Table 7.
Summary of findings for PICO 11. Assessment of the diagnostic accuracy of iterations of remote (telephone) assessment for contemporaneous diagnosis of post-stroke cognitive impairment or dementia.
| Participants: Stroke
survivors Settings: Variety (mostly post-acute) Intervention: Telephone-based cognitive screening Reference standard: Clinical dementia diagnosis or multidomain impairment | ||||
| Test | Summary sensitivity Summary specificity |
N participants/N with dementia | Risk of bias | Quality |
| Telephone Interview for Cognitive Status | Sens: 0.92 (0.59–0.99) Spec: 0.67 (0.49–0.81) |
Three studies 242 participants 26 dementia |
High | Very low a |
| Telephone-based Montreal Cognitive Assessment | Sens: 0.98 (0.25–1.00) Spec: 0.73 (0.43–0.91) |
Two studies 169 participants 20 dementia |
High | Very low a |
| Short form of t-MoCA | Sens: 0.93 (0.59–0.99) Spec: 0.63 (0.46–0.78) |
Two studies 172 participants 63 dementia |
Unclear | Very low a |
aDowngraded due to risk of bias, inconsistency, imprecision and indirectness.
t-MoCA: Telephone-based Montreal Cognitive Assessment.