Development of a rapid screening instrument for mild cognitive impairment and undiagnosed dementia.
Mild cognitive impairment (MCI) often presages development of Alzheimer's disease (AD). We recently completed a cross-sectional study to test the hypothesis that a combination of a brief cognitive screening instrument (Mini-Cog) with a functional scale (Functional Activities Questionnaire; FAQ) woul...
| Publicado en: | Journal of Alzheimer's Disease Vol. 15; no. 3; pp. 419 - 428 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105584928&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105584928 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13872877 FLR jtl: Journal of Alzheimer's Disease issn: 13872877 maglogo: N pubinfo: dt: 2008 vid: 15 iid: 3 pid: 20732 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 105584928 105584928 NLM18997295 2010119282 10.3233/jad-2008-15308 NLM18997295 PMC2679370 105584928 ppf: 419 ppct: 9 formats: tig: atl: Development of a rapid screening instrument for mild cognitive impairment and undiagnosed dementia. aug: au: Steenland NK Auman CM Patel PM Bartell SM Goldstein FC Levey AI Lah JJ Steenland, N Kyle Auman, Courtney M Patel, Purvi M Bartell, Scott M Goldstein, Felicia C Levey, Allan I Lah, James J affil: Department of Environmental and Occupational Health, School of Public Health, Emory University, Atlanta, GA 30322, USA sug: subj: Cognition Disorders Diagnosis Cognition Disorders Psychosocial Factors Dementia Diagnosis Dementia Psychosocial Factors Activities of Daily Living Aged Attention Female Language Logistic Regression Male Memory Predictive Value of Tests Psychomotor Performance Questionnaires Regression Spatial Perception Visual Perception Physiology Human Aged: 65+ years Female Male ab: Mild cognitive impairment (MCI) often presages development of Alzheimer's disease (AD). We recently completed a cross-sectional study to test the hypothesis that a combination of a brief cognitive screening instrument (Mini-Cog) with a functional scale (Functional Activities Questionnaire; FAQ) would accurately identify individuals with MCI and undiagnosed dementia. The Mini-Cog consists of a clock drawing task and 3-item recall, and takes less than 5 minutes to administer. The FAQ is a 30-item questionnaire completed by an informant. In addition to the Mini-Cog and FAQ, a traditional cognitive test battery was administered, and two neurologists and a neuropsychologist determined a consensus diagnosis of Normal, MCI, or Dementia. A classification tree algorithm was used to pick optimal cutpoints, and, using these cutpoints, the combined Mini-Cog and FAQ (MC-FAQ) predicted the consensus diagnosis with an accuracy of 83% and a weighted kappa of 0.81. When the population was divided into Normal and Abnormal, the sensitivity, specificity and positive predictive value were 89%, 90%, and 95%, respectively. The MC-FAQ discriminates individuals with MCI from cognitively normal individuals and those with dementia, and its ease of administration makes it an attractive screening instrument to aid detection of cognitive impairment in the elderly. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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