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。

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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引用次数: 0

摘要

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。

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

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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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).