中国康复2025，Vol.40Issue(5)：289-295,7.DOI:10.3870/zgkf.2025.05.006
中文版卒中认知评估量表在非卒中人群中的应用研究
Clinical application of Chinese version of cognitive assessment scale for stroke patients in a non-stroke population
摘要
Abstract
Objective:To investigate the applicability of Chinese version of cognitive assessment scale for stroke pa-tients(C-CASP)in the cognitive function screening for non-stroke populations,improving the cognitive function screening system.Methods:C-CASP,mini-mental state examination(MMSE),and Montreal cognitive assessment(MoCA)were used to evaluate the cognitive function in 109 non-stroke general population.Receiver operating char-acteristic(ROC)curves were plotted,and the area under the curve(AUC),Youden index,Pearson correlation co-efficient,and Kappa value were calculated to analyze the application value of these scales.Results:When the optimal cutoff value of C-CASP was set at 34 points,the sensitivity was 76.9％,the specificity was 89.2％,and AUC was 0.905(95％CI:0.831-0.978,P＜0.001).The detection rates for cognitive impairment using C-CASP,MMSE,and MoCA were respectively 19.3％,4.6％,and 23.9％.There were differences in assessment time among the three scales(P＜0.01).The correlation coefficients between the total scores of C-CASP and MMSE and MoCA were 0.789 and 0.796,respectively(all P＜0.001).The correlation coefficient between the total score of MMSE and MoCA was 0.726(P＜0.001).The detection results of C-CASP and MoCA showed good agreement(Kappa value=0.703),while the agreement between C-CASP and MMSE was moderate(Kappa value=0.335).Linear re-gression analysis indicated that age and years of education affected the scores of cognitive scales.Scores for the"Na-ming","Comprehension"and"Line Bisection"items of the C-CASP,the"Memory"item of the MMSE and the"O-rientation"item of the MoCA,showed no statistically significant differences across age and years of education groups.However,for the remaining items,younger adults(≤44 years old)scored significantly higher than older adults(＞44 years old)(P＜0.05,0.01),and individ-uals with higher education levels(＞12 years)scored significantly higher than those with lower education lev-els(≤12 years)(P＜0.05,0.01).Conclusion:Using a cutoff score of 34,C-CASP can effectively identify indi-viduals with mild cognitive impairment(MCI)in non-stroke populations.The cognitive thresholds vary among the three scales,each holding its specific emphasis.The C-CASP is appropriate for cognitive function screening in middle-aged and elderly non-stroke populations with lower levels of education.关键词
卒中认知评估量表/非卒中人群/轻度认知障碍/认知功能筛查Key words
cognitive assessment scale for stroke patients/non-stroke populations/mild cognitive impairment/cognitive function screening分类
临床医学引用本文复制引用
许哲源,何梦霏,王梦寰,林枫,江钟立..中文版卒中认知评估量表在非卒中人群中的应用研究[J].中国康复,2025,40(5):289-295,7.基金项目
国家重点研发计划(2020YFC2008505) （2020YFC2008505）
