Early assessment of post-stroke patients entering acute inpatient rehabilitation: utility of the WASI and HVLT-R.

Am J Phys Med Rehabil

Department of Physical Medicine and Rehabilitation, University of Virginia Health System, Charlottesville 22903-2981, USA.

Published: March 2002

AI Article Synopsis

  • The study aimed to evaluate the effectiveness of two brief assessment tools, the Wechsler Abbreviated Scale of Intelligence (WASI) and the Hopkins Verbal Learning Test-Revised (HVLT-R), in predicting the need for supervision and overall functional outcomes for stroke patients upon discharge.
  • In a retrospective review involving 44 stroke patients in inpatient rehabilitation, researchers analyzed the correlation between performance on these tests and other factors like length of stay and discharge scores.
  • Results indicated that scores on the HVLT-R and the WASI matrix reasoning subtest were significant predictors of cognitive outcomes and the need for supervision, while the WASI similarities subtest did not show a correlation with patient outcomes.

Article Abstract

Objective: To examine the clinical utility of two brief assessment tools, the Wechsler Abbreviated Scale of Intelligence (WASI) and the Hopkins Verbal Learning Test-Revised (HVLT-R). We hypothesized that these measures would predict continued need for supervision and functional outcome at discharge.

Design: In this retrospective review, 44 patients with stroke who were admitted for acute inpatient rehabilitation were measured on five variables: WASI, HVLT-R, length of stay, FIM discharge scores, and need for supervision on discharge.

Results: Performance on the HVLT-R and WASI matrix reasoning subtest of the WASI was predictive of cognitive discharge scores on the FIM and need for supervision on discharge. The WASI similarities subtest was not associated with outcome.

Conclusions: WASI matrix reasoning and HVLT-R are brief neuropsychological measures that are predictive of need for supervision and functional outcome in the acute stroke rehabilitation setting.

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Source
http://dx.doi.org/10.1097/00002060-200203000-00011DOI Listing

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