The Aphasia Rapid Test: an NIHSS-like aphasia test.
The Aphasia Rapid Test: an NIHSS-like aphasia test.
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DOI：
10.1007/s00415-013-6943-x
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发表时间：
2013-08
影响因子：
6
通讯作者：
Samson Y
中科院分区：
文献类型：
--
作者：
Azuar C;Leger A;Arbizu C;Henry-Amar F;Chomel-Guillaume S;Samson Y
失语症快速测试（ART）是一种26点量表，用于在<3分钟内对急性卒中患者的失语症严重程度进行床边评估。我们测试了它的评分者间重现性，检测第1天至第8天变化的灵敏度，以及D8 ART评分对3个月失语症结局的预测价值，失语症障碍评分（AHS）是失语症障碍的0 - 5 "Rankin样"评分。在91名中风发作一周内的失语症患者中进行了重复性测试。评价者间一致性系数为0.99，加权Kappa值（κ w）为0.93。通过测量D1和D8之间ART值的变化，在70例失语症患者中测试了灵敏度。46例患者（66%）改善，3例患者（4%）恶化。在这些患者中，逻辑回归分析显示，D8 ART是良好（AHS 0 - 2）或不良（AHS 4 - 5）结局的唯一显著预测因素。ROC曲线分析显示良好和不良结局的曲线下面积高于0.9，并显示不良结局的D8 ART最佳截止值为21，灵敏度超过90%，特异性超过80%。<12 for good and >ART是一种简单、快速和可重复的语言任务，可用于监测急性卒中患者的早期失语变化，并高度预测3个月的语言交流结果。它应该很容易适应其他语言。本文的在线版本（doi：10.1007/s00415 - 013 - 6943-x）包含补充材料，可供授权用户使用。
The Aphasia Rapid Test (ART) is a 26-point scale developed as a bedside assessment to rate aphasia severity in acute stroke patients in <3 min. We tested its inter-rater reproducibility, its sensitivity to detect changes from Day 1 to Day 8, and the predictive value of D8 ART scores on the 3-month aphasia outcome assessed with the Aphasia Handicap Score (AHS), a 0–5 “Rankin-like” score for aphasic disability. The reproducibility was tested in 91 aphasic patients within one week of stroke onset. The inter-rater concordance coefficient was 0.99 and the weighted Kappa value (κw) was 0.93. The sensitivity was tested in 70 aphasic patients by measuring changes in ART values between D1 and D8. Improvement occurred in 46 patients (66 %) and aggravation in three patients (4 %). In these patients, a logistic regression analysis showed that D8 ART was the only significant predictor of good (AHS 0–2) or poor (AHS 4–5) outcome. The ROC curves analyzes showed areas under the curve above 0.9 for good and poor outcome and revealed D8 ART best cut-off values of <12 for good and >21 for poor outcome, with more than 90 % sensitivity and 80 % specificity. The ART is a simple, rapid and reproducible language task, useful in monitoring early aphasic changes in acute stroke patients and highly predictive of the 3-month verbal communication outcome. It should be easy to adapt to other languages. The online version of this article (doi:10.1007/s00415-013-6943-x) contains supplementary material, which is available to authorized users.
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