6 years (range 19.5–83.6), 66% male, 26.5% traumatic SCI, 63% persons with paraplegia. MoCA and USER scores were available for 83 and 92 individuals, respectively. In 44.6% of the participants, the MoCA score was below the cut-off. Age (r = 0.31, p = 0.005) and educational level (r = 0.54 P < 0.00) were significantly correlated to the MoCA score. The MoCA and the cognitive domain of the USER were moderately correlated (r = 0.25, p = 0.03).
Conclusions
Almost half of the inpatients scored below the cut-off score on the MoCA. Since the MoCA is a validated cognitive screening tool, the moderate correlation of the MoCA and the cognitive domain of the USER suggests that the USER alone is not sufficient in detecting cognitive deficits. We recommend to screen for cognitive deficits in all people with new SCI.
期刊介绍：
Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews.
Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.
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