The need for post-stroke cognitive screening - the rationale behind the Hungarian adaptation of the Oxford Cognitive Screen (OCS) and its pilot study

Journal article

BackgroundPost-stroke cognitive impairment (PSCI) is a frequent yet underdiagnosed consequence of stroke, with significant implications for quality of life, functional outcomes and long-term prognosis. Despite its importance, cognitive screening remains insufficiently integrated into post-stroke care protocols, particularly in Hungary.ObjectiveThis study aimed to adapt and pilot the Oxford Cognitive Screen (OCS) for Hungarian stroke patients, addressing the urgent need for a culturally and linguistically appropriate, stroke-specific cognitive screening tool that is freely available in Hungarian.MethodsThe Hungarian adaptation followed a rigorous 11-step linguistic validation process, including cultural adaptation, forward and back translations, reviews, and pilot testing. Ten stroke patients at Semmelweis University were assessed using the adapted OCS within three weeks of symptom onset. Data on test performance, feasibility, and patient feedback were collected from 10 pilot patients and 6 examiners.ResultsThe adaptation and pilot testing process, completed in approximately three months, confirmed the usability of the tool, with most patients finding it engaging. The median number of impaired tasks was two. No major issues arose, and the tool was well received by both patients and examiners.ConclusionThe Hungarian version of the OCS offers a practical, user-friendly cognitive screening tool tailored for stroke patients. Its implementation could enhance early detection of PSCI, improve patient safety by supporting targeted rehabilitation, and ultimately contribute to better long-term outcomes. This initiative represents a foundational step toward integrating cognitive screening into stroke protocols in Hungary, addressing a significant gap in rehabilitation and healthcare equity.

Authors: Takács, TT; Kárpáti, J; Szabó, E; Pálvölgyi, K; Pálinkás, P

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: Elsevier
• Journal: Cerebral Circulation - Cognition & Behavior
• Volume: 10
• Pages: 100527
• Publication date: 2025-12-18
• DOI: 10.1016/j.cccb.2025.100527
• EISSN: 2666-2450
• ISSN: 2666-2450
• Pmid: 41550201
• Language: English
• Keywords: Patient Safety; Post-stroke Cognitive Impairment; Stroke Protocol; Hungary; Oxford Cognitive Screen