title: The Cognitive Assessment scale for Stroke Patients (CASP) vs. MMSE and MoCA in non-aphasic hemispheric stroke patients.
abstract: BACKGROUND
  CASP specifically assesses post-stroke cognitive impairments. Its items are visual and as such can be administered to patients with severe expressive aphasia. We have previously shown that the CASP was more suitable than the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in aphasic patients. Our objective was to compare the above scales in non-aphasic stroke patients, and assess to what extent the solely visual items of the CASP were problematic in cases of neurovisual impairments.
  
  
  METHODS
  Fifty non-aphasic patients admitted to Physical Medicine and Rehabilitation (PM&R) units after a recent left- or right-hemisphere stroke were evaluated with the CASP, MMSE and MoCA. We compared these three scales in terms of feasibility, concordance, and influence of neurovisual impairments on the total score.
  
  
  RESULTS
  Twenty-nine men and 21 women were included (mean age 63 ± 14). For three patients, the MoCa was impossible to administer. It took significantly less time to administer the CASP (10 ± 5 min) than the MoCA (11 ± 5 min, P=0.02), yet it still took more time than MMSE administration (7 ± 3 min, P<10(-6)). Neurovisual impairments affected equally the total scores of the three tests. Concordance between these scores was poor and only the CASP could specifically assess unilateral spatial neglect.
  
  
  CONCLUSIONS
  The sole visual format of the CASP scale seems suitable for administration in post-stroke patients.
authors.affiliation: Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France; Inserm, centre d'investigation clinique, module épidémiologie clinique (CIC1432), CHU de Dijon, Dijon, France; Inserm, U1093, Dijon, France. Electronic address: charles.benaim@chu-dijon.fr.
authors.forename: C
authors.initials: C
authors.lastname: Benaim
authors.affiliation: Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France.
authors.forename: J L
authors.initials: JL
authors.lastname: Barnay
authors.affiliation: Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France.
authors.forename: G
authors.initials: G
authors.lastname: Wauquiez
authors.affiliation: Département de MPR, unité de rééducation neurologique, CHU de Nîmes, 30240 Le Grau-du-Roi, France. Electronic address: hueiyune.bonnin@chu-nimes.fr.
authors.forename: H Y
authors.initials: HY
authors.lastname: Bonnin-Koang
authors.affiliation: Département de MPR, unité de rééducation neurologique, CHU de Nîmes, 30240 Le Grau-du-Roi, France.
authors.forename: C
authors.initials: C
authors.lastname: Anquetil
authors.affiliation: Institut de rééducation, clinique MPR, hôpital sud, CHU de Grenoble, BP 338, avenue de Kimberley, 38434 Echirolles, France; Laboratoire TimC CNRS, université Joseph-Fourier, Grenoble 1, France. Electronic address: DPerennou@chugrenoble.fr.
authors.forename: D
authors.initials: D
authors.lastname: Pérennou
authors.affiliation: Institut de rééducation, clinique MPR, hôpital sud, CHU de Grenoble, BP 338, avenue de Kimberley, 38434 Echirolles, France.
authors.forename: C
authors.initials: C
authors.lastname: Piscicelli
authors.affiliation: CRF COS DIVIO, 12, rue Saint-Vincent-de-Paul, 21000 Dijon, France. Electronic address: blucaspineau@cos-asso.org.
authors.forename: B
authors.initials: B
authors.lastname: Lucas-Pineau
authors.affiliation: Pôle de soins de suites et de réadaptation, centre hospitalier Tonnerre, chemin des Jumeriaux, 89700 Tonnerre, France. Electronic address: L.MUJA@ch-tonnerre.fr.
authors.forename: L
authors.initials: L
authors.lastname: Muja
authors.affiliation: Pôle de soins de suites et de réadaptation, centre hospitalier Tonnerre, chemin des Jumeriaux, 89700 Tonnerre, France.
authors.forename: E
authors.initials: E
authors.lastname: le Stunff
authors.affiliation: Pole neurosciences, CHU Purpan, place du Dr-Baylac, 31059 Toulouse, France; Inserm, imagerie cérébrale et handicaps neurologiques UMR 825, 31059 Toulouse, France; Imagerie cérébrale et handicaps neurologiques UMR 825, université de Toulouse, CHU Purpan, place du Dr-Baylac, 31059 Toulouse, France. Electronic address: deboissezon.xavier@chu-toulouse.fr.
authors.forename: X
authors.initials: X
authors.lastname: de Boissezon
authors.affiliation: Pole neurosciences, CHU Purpan, place du Dr-Baylac, 31059 Toulouse, France.
authors.forename: C
authors.initials: C
authors.lastname: Terracol
authors.affiliation: Service de rééducation neurologique, hôpital Swynghedauw, CHRU de Lille, 59037 Lille, France. Electronic address: Marc.ROUSSEAUX@CHRU-LILLE.FR.
authors.forename: M
authors.initials: M
authors.lastname: Rousseaux
authors.affiliation: Service de neurologie, CHU de Dijon, 1, boulevard Jeanne-d'Arc, 21379 Dijon, France. Electronic address: yannick.bejot@chu-dijon.fr.
authors.forename: Y
authors.initials: Y
authors.lastname: Bejot
authors.affiliation: Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France.
authors.forename: D
authors.initials: D
authors.lastname: Antoine
authors.affiliation: Inserm, centre d'investigation clinique, module épidémiologie clinique (CIC1432), CHU de Dijon, Dijon, France.
authors.forename: C
authors.initials: C
authors.lastname: Binquet
authors.affiliation: Inserm, centre d'investigation clinique, module épidémiologie clinique (CIC1432), CHU de Dijon, Dijon, France.
authors.forename: H
authors.initials: H
authors.lastname: Devilliers
mesh_terms: D000328:Adult; D000368:Aged; D003071:Cognition; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010468:Perceptual Disorders; D015203:Reproducibility of Results; D020521:Stroke / Q000523:psychology*; D013997:Time Factors
keywords: CASP; Comparison; Feasibility; MMSE; MoCA