{"title":"Post-Stroke Cognitive Impairment: A Narrative Review of the Comprehensive Screening and Detecting Process.","authors":"Pauline J Hwang, Donna M Fick","doi":"10.3928/00989134-20250212-03","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine screening procedures and tools for post-stroke cognitive impairment (PSCI) to guide future practices and research.</p><p><strong>Method: </strong>Searches in PubMed, CINAHL, PsycINFO, and Google Scholar included articles from 2013 to 2023 focusing on individuals with first ever ischemic stroke and confirming PSCI within 1 year. Thematic analysis was synthesized narratively.</p><p><strong>Results: </strong>Eight studies (two cross-sectional and six prospective cohorts) with 25,443 participants were reviewed. Screening for PSCI was typically performed within 3 to 6 months post-stroke. Montreal Cognitive Assessment and Mini-Mental State Examination were the most commonly used tools, but cutoff scores varied widely. Screening involved pre- and post-stroke cognitive screening and identifying risk factors.</p><p><strong>Conclusion: </strong>Significant variability exists in PSCI assessment tools, cutoff, and timing. Further research is needed to standardize screening protocols, focusing on criteria, timing, accuracy, and feasibility. Early and repeated screening with risk management can improve PSCI prevention. [<i>Journal of Gerontological Nursing, 51</i>(3), 19-27.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 3","pages":"19-27"},"PeriodicalIF":1.1000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20250212-03","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Post-Stroke Cognitive Impairment: A Narrative Review of the Comprehensive Screening and Detecting Process.
Purpose: To examine screening procedures and tools for post-stroke cognitive impairment (PSCI) to guide future practices and research.
Method: Searches in PubMed, CINAHL, PsycINFO, and Google Scholar included articles from 2013 to 2023 focusing on individuals with first ever ischemic stroke and confirming PSCI within 1 year. Thematic analysis was synthesized narratively.
Results: Eight studies (two cross-sectional and six prospective cohorts) with 25,443 participants were reviewed. Screening for PSCI was typically performed within 3 to 6 months post-stroke. Montreal Cognitive Assessment and Mini-Mental State Examination were the most commonly used tools, but cutoff scores varied widely. Screening involved pre- and post-stroke cognitive screening and identifying risk factors.
Conclusion: Significant variability exists in PSCI assessment tools, cutoff, and timing. Further research is needed to standardize screening protocols, focusing on criteria, timing, accuracy, and feasibility. Early and repeated screening with risk management can improve PSCI prevention. [Journal of Gerontological Nursing, 51(3), 19-27.].
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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