The Efficacy of General Practitioner Assessment of Cognition in Chinese Elders Aged 80 and Older.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY American Journal of Alzheimers Disease and Other Dementias Pub Date : 2019-11-01 Epub Date: 2019-07-02 DOI:10.1177/1533317519860333

Fang Xu, Juan Juan Ma, Fei Sun, Jaewon Lee, David W Coon, Qiang Xiao, Yong Huang, Lei Zhang, Zhi Hou Liang

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Abstract

Objectives: This study examined the efficacy of the General Practitioner Assessment of Cognition-Chinese version (GPCOG-C) in screening dementia and mild cognitive impairment (MCI) among older Chinese.

Methods: Survey questionnaires were administered to 293 participants aged 80 or above from a university hospital in mainland China. Alzheimer disease and MCI were diagnosed in light of the National Institute on Aging and the Alzheimer's Association (NIA/AA) criteria. The sensitivity and specificity of GPCOG-C and Mini-Mental State Examination (MMSE) in screening dementia and MCI were compared to the NIA/AA criteria.

Results: The GPCOG-C had the sensitivity of 62.3% and specificity of 84.6% in screening MCI, which had comparable efficacy as the NIA/AA criteria. In screening dementia, GPCOG-C had a lower sensitivity (63.7%) than the MMSE and a higher specificity (82.6%) higher than the MMSE.

Conclusions: The GPCOG-C is a useful and efficient tool to identify dementia and MCI in older Chinese in outpatient clinical settings.

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全科医生对 80 岁及以上中国老年人认知能力评估的有效性。

研究目的本研究探讨了全科医生认知评估-中文版（GPCOG-C）在筛查中国老年人痴呆症和轻度认知障碍（MCI）方面的有效性：对中国大陆某大学附属医院的293名80岁及以上老年人进行了问卷调查。根据美国国家老龄化研究所和阿尔茨海默病协会（NIA/AA）的标准诊断阿尔茨海默病和 MCI。将 GPCOG-C 和迷你精神状态检查（MMSE）筛查痴呆症和 MCI 的灵敏度和特异性与 NIA/AA 标准进行了比较：在筛查 MCI 时，GPCOG-C 的灵敏度为 62.3%，特异度为 84.6%，与 NIA/AA 标准的疗效相当。在筛查痴呆症方面，GPCOG-C 的灵敏度（63.7%）低于 MMSE，特异性（82.6%）高于 MMSE：结论：GPCOG-C 是在门诊临床环境中识别中国老年人痴呆和 MCI 的有效工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY

CiteScore

5.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).