Early assessment of post-stroke patients entering acute inpatient rehabilitation: utility of the WASI and HVLT-R.
OBJECTIVE
To examine the clinical utility of two brief assessment tools, the Wechsler Abbreviated Scale of Intelligence (WASI) and the Hopkins Verbal Learning Test-Revised (HVLT-R). We hypothesized that these measures would predict continued need for supervision and functional outcome at discharge.


METHODS
In this retrospective review, 44 patients with stroke who were admitted for acute inpatient rehabilitation were measured on five variables: WASI, HVLT-R, length of stay, FIM discharge scores, and need for supervision on discharge.


RESULTS
Performance on the HVLT-R and WASI matrix reasoning subtest of the WASI was predictive of cognitive discharge scores on the FIM and need for supervision on discharge. The WASI similarities subtest was not associated with outcome.


CONCLUSIONS
WASI matrix reasoning and HVLT-R are brief neuropsychological measures that are predictive of need for supervision and functional outcome in the acute stroke rehabilitation setting.
Stewart
Kimberly J
KJ
Department of Physical Medicine and Rehabilitation, University of Virginia Health System, Charlottesville 22903-2981, USA.
Gale
Shawn D
SD
Diamond
Paul T
PT
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011237:Predictive Value of Tests; D011581:Psychological Tests; D012189:Retrospective Studies; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013997:Time Factors; D014706:Verbal Learning / Q000502:physiology*; D014888:Wechsler Scales