Cíl: Zjistit výskyt a tíži afázie pomocí české verze skríningového testu pro detekci afázií The Mississippi Aphasia Screening Test (MASTcz) ve vztahu k tíži celkového kognitivního deficitu u syndromu demence a v porovnání s afázií u ložiskové cévní léze v dominantní hemisféře. Soubor a metodika: Skupina A byla tvořena 149 nemocnými s cévní mozkovou příhodou (CMP) v levé dominantní hemisféře s afázií (potvrzenou logopedickým vyšetřením), 74 žen a 75 mužů, věk 68; 19- 95 let (medián; rozptyl). Skupina B byla tvořena 52 nemocnými, kteří splňovali kritéria demence dle DSM- IV a dosáhli abnormálního skóre Addenbrookského kognitivního testu (ACE)
Aim: To assess the prevalence and severity of aphasia in dementia using the Czech version of the Mississippi Aphasia Screening Test (MASTcz) for the detection of aphasia in relation to the severity of global cognitive deficit, and to compare this with aphasia severity arising out of focal vascular lesion of a dominant brain hemisphere. Patients and methods: Group A comprised 149 patients, 74 women and 75 men, aged 19- 95 years, median 68, with aphasia due to acute stroke in the dominant hemisphere (verified by speech therapist examination). Group B consisted of 52 patients, 26 women and 26 men, aged 41- 84, median 74, who complied with the diagnostic criteria for dementia according to the Diagnostic and Statistical Manual of Mental Disorders (4th edition, revised version) and scored in the "abnormal" range of the Addenbrook Cognitive Examination (ACE) (
- MeSH
- Aphasia diagnosis classification complications MeSH
- Alzheimer Disease diagnosis classification complications MeSH
- Stroke diagnosis classification complications MeSH
- Diagnostic Techniques and Procedures utilization MeSH
- Financing, Organized MeSH
- Communication Disorders diagnosis classification complications MeSH
- Humans MeSH
- Neurocognitive Disorders diagnosis classification MeSH
- Neuropsychological Tests standards statistics & numerical data MeSH
- Mass Screening methods utilization MeSH
- Statistics as Topic MeSH
- Check Tag
- Humans MeSH
PRIMARY OBJECTIVE: To assess the criterion and construct validity and inter-rater reliability of the Czech version of the Mississippi Aphasia Screening Test (MASTcz). RESEARCH DESIGN: Prospective evaluation of consecutive inpatients admitted to the stroke unit of a university hospital within 60 days of onset of a unilateral left hemispheric ischaemic or haemorrhagic stroke with documented aphasia (LHA + ; n = 149). As control groups, unilateral right hemisphere stroke patients without aphasia (RHA-; n = 45) and healthy volunteers recruited from the community to comprise a non-patient control group (CG; n = 243) were examined. METHODS: Data collection included administration of MASTcz (in 52 LHA + patients, repeated by two blinded observers within 24 hours), Edinburgh inventory, Minimental State Examination score and chart review. The presence of aphasia was documented with a standard clinical logopaedic examination and also with the Western Aphasia Battery (WAB) in 45 LHA+ patients. RESULTS: MASTcz displayed high criterion validity (with sensitivity and specificity above 90%) in discrimination between stroke aphasia patients and both control subjects and RHA- stroke patients, high construct validity (close correlation with WAB score; r = 0.933), and acceptable interrater reliability. CONCLUSION: Analyses suggest the usefulness of MASTcz as a reliable and valid screening tool for the detection of aphasia and tracking of its progress.
- MeSH
- Aphasia diagnosis rehabilitation MeSH
- Time Factors MeSH
- Stroke complications MeSH
- Adult MeSH
- Language Tests standards MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Recovery of Function physiology MeSH
- Observer Variation MeSH
- Prospective Studies MeSH
- Speech Therapy MeSH
- Stroke Rehabilitation MeSH
- ROC Curve MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Sensitivity and Specificity MeSH
- Case-Control Studies MeSH
- Severity of Illness Index MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Evaluation Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Validation Study MeSH
