Systematic review of post-stroke cognitive impairment assessment tools based on COSMIN guidelines
ZHANG Luwen
LIU Fangli
LIU Jinghui
ZHENG Xia
GUAN Rui
Abstract：Objective:Based on the consensus-based standards for the selection of health measurement instruments(COSMIN)guidelines,this study systematically evaluated the methodological quality and measurement properties of assessment tools for post-stroke cognitive impairment(PSCI),aiming to identify high-quality evaluation tools.Methods:A computerized search was conducted in PubMed,Web of Science,MedLine,CINAHL,EMbase,Cochrane Library,Scopus,CNKI,WanFang Database,VIP,and the China Biology Medicine(CBM)database for literature related to the psychometric evaluation of PSCI assessment tools.The retrieval period spanned from the establishment of the database to March 6,2025.Two researchers independently screened the literature and extracted data.Methodological risk of bias and quality of measurement properties were assessed using the COSMIN guidelines.The GRADE evidence grading system was applied to classify evidence levels,ultimately formulating recommendation levels.Results:A total of 22 studies were included,covering 10 PSCI assessment tools:the Oxford Cognitive Screen(OCS),Mini-Mental State Examination(MMSE),Cognitive Assessment Scale for Post-Stroke Patients(CASP),Birmingham Cognitive Screen(BCoS),Montreal Cognitive Assessment(MoCA),National Institute of Neurological Disorders and Stroke-Canadian Stroke Network(NINDS-CSN),Brief Assessment of Impaired Cognition(BASIC),Mild Vascular Cognitive Impairment(MVCI)assessment tool,Barrow Neurological Institute Screen for Higher Cerebral Functions(BNIS)and Telephone Interview for Cognitive Status-Modified(TICS-M).MMSE received grade A recommendation,while the remaining 9 tools were classified as grade B recommendations.Conclusions:The MMSE was classified as a grade A recommendation and could be temporarily recommended until better evidence emerges.However,its methodological quality requires improvement,and its measurement properties need further validation.
Keywords：strokecognitive impairmentassessment toolsmeasurement propertiesCOSMIN guidelinesystematic review
Publication Date：2026-04-10
Online Publishing Date：2026-03-31(First online date of this platform, not the publication date of the document)
Pages：11( 1119-1129 )