Combined instruments for the screening of dementia in older people with low Education

Arquivos de Neuro-Psiquiatria

Cássio M.c. Bottino²  Sonia E. Zevallos-bustamante²  Marcos A. Lopes²  Dionisio Azevedo²  Sérgio R. Hototian²  Wilson Jacob-filho¹  Julio Litvoc¹ 

[1] ,Universidade de São Paulo Faculdade de Medicina Instituto e Departamento de PsiquiatriaSão Paulo SP ,Brazil

关键词: dementia;    screening;    cognitive tests;    informant report;    demência;    rastreio;    testes cognitivos;    relato de informantes;   

DOI  :  10.1590/S0004-282X2009000200003

来源: SciELO

【 摘 要 】

OBJECTIVE: To determine which combination of cognitive tests and informant reports can improve the diagnostic accuracy of dementia screening in low educated older people. METHOD: Patients with mild to moderate dementia (n=34) according to ICD-10 and DSM-III-R criteria and 59 older controls were assessed with the Mini-Mental State Examination (MMSE) and the Fuld Object Memory Evaluation (FOME). Informants were assessed using the Informant Questionnaire on Cognitive Decline in the Elderly and the Bayer-Activities of Daily Living Scale. RESULTS: The 4 instruments combined with the mixed rule correctly classified 100% and the logistic regression (weighted sum) classified 95.7% of subjects. The weighted sum had a significantly larger ROC area compared to MMSE (p=0.008) and FOME (p=0.023). The specificity of the tested combinations was superior to the MMSE alone (p=0.002). CONCLUSIONS: Cognitive tests combined with informant reports can improve the screening of mild to moderate dementia in low educated older people.

【 授权许可】

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