A Telescreening Tool to Detect Aphasia in Patients with Stroke
A Telescreening Tool to Detect Aphasia in Patients with Stroke
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DOI：
10.1089/tmj.2014.0207
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发表时间：
2015-09-01
影响因子：
4.7
通讯作者：
Paik, Nam-Jong
中科院分区：
文献类型：
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作者：
Choi, Yoon-Hee;Park, Hae Kyung;Paik, Nam-Jong
背景资料：早期识别中风诱发的失语症患者是至关重要的，因为它是一种影响日常生活的重大残疾，并与中风后不良的功能结局有关。然而，大多数中风患者无法进行失语症评估和检测，因此仍然无法诊断。本研究的目的是开发一种有效的，可靠的移动的失语症筛查测试（MAST）的患者在偏远地区。材料和方法：为了实现这一目标，我们招募了30例有和30例无卒中失语症的患者。采用缩短版弗伦谢失语症筛查测试（K-FAST）的韩语版的MAST被设计为iPad（（R））（Apple，库比蒂诺，CA）应用程序。为了验证MAST，我们将其性能与韩国版西方失语症成套测验（K-WAB）和传统缩短的FAST纸质版（K-FAST）进行了比较。我们使用Cronbach α系数分析了评定者间和内部信度，并评估了诊断敏感性、特异性和功效。结果：K-FAST与MAST有显著相关性（组内相关系数[ICC]=0.995，p
Background: Early identification of patients with stroke-induced aphasia is essential because it is a significant disability affecting daily life and is linked to poor functional outcome after stroke. However, most patients with stroke are unable to undergo aphasia evaluation and detection and therefore remain undiagnosed. The purpose of this study is to develop a valid, reliable mobile aphasia screening test (MAST) for patients in remote locations. Materials and Methods: To accomplish this, we enrolled patients with (n=30) and without (n=30) stroke-induced aphasia. A MAST, which adopted the Korean version of the shortened version of the Frenchay Aphasia Screening Test (K-FAST), was designed as an iPad((R)) (Apple, Cupertino, CA) application. To validate the MAST, we compared its performance with that of the Korean version of the Western Aphasia Battery (K-WAB) and conventional shortened FAST paper version (K-FAST). We analyzed interrater and internal reliability, using Cronbach's alpha coefficient, and assessed the diagnostic sensitivity, specificity, and power. Results: There was significant correlation between K-FAST and MAST (intraclass correlation coefficient [ICC]=0.995, p