Table 1

Screening for cognitive problems after TIA and ischaemic stroke

ItemAnswer optionsn (%)University hospital
(n=7)
General hospital
(n=45)
1.Are patients screened for cognitive problems?Always8 (15)08
Mostly23 (44)518
Sometimes19 (37)217
Never2 (4)02
2.Are validated screening instruments used?*Yes42 (84)735
No8 (16)08
3.Which screening instrument(s) is/are used?†‡MoCA35 (83)629
MMSE21 (50)318
CLCE-246 (14)24
Other§4 (9)04
4.When does screening take place?*‡During hospital admission31 (62)526
<1 week after discharge2 (4)02
1–4 weeks after discharge5 (10)14
4–8 weeks after discharge19 (38)316
>8 weeks after discharge14 (28)212
5.Do patients receive information about possible cognitive problems?Always15 (28)213
Mostly25 (48)223
Sometimes12 (23)39
Never0 (0)00
6.Do patients receive written information about possible cognitive problems?Always13 (25)211
Mostly13 (25)112
Sometimes7 (14)16
Never19 (37)316
7.Do caregivers receive information about possible cognitive problems?Always13 (25)013
Mostly23 (44)419
Sometimes15 (29)312
Never1 (2)01
8.Reasons for referral to specialised care‡Cognitive complaints36 (69)531
Clinical suspicion of cognitive disorders36 (69)531
Abnormal screening results30 (58)327
Abnormal results during neuropsychological examination14 (27)212
9.Who is the treating physician for cognitive problems?‡Neurologist35 (67)431
Resident in neurology3 (6)12
Nurse practitioner or physician assistant23 (55)320
Rehabilitation physician30 (58)525
Psychologist6 (12)06
Geriatrician8 (15)17
Nursing home doctor6 (12)15
General practitioner16 (31)214
Occupational therapist5 (10)05
10.Does your hospital have a protocol or guideline for follow-up care for cognitive problems?Yes12 (23)21
No39 (75)544
Missing1 (2)0
  • *Items 2 and 4 were only asked if item 1 had been marked ‘always’, ‘mostly’ or ‘sometimes’.

  • †Item 3 was only asked when item 2 had been marked ‘yes’.

  • ‡These items allowed multiple answers and were analysed accordingly, see the ‘Statistical analysis’ section; consequently, the sum of the percentages is not 100%.

  • §Other screening instruments included the Cambridge Cognitive Examination (n=1), the Symbol Digit Modalities Test (n=1), the Assessment tool for long-term Consequences After Stroke (n=1) and a neuropsychological examination (n=1).

  • CLCE-24, Checklist for Cognitive and Emotional Consequences following Stroke; MMSE, Mini-Mental State Examination; MoCA, Montreal Cognitive Assessment; TIA, transient ischaemic attack.