Point-of-Care Testing Using a Neuropsychology Pocketcard Set: A Preliminary Validation Study Article Swipe
Emily Bellartz
,
Milena Pertz
,
Johannes Jungilligens
,
Ilka Kleffner
,
Jörg Wellmer
,
Uwe Schlegel
,
Patrizia Thoma
,
Stoyan Popkirov
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/brainsci12060694
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/brainsci12060694
Neurocognitive screening instruments usually require printed sheets and additional accessories, and can be unsuitable for low-threshold use during ward rounds or emergency workup, especially in patients with motor impairments. Here, we test the utility of a newly developed neuropsychology pocketcard set for point-of-care testing. For aphasia and neglect assessment, modified versions of the Language Screening Test and the Bells Test were validated on 63 and 60 acute stroke unit patients, respectively, against expert clinical evaluation and the original pen-and-paper Bells Test. The pocketcard aphasia test achieved an excellent area under the curve (AUC) of 0.94 (95% CI: 0.88–1, p < 0.001). Using an optimal cut-off of ≥2 mistakes, sensitivity was 91% and specificity was 81%. The pocketcard Bells Task, measured against the clinical neglect diagnosis, achieved higher sensitivity (89%) and specificity (88%) than the original paper-based instrument (78% and 75%, respectively). Separately, executive function tests (modified versions of the Trail Making Test [TMT] A and B, custom Stroop color naming task, vigilance ‘A’ Montreal Cognitive Assessment item) were validated on 44 inpatients with epilepsy against the EpiTrack® test battery. Pocketcard TMT performance was significantly correlated with the original EpiTrack® versions (A: r = 0.64, p < 0.001; B: r = 0.75, p < 0.001). AUCs for the custom Stroop task, TMT A and TMT B for discriminating between normal and pathological EpiTrack® scores were acceptable, excellent and outstanding, respectively. Quick point-of-care testing using a pocketcard set is feasible and yields diagnostically valid information.
Related Topics
Concepts
Stroop effect
Audiology
Trail Making Test
Neuropsychology
Neuropsychological assessment
Test (biology)
Psychology
Neuropsychological test
Point of care
Medicine
Cognition
Psychiatry
Pathology
Biology
Paleontology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/brainsci12060694
- https://www.mdpi.com/2076-3425/12/6/694/pdf?version=1653653045
- OA Status
- gold
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4281702658
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4281702658Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/brainsci12060694Digital Object Identifier
- Title
-
Point-of-Care Testing Using a Neuropsychology Pocketcard Set: A Preliminary Validation StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-05-27Full publication date if available
- Authors
-
Emily Bellartz, Milena Pertz, Johannes Jungilligens, Ilka Kleffner, Jörg Wellmer, Uwe Schlegel, Patrizia Thoma, Stoyan PopkirovList of authors in order
- Landing page
-
https://doi.org/10.3390/brainsci12060694Publisher landing page
- PDF URL
-
https://www.mdpi.com/2076-3425/12/6/694/pdf?version=1653653045Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2076-3425/12/6/694/pdf?version=1653653045Direct OA link when available
- Concepts
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Stroop effect, Audiology, Trail Making Test, Neuropsychology, Neuropsychological assessment, Test (biology), Psychology, Neuropsychological test, Point of care, Medicine, Cognition, Psychiatry, Pathology, Biology, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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19Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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