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Peer-reviewedCC BYCerebral circulation - cognition and behavior

The Hungarian version of the oxford cognitive screen (OCS-HU): Normative data and comparison of mild stroke to neurologically healthy adults.

  • Tímea Tünde Takács1
  • Edina Szabó1,2
  • Sam Webb3
  • Judit Kárpáti1
  • Károlyné Pálvölgyi1
  • Panna Pálinkás4
  • Orsolya Antal1
  • Júlia Baross5,6,7
  • Bernadett Bruckner8
  • Nele Demeyere3
  • Bence Gunda1
8 affiliations
  1. 1Semmelweis University, Department of Neurology, Budapest, Hungary.
  2. 2Semmelweis University, Faculty of Health Sciences, Department of Voice, Speech and Swallowing Therapy, Budapest, Hungary.
  3. 3Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
  4. 4Semmelweis University, Faculty of Medicine, Budapest, Hungary.
  5. 5Bajcsy-Zsilinszky Hospital and Clinic, Department of Musculoskeletal Rehabilitation, Budapest, Hungary.
  6. 6Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  7. 7Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  8. 8Department of Neurology, Bajcsy-Zsilinszky Hospital, Budapest, Hungary.
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Abstract

Background

Post-stroke cognitive impairment drives long-term disability, yet cognitive deficits are rarely systematically screened in clinical practice or trials. The Oxford Cognitive Screen (OCS) is an established, brief, stroke-specific bedside tool. We present the Hungarian version (OCS-HU) to establish normative data and characterise performance in acute stroke survivors, to enable routine screening.Methods

In a prospective, multicenter cross-sectional study, 106 healthy controls and 124 acute stroke survivors completed the OCS-HU within three weeks post-stroke. Normative 5th/95th percentile cut-offs derived from controls were compared with UK normative data. OCS-HU performance was subsequently compared between Hungarian controls and acute stroke survivors.Results

The stroke cohort (68.21 ± 12.41 years) presented with a predominantly mild clinical profile (mean NIHSS: 5.15 ± 3.96; mRS: 2.47 ± 1.49). Hungarian controls (59.61 ± 12.30 years) were younger (p = 0.013) and had lower educational attainment (p < 0.001). Controlling for demographic differences, subtests demonstrated comparable normative performance, allowing retention of original UK cut-offs across most domains with minor linguistic adaptations. Minor control performance differences reflected demographic variations in age and education rather than recruitment bias. Stroke patients performed significantly worse than controls on 10 of 14 assessed measures (p < 0.001). Nonsignificant differences in the broken hearts test, semantics, and praxis reflect the mild cohortseverity and control error variance.Conclusions

We establishes local normative reference data and characterised OCS-HU performance in acute stroke survivors, providing a foundation for its clinical and research application to improve deficit recognition, highlight unmet rehabilitation needs, and complement standard functional outcome measures.

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Cite

BibTeXRIS
BibTeX
@article{takacs2026hungarian,
  title = {{The Hungarian version of the oxford cognitive screen (OCS-HU): Normative data and comparison of mild stroke to neurologically healthy adults.}},
  author = {Tímea Tünde Takács and Edina Szabó and Sam Webb and Judit Kárpáti and Károlyné Pálvölgyi and Panna Pálinkás and Orsolya Antal and Júlia Baross and Bernadett Bruckner and Nele Demeyere and Bence Gunda},
  journal = {Cerebral circulation - cognition and behavior},
  year = {2026},
  month = oct,
  doi = {10.1016/j.cccb.2026.100567},
  url = {https://europepmc.org/article/MED/42960310},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - The Hungarian version of the oxford cognitive screen (OCS-HU): Normative data and comparison of mild stroke to neurologically healthy adults.
AU  - Tímea Tünde Takács
AU  - Edina Szabó
AU  - Sam Webb
AU  - Judit Kárpáti
AU  - Károlyné Pálvölgyi
AU  - Panna Pálinkás
AU  - Orsolya Antal
AU  - Júlia Baross
AU  - Bernadett Bruckner
AU  - Nele Demeyere
AU  - Bence Gunda
PY  - 2026
DA  - 2026/10/13
JO  - Cerebral circulation - cognition and behavior
DO  - 10.1016/j.cccb.2026.100567
UR  - https://europepmc.org/article/MED/42960310
AB  - Background  Post-stroke cognitive impairment drives long-term disability, yet cognitive deficits are rarely systematically screened in clinical practice or trials. The Oxford Cognitive Screen (OCS) is an established, brief, stroke-specific bedside tool. We present the Hungarian version (OCS-HU) to establish normative data and characterise performance in acute stroke survivors, to enable routine screening.Methods  In a prospective, multicenter cross-sectional study, 106 healthy controls and 124 acute stroke survivors completed the OCS-HU within three weeks post-stroke. Normative 5th/95th percentile cut-offs derived from controls were compared with UK normative data. OCS-HU performance was subsequently compared between Hungarian controls and acute stroke survivors.Results  The stroke cohort (68.21 ± 12.41 years) presented with a predominantly mild clinical profile (mean NIHSS: 5.15 ± 3.96; mRS: 2.47 ± 1.49). Hungarian controls (59.61 ± 12.30 years) were younger (p = 0.013) and had lower educational attainment (p < 0.001). Controlling for demographic differences, subtests demonstrated comparable normative performance, allowing retention of original UK cut-offs across most domains with minor linguistic adaptations. Minor control performance differences reflected demographic variations in age and education rather than recruitment bias. Stroke patients performed significantly worse than controls on 10 of 14 assessed measures (p < 0.001). Nonsignificant differences in the broken hearts test, semantics, and praxis reflect the mild cohortseverity and control error variance.Conclusions  We establishes local normative reference data and characterised OCS-HU performance in acute stroke survivors, providing a foundation for its clinical and research application to improve deficit recognition, highlight unmet rehabilitation needs, and complement standard functional outcome measures.
SN  - 2666-2450
ER  -