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Kristi Kirschner

Publications and source records attributed to Kristi Kirschner.

5 recordsLinked to original sources

Construct and predictive validity of the repeatable battery for the assessment of neuropsychological status in the evaluation of stroke patients.

To evaluate the construct and predictive validity of a brief neuropsychological assessment battery, consecutive admissions to a hospital receiving inpatient treatment for stroke were tested with the Repeatable Battery for Assessment of Neuropsychological Status (RBANS) and other neuropsychological measures. Discriminant and convergent validity were adequate for the Language, Visuospatial/Constructional, Immediate Memory and Delayed Memory indices in the RBANS, but weaker for the Attention Index. Twelve months later, 36 discharged patients were contacted by telephone and interviews using a battery of functional outcome measures. RBANS Total Score predicted indices from the RBANS also predicted cognitive disability as measured by the Functional Independence Measure. Individual indices from the RBANS also predicted instrumental activities of daily living (IADLS) as measured by the Craig Handicap Assessment and Reporting Technique. The present findings suggest that the RBANS can be a useful tool in the neuropsychological evaluation of inpatients with stroke.

Aged↗

Successful pregnancy in a patient with spinal muscular atrophy and severe kyphoscoliosis.

Pregnancy imposes a load on the respiratory system that is usually easily assumed because of alterations in the thoracoabdominal architecture. It is presumed that the respiratory mechanical disadvantage of severe kyphoscoliosis and the muscle weakness of spinal muscular atrophy impede these adaptations sufficiently to preclude a successful gestation. We report the case of a successful pregnancy in a woman with spinal muscular atrophy, severe uncorrected scoliosis, and the lowest spirometric values reported in the literature without the use of ventilatory support. This patient demonstrates that women with severe kyphoscoliosis and a profound ventilatory limitation can carry a successful pregnancy well into the third trimester without requiring full ventilatory support.

Adult↗

Brief cognitive assessment and prediction of functional outcome in stroke.

To evaluate the ability to predict outcome with a brief measure of cognitive ability, we tested consecutive admissions who received inpatient rehabilitation for stroke with the Repeatable Battery for Assessment of Neuropsychological Symptoms (RBANS). Six months later, 34 discharged patients were contacted by telephone and were interviewed using a battery of functional outcome and quality of life measures. Multiple regression analysis showed that inpatient RBANS indexes predicted cognitive disability 6 months later. The present findings support the use of cognitive evaluations of patients with acute stroke to assist with prediction of outcome to be used in treatment planning.

Journal Article↗