[Checklist for the detection of cognitive and emotional consequences after stroke (CLCE-24)].
OBJECTIVE
Cognitive and emotional problems are common after stroke and screening is essential. In this paper a new screening instrument is presented and its usability is investigated.


METHODS
A group of stroke patients (N = 69) were interviewed using the new instrument, the CLCE-24, six months post stroke. Moreover extensive neuropsychological testing was conducted (including MMSE/CAMCOG).


RESULTS
Patients, relatives and assessors (a psychologist) were positive about its use. The interview with the CLCE-24 took 11.1 minutes on average (5-35 minutes). Eighty percent of the patients had complaints; 73% had cognitive problems, while 51% had emotional problems. Patients with at least one complaint on the CLCE-24 scored lower on the MMSE (t=2.5; p = 0.01) and the CAMCOG (t= 2.5; p= 0.02) compared to patients without complaints.


CONCLUSIONS
The CLCE-24 can be applied by professionals in primary care for identification of cognitive and emotional complaints after stroke. Further research and implementation in clinical practice and the stroke service is recommended.
Rasquin
S M C
SM
iRv, Kenniscentrum voor Revalidatie en Handicap, Hoensbroek. s.rasquin@irv.nl
van Heugten
C M
CM
Winkens
L
L
Beusmans
G
G
Verhey
F R J
FR
D000368:Aged; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D009426:Netherlands; D009483:Neuropsychological Tests; D020521:Stroke / Q000150:complications* / Q000523:psychology*; D013997:Time Factors