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The value of the Frenchay Aphasia Screening Test in screening for dysphasia: better than the clinician?

University Hospital of South Manchester

B. Cheadle

University Hospital of South Manchester

R. Wyatt

University Hospital of South Manchester

J. McGuffog

University Hospital of South Manchester

KJ Fullerton

University Hospital of South Manchester

We have evaluated the Frenchay Aphasia Screening Test (FAST) in an elderly population living in the community, and in patients with a first stroke. Fifty-one elderly people aged 69-90 years were screened. Ten subjects failed the test (score < 25/30). There was an inverse relationship between age and the FAST score (r _s = -0.35, p = 0.02, 95% Cl 0.09-0.57). I n a group of 82 elderly patients, mean age 80 (6 years), admitted with a first stroke, the FAST was applied at one and seven days and the result compared with a clinical assessment and a speech therapy assessment. At day one 28 patients failed the test due to a reduced level of consciousness. The use of the FAST increased the sensitivity of screening from 87% to 96%, but reduced its specificity from 100% to 61 %. The positive and negative predictive values were 65% and 95% respectively.

Clinical Rehabilitation, Vol. 4, No. 2, 123-128 (1990)
DOI: 10.1177/026921559000400205


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