脑卒中后认知障碍风险预测工具的范围综述

Risk prediction tools for Post-Stroke Cognitive Impairment:a scoping review

目的:对脑卒中后认知障碍风险预测工具进行范围综述,为临床护理实践及未来研究提供参考。方法:遵循澳大利亚JBI循证卫生保健中心范围综述方法学框架,检索9个中英文数据库,检索时限为建库至2022年8月31日。结果:共纳入25项研究,其中7项研究在脑卒中急性期采用神经心理评估工具预测脑卒中后认知障碍,19项研究基于脑卒中后认知障碍危险因素建立预测模型。患者在脑卒中后3~6个月认知障碍的发生率为31.4%~65.3%,预测区分度为0.732~0.969。结论:脑卒中后认知障碍发生率高、疾病负担较重,早期预警值得关注,脑卒中后认知障碍风险预测工具仍处于发展阶段,有待进一步验证及完善。

Objective:To review the risk prediction tools for Post-Stroke Cognitive Impairment(PSCI),and to provide references for clinical nursing practice and further research.Methods:Following the JBI scope review methodology framework,9 Chinese and English databases were searched from the establishment of the database to August 31,2022.Results:A total of 25 studies were included,of which 7 studies used neuropsychological assessment tool at the acute phase of stroke and 19 studies established predictive model based on risk factors.The prevalence of PSCI at 3-6 months ranged from 31.4%to 65.3%,and the predictive discrimination was 0.732 to 0.969.Conclusion:Due to the high incidence and heavy disease burden,the early warning of PSCI require further attention.The PSCI risk prediction tool is in the development stage,and the clinical application needs further validation and improvement.