Incomplete Cognitive Assessment in Post-Acute Stroke Rehabilitation: Recovering Clinically Interpretable Relationships from Routine Neuropsychological Data.
Background: In post-acute stroke rehabilitation, cognitive assessment is clinically important but frequently incomplete. Complete-case analysis excludes much of the sample, reducing representativeness. Objectives: To determine whether incomplete routine post-stroke cognitive assessments can still yi...
| Publicado en: | NeuroRehabilitation Vol. 59; no. 2; pp. 268 - 279 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196473408&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196473408 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Sep2026 vid: 59 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196473408 195200798 196473408 196473408 10.1177/10538135261464181 196473408 ppf: 268 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Incomplete Cognitive Assessment in Post-Acute Stroke Rehabilitation: Recovering Clinically Interpretable Relationships from Routine Neuropsychological Data. aug: au: García-Rudolph, Alejandro Sánchez-Carrión, Rocío Cisek, Katryna Nguyen, Thi Nguyet Que Teixido-Font, Claudia Opisso, Eloy O'Connor, Rory Onose, Gelu Cedersund, Gunnar affil: Department of Research and Innovation, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain sug: subj: Cognition Evaluation Neuropsychological Tests Stroke Rehabilitation Recovery Neuropsychology Evaluation Acute Care Human Funding Source Retrospective Design Record Review Stroke Patients Prospective Studies Spearman's Rank Correlation Coefficient Age Factors Time Factors Verbal Behavior Stroke Classification Psychomotor Performance Phonetics Nomenclature Attention Social Class Descriptive Statistics Data Analysis Software Nonexperimental Studies Adult Middle Age Male Female Probability Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: In post-acute stroke rehabilitation, cognitive assessment is clinically important but frequently incomplete. Complete-case analysis excludes much of the sample, reducing representativeness. Objectives: To determine whether incomplete routine post-stroke cognitive assessments can still yield clinically interpretable relationships among cognitive, clinical, and contextual variables, and support group-level stratification using a reduced feasible cognitive set. Methods: Retrospective cohort study of adults admitted to post-acute stroke neuro-rehabilitation between 2007 and 2026 with at least one neuropsychological assessment. The baseline cohort included 2654 patients, with 5417 assessments within 6 months available for confirmatory analysis. The 24-subtest baseline battery showed 37.5% to 88.4% missingness. Five representative cognitive measures were selected based on data availability, domain coverage, and within-domain Spearman correlations. Bayesian networks were fitted in the baseline cohort, their stability was assessed by bootstrapping, key dependencies were examined across all available assessments. Results: Stable, bootstrap-supported dependency patterns were recovered and broadly replicated in the confirmatory analysis. Replicated associations linked age and time since injury to verbal learning and naming; stroke subtype to verbal learning, timed orientation/performance, and phonemic fluency. Verbal learning occupied a central position, with additional replicated links to naming, timed orientation/performance, and attentional span. Among the contextual variables, economic status was the only one showing a direct link to a cognitive measure (attentional span). Group-level stratification of verbal learning showed moderate performance (R2 = 0.42). Conclusions: Incomplete routine cognitive assessments need not rely on complete-case restriction or score imputation; they can still support clinically meaningful interpretation and group-level stratification in post-acute stroke rehabilitation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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