London, United Kingdom 2013 Poster Session Nurses/AHP’s Cerebrovasc Dis 2013; 35 (suppl 3)1-854 207 2021 Clinical care in dementia and behavioral changes after stroke for nurses Reliability of Test Your Memory (TYM) test in screening for post-stroke cognitive impairment in the acute phase M. Alford1, K. Chatterjee2 Countess of Chester Hospital, Chester, UNITED KINGDOM1, Countess of Chester Hospital, Chester, UNITED KINGDOM2 Background Despite a high incidence of post-stroke cognitive impairment and its adverse effect on functional outcome after an acute stroke, there is no quick and reliable cognitive screening tool available that can help to ascertain the course of future rehabilitation programme. The Test Your Memory (TYM) test is a recently developed general cognitive screening tool which has not been previously tested on the acute stroke population. Our study was designed to determine the reliability of TYM in identify-ing cognitive impairment in acute stroke patients. Method Patients with an acute stroke, admitted to the Countess of Chester Hospital, were administered two cognitive screening measures; the TYM and the Addenbrooke’s Cognitive Examination-Revised (ACE-R) by a trained investigator in a random fashion, within the first two weeks of their presen-tation. TYM performance was compared using correlation co-efficient and areas under the receiver operating curves (AUROC ) at a published cutoff point for the ACE-R used as a gold standard. Result 24 patients, aged 73+/-12 (46% male) were recruited in the study. The correlation between the over-all scores for the TYM and the ACE-R was highly significant, r=0.947 (p<0.001) with the TYM tak-ing approximately 50% less time to administer as compared to ACE-R (16+/-4 vs. 29+/-7, p<0.001 respectively). The Sensitivity, Specificity and the Diagnostic Odds Ratio (DOR) for TYM was cal-culated at a pre-defined cutoff point (44-45) were 84%, 80% and 21 respectively. The AUROC for TYM was 0.93 (p<0.05). Conclusion TYM could be used as a quick and reliable cognitive screening tool in the acute phase after a stroke, particularly when the time of clinicians is limited. 2022 Clinical care in dementia and behavioral changes after stroke for nurses Age, sex, social deprivation and their relationship to post-stroke depression in a large commu-nity sample. N.M. Broomfield1, M.R. Walters2, J.J. Evans3 University of Glasgow, Glasgow, UNITED KINGDOM1, University of Glasgow, Glasgow, UNIT-ED KINGDOM2, University of Glasgow, Glasgow, UNITED KINGDOM3 Background: Few studies have explored the relationship between post-stroke depression (PSD) and age and sex. No study has ever explored the relationship between PSD prevalence and social depri-vation. We therefore aimed to document population level PSD prevalence, focusing on association with patient age, sex and social deprivation. Methods: Observational study using a large N= 3,828 community sample of stroke survivors attend-ing general practice reviews April 01 2009 to March 31 2010 in Greater Glasgow, UK. Univariate and multivariate analyses investigated association of PSD prevalence (on Hospital Anxiety and De-pression Scale: depression sub-scale HADS-D) with age, sex and deprivation. Results: 467(12.2%) of 3828 community dwelling stroke survivors had definite abnormal mood on HADS-D (≥ 11). 45 (24.6%) of stroke survivors aged under 50 years had definite abnor-mal mood on HADS-D compared to 49 (5.9%) of over 80 year olds. 220 (12.8%) of women had definite abnormal mood on HADS-D compared to 247 (11.7%) of men. 289 (17.6%) of most de-prived stroke survivors had definite abnormal mood on HADS-D compared with 41 (6.3%) of least deprived. On logistic regression, age and social deprivation but not sex contributed significantly to variance in HADS-D score. Conclusion: Using a conservative HADS-D cut-off, a moderate prevalence of definite abnormal depression in community stroke survivors is observed, with prevalence increasing significantly in younger and socially deprived stroke survivors.
Karger_ESC London_2013
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