Cognitive Screening Following Stroke: Are We Following Best Evidence‐based Practice in Australian Clinical Settings?
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
ObjectiveCognitive screening tools are now recommended by national governing bodies to detect cognitive impairments following stroke and to prompt referral for further comprehensive assessment and rehabilitation. The primary aim of this review was to critically examine and integrate data across clinical and research domains to better understand Australian cognitive screening practices following stroke.MethodData from national clinical guidelines and audits, psychometric research, and clinical practice investigations were sourced, critically examined, and integrated.ResultsNational Australian audit data suggest over two thirds of stroke units are routinely using screening tools to detect cognitive impairment. However, psychometric research suggests traditional cognitive screening tools, such as the Mini‐Mental State Examination, lack sensitivity to detect stroke‐related cognitive impairment. Furthermore, although more recently developed screeners, such as the Montreal Cognitive Examination, possess improved content validity, further modification, and/or supplemented assessment is required to improve their clinical utility. Of additional concern, even when cognitive impairments are detected during cognitive screening, very few stroke patients are referred for further comprehensive assessment as recommended within clinical practice guidelines.ConclusionsCurrent evidence indicates cognitive screening tools, in their current form, do not perform well in stroke populations due to a variety of factors including poor content validity and lack of sensitivity. It appears that most Australian stroke patients with cognitive impairment are not receiving the assessment and rehabilitation services they require. Recommendations to adapt current screening tools, develop new stroke‐specific screening measures, and consider cognitive assessment protocols other than screening are discussed.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it